Motivational Interview Flashcards
1
Q
Reflective listening
A
- Most important skill in MI
- A response to a statement
- NOT a question
- Slows the pace and shows empathy
- Keeps the client involved
- Demonstrates that you are listening attentively and really hearing
- Drop your voice
- Under shoot rather than overshoot
- say less rather than more – short and simple
- Requires continuous alert tracking
- Used strategically to emphasize aspects of client’s view, emotion, ambivalence, and change talk
- Don’t use reflection as a way to teach we call that teaching, not reflecting
2
Q
OARS
A
- Four skills are important from start to finish – t
- they form the acronym OARS
- Asking Open Questions
- Affirming
- Reflective Listening
- Summarizing
3
Q
Preparation Characteristics
A
- Ambivalence is decreasing
- Making plans for change
4
Q
MI Process: Engaging
A
- Using OARS, non-verbals to establish positive therapeutic relationship
- First few minutes of session critical phase
5
Q
Major Goal of MI
A
Change Talk
6
Q
Simple reflection
A
- repeating, rephrasing, paraphrasing
7
Q
Contemplation Characteristics
A
- Ambivalent
- May seek information and/or ask for consultation
8
Q
Maintenance
Characteristics
A
- Maintained behavior change for at least 6 months
- Change takes less effort
9
Q
Other ways to Elicit Change Talk
A
- Decisional Balance exercise
- Scaling ruler exercises
10
Q
MI Process: Focusing
A
- Agenda setting
- Negotiation of target behavior
11
Q
MI Spirit: Acceptance
A
- Person-centered conditions:
- Absolute worth and potential, what Carl Rogers called unconditional positive regard (can do no wrong)
- Accurate empathy
- Autonomy Support
- Affirmation
12
Q
MI Process: Planning
A
- Commitment to and plan for action
- Envisioning what it would be like
- Setting goals
- Considering change options
- Transition to Action
13
Q
Motivational Interviewing
A
- Motivational Interviewing is a client- center, goal-oriented counseling style designed to evoke and strengthen personal motivation for behavior change.
14
Q
Maintenance
Treatment Goals & Strategies
A
- Affirm commitment and efforts to change
- Discuss benefits of change
- Explore high-risk situations and develop strategies to prevent relapse
15
Q
Asking Open Questions
A
- A good place to start
- Can’t be answered “Yes” or “No”
- Encourages client to do most of the talking
- Makes no assumptions
- Allows clinician to begin to understand client’s perspective
- Ask fewer questions!
- Don’t ask three questions in a row
- Ask more open than closed questions
- Offer two reflections for each question asked
16
Q
The ‘PACE’ of the MI SPIRIT
A
- Partnership/collaboration
- Acceptance: respect autonomy, absolute worth, affirmation, accurate empathy
- Compassion – acting in the interest of another
- Evocation – of client’s Change Talk, values, goals, strengths, wisdom
17
Q
Helpful Hints for Using the Rulers
A
- Be specific about which ruler you are using (Importance, Confidence, Readiness)
- Define target behavior (quitting, cutting down [to how many] )
- Define target substance (stick to one)
- Use the visuals (picture of the ruler)
18
Q
Traps to Avoid
A
- Question/Answer
- Premature Focus
- Taking Sides
- Expert Role
- Blaming
19
Q
Factors that Contribute to Long-Term Change
A
- Feeling that change is a personal choice
- Feeling that change is important
- Having a positive encounter with clinician
- Having adequate self-confidence about the ability to make a change
20
Q
Summarizing
A
- Special form of reflective listening
- Draws together key points
- Gather what you’ve heard and present to client
- Shows you’ve heard and therefore ENGAGED with the client
- Ensures that you’ve got a clear picture
- Enables the client to add information
- Enables the client the opportunity to hear their own story
- Helps to provide a point from which to move forward
- Provides a strategic way to redirect dialogue
- Useful to summarize periodically during time together
- Offer summaries strategically, with purpose
- Continue, rather than interrupt, momentum