Motivational Interview / FLO Flashcards
OARS in MI
O: open-ended questions,
A: affirmations,
R: reflective listening,
S: summarizing
MI:
Precontemplation stage is characterized by a lack of “?”
of the need for change.
Awareness
Motivation is “?” of behavior change or movement
toward or against
a “?” or “?”
probability, goal or life direction
Modifiers of Motivation • "?" levels • Critical "?" • "?" evaluation or appraisal • Recognizing "?" • Positive and negative
Distress, life events, Cognitive, negative consequences, external influences
Working with the Stages
• Precontemplator:Establish “?” and explore “?”
• Contemplator: Explore “?”
• Determination: Clarify “? and ?”
• Action: Support and reinforce “?”
• Maintenance: Support/anticipate “?”
• Relapse: Determine how “?” and then proceed
Precontemplator: Rapport, concerns Contemplator: ambivalence Determination: goals and strategies Action: change Maintenance: problems Relapse: viewed
Assumptions: MI • Therapist as "?" • Key is "?" • Clients want what is good for "?" • "?" is key to change • client chooses "?" • Do not put "?"
partner, Ambivalence, selves, Empathy, strategies, labels
MI: General Principles • Express ? • Develop ? • Avoid ? • Roll with ? • Support ?
Empathy, Discrepancy, Arguing,, Resistance, Self- Efficacy
MI Opening Strategies • Ask ? • Listen ? • Summarize • Affirm what they have done that is "?" • Elicit ?
open-ended questions, reflectively,
positive,
change talk
Eliciting Change Talk
- Discuss ? things and “?” things
- Use ? ruler
- Decisional balance (which reason/way are you leaning on?)
- Looking ?/?
- Using “?”
- Set “?”
- Good/not-so-good
- Readiness
- forward/back (past/future)
- extremes (what could be worst things could happen?)
- goals
How to Roll with Resistance 1. Reflection 3 types 2. Shifting Focus 3. Emphasizing ? and ? 4. Reframing
- Simple, Amplified, Double-Sided
3. Personal Control and Choice
Use readiness ruler to ask the level of client’s ?2?
interest in change
confidence to change
Working with ambivalence is working with the “?” of the problem
heart
FLO
F: Feedback on Screening Results
L: Listen & Look for Change Talk
O: Explore Options
FLO: Under "Feedback on Screening Results", R: Range for ? A: Ask ? N: Normal G:Give? E: Elicit ?
R: AUDIT-C scores (0-12) A: what do you think your score might be? N: Normal score (low-risk) is 0 to 3 G: Give score E: "what do you make of that?"
FLO: Under “Look for change talk”, assess 2 things
Importance (how important is it for you to make a change”
Confidence: How confident that you’d be successful?