Motivational Interviewing

Question 1

OARS

Answer 1

Open ended Qs
Affirmation
Reflections
Summaries

Question 2

Qs to help recognize a problem

Answer 2

• does your current lifestyle cause any problems for you at all?
• has the way you’ve been doing things stopped you from doing anything you want to do?
• what do you think will happenif you don’t make a change?

Question 3

Qs to prompt people to plan a solution

Answer 3

• the way you’ve been talking suggests you’re thinking of making a change. What do you think are the reasons for making a change?
• If you decide to make a change, what would your hopes for the future be?
• How would you like things to turn out for you?
• what have you done in the past to address this? How have those worked for you?

Question 4

Change talk

Answer 4

D- Desire for change
A- ability for change
R- reasons for change
N- need for change

C- Commitment to change
A- Activation
T- Taking Steps

Question 5

Stages of change

Answer 5

Pre-contemplation- no intention on changing behavior
Contemplation- aware a problem exists but no commitment to action
Preparation- intent on taking action to address problem
Action- active modification of behavior
Maintenance- sustained change; new behavior replaces old
Relapse- fall back into old patterns of behavior

Question 6

What to do in each stage

Answer 6

Pre-contemplation:explore meaning of events that brought the person to treatment, results of previous efforts, pros and cons of target behaviors
Contemplation: explore self-efficacy, expectations around change, summarize self-motivational statements
Determination: identify and lower barriers, help enlist social support, offer menu of options for change
Action- help ID high-risk scenarios and develop coping strategies; support realistic view and small steps
Maintenance: help develop escape plan, work to set new ST and LT goals
Recurrence: frame recurrence as learning opportunity, develop alternative coping strategies, encourage to stay in the process

Question 7

Qs to help people plan

Answer 7

• If you could start your life from now with a blank sheet, what would you want to do?
• What are the options for you just now?
• What could you do?
• intro prob issue here- How does the drinking fit in with this?