Motivational Interviewing Flashcards
What is Motivational Interviewing (MI)
Client centered, directive method for enhancing intrinsic motivation to change by exploring and resolving client ambivalence (conflicting reactions, beliefs or feelings)
3 crucial components of motivation
Whether change is an immediate priority (ready)
The Importance of change for the client (willing)
The Confidence to change (able)
Phases of MI
Relapse, Precontemplation, Contemplation
—->Build Commitment to Change
Preparation,
Action,
Maintenance
—->Make a Plan for Change
Spirit of MI - PACE
Partnership - collaborate, avoid ‘expert’
Acceptance - respect clients autonomy, potential, strengths and perspectives
Compassion - keep clients best interest in mind
Evocation - the best ideas come from the client
Questions to Elicit “Change Talk”
Disadvantages of existing state
eg what worries you about …
what problems have arisen from …
Advantages of change
eg what would be different if …
how do you see yourself in 1 years time?
Optimism for change
eg what strengths do you have to make this change?
what successes have you had in making change …
Intention to change
eg how do you want your life to be different in 1 years time?
if you could make one change right now what would it be?
The 4 Processes
Engaging
Focussing
Evoking
Planning
Engaging (and Disengaging)
Process of establishing a trusting and mutually respectful relationship
Ensure client feels welcome, comfortable, understood
Collaborating, showing hope
AVOID DISENGAGING
Too many questions
Telling the client how to fix the problem
Coming across as an authority or expert
Labelling the client (alcoholic, addict, diabetic, resistant, etc)
Focussing
Ongoing process of seeking and maintaining direction
Agreeing on goals , agenda, priorities - collaborative
Using OARS skills
Evoking
Eliciting clients own motivation for change
Eliciting “change talk”
Planning
Developing a specific change plan the client is agreeing and willing to implement
Smart Goals
Specific
Measurable
Achievable
Relevant
Time Based
