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Addictions > Motivational Interviewing (M.I.) > Flashcards

Motivational Interviewing (M.I.) Flashcards

1
Q

Areas to cover in suicide assessment

A

-are you suicidal?
-do you have a plan?
-do you have the means to carry out that plan?
-depression
-thoughts & plans
-intent to commit (mild/moderate/severe)

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2
Q

Continuum of Styles (3)

A
  1. Directing
  2. Guiding
  3. Following
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3
Q

Directing-Continuum of Styles (3)

A

-one-end: professional provides info., instruction, advice
-non-judgmental, unbiased
-not how we feel, but how we can professionally guide ppl. to their values/interests
-roles for recipient: obeying, adhering, complying

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4
Q

Guiding-Continuum of Styles (3)

A

-good listener, offers expertise where needed
-ask permission to share insight/judgement
-not too much/too little

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5
Q

Following-Continuum of Styles (3)

A

-active listeners, seek to understand
-no agendas; refrain from inserting own material (temporarily)

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6
Q

4 Interrelated Elements of the Spirit of M.I.

A
  1. Pace
  2. Acceptance
  3. Compassion
  4. Evocation
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7
Q

Why is documentation important working with suicidal clients?

A

-shows you obtained adequate historical info.
-shows you consulted w/1 or more professionals
-shows you gave resources to clients

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8
Q

O.A.R.S.

A

-core skills of M.I.
O- asking open questions
A- affirming
R- reflective listening
S- summarizing
-informing/advising

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9
Q

Open Que.’s

A

-invites ppl. to reflect before responding

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10
Q

Affirming

A

-recognize, support, & encourage strengths & efforts

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11
Q

Summarizing

A

-pulls together info. client’s offered
-can be collecting, linking, transitional

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12
Q

Reflective Listening

A

-fundamental skill in MI
-deepens understanding whether guess is accurate
-allow ppl to hear again thoughts/feelings they’re expressing in different words, ponder them
-keeps person talking, exploring, considering

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13
Q

D.A.R.N. C.A.T.

A
  • increase change talk; heart of M.I.; we want to elicit:

D- desire
A- ability
R- reason
N- need

C- commitment
A- activation
T- taking steps

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14
Q

Desire (D.A.R.N. C.A.T.)

A

-I want to change
-contain verbs; want, wish, like

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15
Q

Ability (D.A.R.N. C.A.T.)

A

-I can change
-what a person can do, able to do, gently (hypothetically) what they could do

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16
Q

Reason (D.A.R.N. C.A.T.)

A

-it’s important to change
-ask for specific reasons why
-they explore the if…
-then reasons for considering or making a change

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17
Q

Need (D.A.R.N. C.A.T.)

A

-I should change
-expresses urgency for change w/out giving particular reasons
-need que’s may evoke reasons

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18
Q

Commitment (D.A.R.N. C.A.T.)

A

-how I will make changes

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19
Q

Activation (D.A.R.N. C.A.T.)

A

-I’m ready, prepared, willing to change

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20
Q

Taking Steps (D.A.R.N. C.A.T.)

A

-the client’s doing the work of treatment; taking active steps towards goal

21
Q

A.B.C.’s of Documentation

A

Accurate
Brief
Clear
-no need for lengthy notes unless suicide discussion or serious occurrence
-include client, setting, clinician

22
Q

The 4 Aspects of Acceptance (the A Team)

A

Absolute Worth
Accurate Empathy
Autonomy
Affirmation

23
Q

Absolute Worth
(The 4 Aspects of Acceptance (the A Team)

A

-unconditional Pos. regard
-no judgement

24
Q

Accurate Empathy (The 4 Aspects of Acceptance (the A Team)

A

-see the world thru their eyes

25
Q

Autonomy (The 4 Aspects of Acceptance (the A Team)

A

-honouring their right/capacity of self-direction
-complete freedom to be & to choose (Rogers)

26
Q

Affirmation (The 4 Aspects of Acceptance (the A Team)

A

to seek & acknowledge person’s strengths & efforts

27
Q

Ambivalence

A
  • normal step on the road to change
  • pre-contemplation stage
    -see both reason to change & reason not to
    -want to change & don’t want to change
    -either focusing on the pos. of the change or focusing on the neg. of the change
28
Q

Change Talk

A

-self-motivational statements that favour change
-statements about desire, ability, reasons, & need for change

29
Q

Sustain Talk

A

-reflects one side of ambivalence
-person’s own arguments for not changing
-desire to stay as they are
-worries & reasons not to change
-need to stay as they are (status quo)

30
Q

4 M.I. Processes (E.F.E.P)

A
  1. Engaging
  2. Focusing
  3. Evoking
  4. Planning
31
Q

Engaging (4 M.I. Processes (E.F.E.P)

A

-both parties establish helpful connection & working relationship

32
Q

Focusing (4 M.I. Processes (E.F.E.P)

A

-focus on agenda: what person came to talk about

33
Q

Evoking (4 M.I. Processes (E.F.E.P)

A

-eliciting client’s own motivations for change
-heart of M.I.

34
Q

Planning (4 M.I. Processes (E.F.E.P)

A

-motivation reaches threshold of readiness
-balance tips to think & talk more about when & how to change

35
Q

Thomas Gordon’s 12 Roadblocks

A
  1. ordering, directing, commanding
  2. warning, cautioning, threatening
  3. giving advice, making suggestions, providing solutions
  4. persuading w/logic, arguing, lecturing
  5. telling ppl. what they should do; moralizing
  6. disagreeing, judging, criticizing, blaming
  7. agreeing, approving, praising
  8. shaming, ridiculing, labeling
  9. interpreting, analyzing
  10. reassuring, sympathizing, consoling
  11. questioning, probing
  12. withdrawing, distracting, humouring, changing the subject
36
Q

Agenda Mapping

A

is a meta-conversation
-I.D.’ing 1 step to focus on in process of change
-choosing & prioritizing
-assists w/changing direction, getting unstuck, raising difficult topic, clarifying roles

37
Q

Meta-conversation

A

taking a few steps back to have a convo.about the convo.

38
Q

Resistance

A

-characterized client movement away from change
-sustain talk & discord

39
Q

2 Psychologists that Developed M.I.

A

William R. Miller & Stephen Rollnick (1983)

40
Q

Transference

A

-when someone redirects their feelings about one person onto someone else
-person transferring their feelings about someone else onto their therapist

41
Q

Countertransference

A

-when therapist projects their own unresolved conflicts onto the client

42
Q

Positive Engagement

A

-being involved w/task or team in way that fosters wellbeing, productivity, & growth
-achieved by taking initiative, valuing & recognizing others, facilitating teamwork & trust, promoting complete immersion in activities

43
Q

P.A.C.E.

A

-4 key interrelated elements of M.I.
-spirit of M.I.
Partnership
Acceptance
Compassion
Evocation

44
Q

Partnership (P.A.C.E. - 4 key interrelated elements of M.I.)

A

-nature of relationship between client & clinician
-clinician brings expertise (education, training, experience)
-client knows themself better than anyone else

45
Q

Acceptance (P.A.C.E. - 4 key interrelated elements of M.I.)

A

-clinicians deep appreciation for client & their worldview
-incl.’s 4 A’s: absolute worth, accurate empathy, autonomy support, affirmation

46
Q

Compassion (P.A.C.E. - 4 key interrelated elements of M.I.)

A

-prioritize needs & welfare of client above that of clinician
-foundation of trusting relationship

47
Q

Evocation (P.A.C.E. - 4 key interrelated elements of M.I.)

A

-client has strengths, resources, thoughts, ideas, solutions, motivation, expertise, wisdom, & experience that can be tapped

48
Q

Discrepancy

A

-lack of compatibility/similarity between two or more facts
-between the way things are & the way client wants them to be
-helpful tool: decisional balance worksheet (pros & cons)

Addictions (14 decks)

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