Part 5 - Planning Flashcards
What is the basic outline of a summarization that looks to transition to planning? (MI)
“(Here are the reasons for change you’ve shared with me).
It’s in your hands what, if anything, you choose to do. What do you think?”
How might you ask for mobilizing/commitment language? (5)
Evoking activation talk “How ready are you to do that?” “Are you willing to give that a try?”
Asking for commitment “Are you going to do it?” “Is that what you intend to do?”
Getting more specific “What reading would you take?” “How would you get ready?”
Setting a date “When could you do that?” “When do you think you’ll go?”
Preparing “What would be a first step?” “What would you need to take along?”
What’s the difference in general efficacy and self-efficacy?
General: Would that idea work for people in general?
Self: Would it work for ME?
People may see the benefits to stop smoking, but remain doubtful that they could actually stop.
How might the righting reflex show up during the planning stage?
Most common: “Now that you’re willing to change, let ME tell you how to do it”
If you take the role of telling them how without their input, they may not buy in to your plan. They need to help create the plan, not be told what the plan will be.
How might you help someone build a change plan when there are multiple options?
Some component tasks here are:
1) Confirm the goal
2) Lay out the options
3) Get their preferences and input
4) Summarize the plan and strengthen commitment.
5) Troubleshoot/Test—raise any concerns you have.
What is a MI-style way to start deciding on a path to get started?
“Here are the different routes that we could take. Which one appeals more to you?”
Example: While discussing options to change their diet, a Diabetes patient says:
“Why don’t you tell me since you’re the expert.”
How might you respond? (MI)
INTERVIEWER : I can certainly tell you some things that people with diabetes do to manage their sugar, but you’re the one who decides if those could work for you. [ Emphasizing personal control ] Shall I give you a short list? [Asking permission]
CLIENT: Sure.
INTERVIEWER: (gives brief description of 5 ideas, then quick list) [A menu of options] Which of those sounds like something that you could do?
What is the common theme of mobilizing change talk? (ACTs)
Mobilizing change talk has to do with action. The word ‘do’ usually fits naturally into the sentence: “I am willing to [do]”; “I will consider [doing]”; “I might [do].”
Activation: what might you DO?
Commitment: what will you DO?
Taking steps: what have you DONE?
Which level of mobilizing language is easiest to obtain?
Activation. You are just getting a willingness to do something.
“What steps are you willing to take this week?”
“What part of this plan do you think you are ready to do?”
Signs a client is ready to transition from Evoking to Planning: (5)
1) Increased change talk
2) Decreased sustain talk
3) Taking steps
4) Envisioning (thinking about life after making the change)
5) Starts asking questions about change
What is Envisioning?
Imagining having made the change
What is happening here is that the person is envisioning having made the change and considering benefits/problems that could arise.
These are obstacles to be discussed, but the important point here is that the person is imagining the change even if it sounds like sustain talk.
How might you know when a client is ready to begin planning? (MI)
When they begin talking more about WHEN and HOW to make the change
And less about WHETHER and WHY
They may also start to talk about what it would feel like to have made the change
