154x Filetype PPTX File size 0.09 MB Source: targethiv.org
WHAT IS MOTIVATIONAL INTERVIEWING? • A semi-directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence • A method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior • Recognizes and accepts the fact that clients who need to make changes in their lives approach counseling at different levels of readiness to change their behavior • Some clients may have thought about it but not taken steps to change, while some may be actively trying to change their behavior and may have been doing so unsuccessfully for years PRINCIPLES OF MOTIVATIONAL INTERVIEWING R – Resist the righting reflex U – Understand your client’s motivation L -- Listen to your client E -- Empower your client Complete exercise: Rating Samples for MI Spirit FOUNDATIONAL SKILLS • Ask open ended questions • Provide affirmations • Use reflective listening • Periodically provide summary statements to the client REFLECTIVE LISTENING 1. Start from the obvious position that each client knows more about him- or herself than you ever will. 2. We can see blind spots that clients cannot – but they know far more about factors that have influenced their lives than we do. If we want to know these things, clients must tell us – and we must listen (though that still doesn’t mean that we will ever truly understand their experience). Key Element: Hypothesis Testing – what you think the person means may not be what he or she really means….so check! “So you feel…” “It sounds like you…” “You’re wondering if…” “What I heard you saying was …” “On the one hand you feel…on the other hand…” (double-sided reflection) Complete exercises: Hypothesis Testing and the Formation of Reflections; Directive Reflecting DEEPENING REFLECTIONS So, I’m not too worried, but it’s been over a year since I’ve had a syphilis test. Paraphrase: Moves well beyond the client’s words and presents information in a new light. You’ve had some risk behavior. Amplified: Overstates what the client has said, often increasing the intensity by pressing on the absolute or resistant element. It’s no concern to you. Double-sided: Reflects both parts of the client’s ambivalence. You feel you’ve been pretty safe, while also recognizing that there has been some risk. Affective: Addresses the emotion either expressed or implied. It’s like there is always a little uncertainty – a little fear – since you’ve chosen to be sexually active.
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