jagomart
digital resources
picture1_Motivational Interviewing Pdf 87150 | 00   Field Binder Screening  Brief Intervention


 183x       Filetype PDF       File size 0.08 MB       Source: www.tmcec.com


File: Motivational Interviewing Pdf 87150 | 00 Field Binder Screening Brief Intervention
motivational interviewing identify behavior changes open ended questions affirmation reflection summarize 1 ask about their concerns share yours 7 evaluate 2 good things mixed feelings outcome not so good things ...

icon picture PDF Filetype PDF | Posted on 14 Sep 2022 | 3 years ago
Partial capture of text on file.
                MOTIVATIONAL INTERVIEWING 
       
                IDENTIFY BEHAVIOR CHANGES 
                                        
                                        
                                        
       
                        Open-Ended Questions 
                        Affirmation 
                        Reflection 
                        Summarize 
                               1. Ask about their concerns, share 
                                 yours. 
         7. Evaluate                           2.  Good things (mixed feelings)/       
            Outcome                              Not-So-Good things. 
        6. Negotiate Plan. 
                                                          3. Importance / 
                                                            Confidence Rulers. 
                      5.  Menu of Options 
                The “BIG 5” Traps 
           
            1.  Playing the Expert.                      4.  Change in the 
            2.  Arguing the Positive.                      Hypothetical. 
            3.  Giving Unsolicited Advice. 
            4.  Premature Focus on Change. 
            5.  Asking Too Many Questions. 
                          
                         Motivational Interviewing is a collaborative conversation style for strengthening a person’s own motivation 
                         and commitment to change. 
                          
                                                                                                                                                                                                   CRIMINOGENIC NEEDS:  
                                                                                                                                                                                                                Things to Focus On 
                                                                                                                                                        1.        Family Problems                                                                    6.        Pro-Social Modeling 
                                                                                                                                                        2.        Vocational Skills and Employment                                                   7.        Antisocial Attitudes 
                                                                                                                                                        3.        Anger Management                                                                   8.        Substance Abuse treatment 
                                                                                                                                                        4.        Self Control                                                                       9.        Reducing Antisocial contacts 
                                                                                                                                                        5.        Self-Management Skills                                                             10.  Relapse prevention 
                                                                                                                                                                                          NON- CRIMINOGENIC NEEDS: 
                                                                                                                                                                                                  They Don’t Predict Recidivism 
                                                                                                                                                        1.  Stress and Anxiety                                                                         5.  Vague Emotional Problems 
                                                                                                                                                        2.  Self-Esteem                                                                                6.  Fear of Official Punishment 
                                                                                                                                                        3.  Cohesiveness of Peer Group                                                                 7.  Physical Activity 
                                                                                                                                                        4.  Discipline                                                                                 8.  Creativity 
                          
                                                                                       Matching Approach to Stages of Change 
                            Individuals are either unconvinced that they have a problem or are unwilling to                                                                         Pre-contemplation                                                  Raise Consciousness 
                            consider changes                                                                                                                                                                                                           Highlight discrepancy 
                            A person is actively considering the possibility of change; evaluating options                                                                                Contemplation                                                Tip Balance toward change 
                            but not ready to take action at present.                                                                                                                                                                                   Experiment with change? 
                                                                                                                                                                                                                                                       Clarify goals, plan 
                            Individuals make a commitment as well as initial plans to change the behavior.                                                                                    Preparation                                              Reduce barriers 
                                                                                                                                                                                                                                                       Identify people who will help 
                            Once people take effective action to make the change, they are considered to                                                                                                                                               Engage in plan 
                            be in the action stage.  In action a person adopts strategies to prevent a                                                                                                 Action                                          Reinforce change 
                            relapse and a return to the problem behavior.  
                            The individual consolidates the changes and integrates it into his or her                                                                                        Maintenance                                               Support changes 
                            lifestyle.                                                                                                                                                                                                                 Relapse prevention 
                          
                                        SIGNS OF RESISTANCE                                                                              COMMONALITIES OF EFFECTIVE BRIEF INTERVENTIONS 
                                                                                                                         Feedback or information about alcohol/drug                                                        Menu of options for what the client would like to 
                              Negating –– Blaming, disagreeing, minimizing,                                                      assessments, tests results, etc.                                                                   talk about or would address the problem. 
                                      pessimism, reluctance                                                                                                                                                               
                              Arguing –– Challenging, discounting                                                       Responsibility for change left with the client.                                                   Empathy is critical in brief approaches. In the 
                              Body Language –– Looking around, checking                                                          Ambivalence about change is normal.                                                               absence of empathy, change rarely occurs. 
                                      watch, answering cell phone                                                                                                                                                          
                              Verbal Avoidance –– Interrupting, changing                                                Advice, clear and well timed, especially if solicited                                             Self-Efficacy supported and promoted. An 
                                      the subject                                                                                 by the client and not pushed by the agent.  Direct                                                individual’s belief in ability determines whether 
                              Ignoring, Withdrawal                                                                               persuasion rarely produces change. Ask                                                            or not they will attempt to change. 
                                                                                                                                  permission first. 
                          
                                                       Phases of MI                                                       Develop Discrepancy: “Look for the Hooks”                                                                   Good / Not-So-Good Things 
                                                                                                                                                                                                                          What are some of the                            What are some of the Not-
                                     Engaging                                                                            Ask about their concerns or share your own.                                                    Good things about ….?                           So-Good things about …..? 
                                     Focusing                                                                            Provide non-judgmental feedback or                                                                                                              
                                     Evoking                                                                                     information.                                                                            Social interactions….                           Hangovers……... 
                                     Planning                                                                            Watch for signs of discomfort with the status                                                  Fit in with friends.....                        Cost money…….. 
                                                                                                                                  quo, or interest or ability to change.                                                  Helps me relax……                                Girlfriend nags…. 
                                                                                                                          Use reflection, questions, and summaries to                                                    Quenches thirst ….                              Legal problems… 
                                                                                                                                  draw out positive talk. 
                          
                                Explore Change in the Abstract                                                                   Importance / Confidence Rulers – On a scale of 1 to 10 … 
                             Conditional Statement                             Plan of Action                        How important is it for you to make a change in                                                      How confident are you that you could change if 
                                                                                                                        your….. ?                                                                                         you wanted to? 
                            If you wanted to ……...                       How would you do it?                                                                                                                            
                                                                                                                            1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10                    1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10 
                            If you decided you                           How would you go                                 “Not Important”                                               “Very Important”                  “Not Confident”                                             “Very Confident” 
                                     wanted to ………                        about it?                                                                                                                                        
                                                                                                                          a.  What makes it that important?                                                               a.  What makes you that confident? 
                            If the time were right…                      What would you do?                               b.  Why are you at a ?? and not a 1?                                                            b.  Why are you at a ?? and not a 1? 
                                                                                                                          c.  What else? … What else?...                                                                  c.  What would it take to raise your score to a ?? ? 
                                                                                                                                                                                                                          d.  How can I help you get there? 
                          
                  
                                   Motivational Interviewing - Condensed Training Notes 
                  
                 An Overall Person-Centered Approach 
                         o  Collaborative: Working in partnership and consultation; negotiating 
                         o  Evocative: Listening more than telling; eliciting rather than installing 
                         o  Respectful: Honoring the person’s autonomy, resourcefulness, ability to 
                             choose 
                  
                 Ambivalence 
                         o  “Lack of motivation” is often ambivalence: Both sides already within the 
                             person 
                         o  If you argue for one side, an ambivalent person is likely to defend the other 
                         o  As a person defends the status quo, the likelihood of change decreases 
                         o  Resist the “righting reflex” - to take up the “good” side of the ambivalence 
                  
                 Four Basic Micro-skills: OARS 
                         o  Ask OPEN questions - avoid short-answer, yes/no, or rhetorical questions 
                         o  AFFIRM the person - comment positively on strengths, effort, intention  
                         o  REFLECT what the person says - “active listening” 
                         o  SUMMARIZE - draw together the person’s own perspectives on change 
                  
                 Reflective Listening: A Valuable Skill in Itself 
                         o  A reflection tries to summarize what the person means; it makes a guess 
                         o  A reflection is a statement, not a question 
                         o  Levels of reflection 
                                    Repeat/Rephrase -  Saying the same thing in similar words 
                                    Paraphrase - Making a guess about meaning; continuing the 
                                     paragraph; inferring some additional meaning that was not said directly 
                                    Double-sided reflection - Captures both sides of ambivalence (On the 
                                     one hand…on the other hand) 
                                    Amplified reflection - Overstates what the person says 
                   
                 Responding to Resistance 
                         o  Remember that “resistance” is just the other side of the ambivalence 
                         o  Don’t argue against it; pushing against resistance entrenches it 
                         o  Some responses that tend to defuse resistance  
                                    Reflection - Acknowledge resistance by reflecting the gist back 
                                    Amplified reflection - Overstating it a bit 
                                    Double-sided reflection - On the one hand . . . . and on the other . . . . 
                                    Emphasize the person’s ability to choose, control, autonomy 
                                    Ask about action – What would you like to do? 
                  
                 Change Talk 
                         o  Talk in a way that invites the person to make the arguments for change, and 
                             reduces resistance toward change 
                         o  Common types of change talk (DARN) 
                                    Desire - want, prefer, wish, etc. 
                                    Ability - able, can, could, possible 
                                                                                                                         1
                  
                                    Reasons - specific arguments for change - Why do it?  What would be 
                                     good? 
                                    Need - important, have to, need to, matter, got to 
                                    Commitment language – What will the person actually do? 
                         o  People most often imbed change talk in other kinds of talk, so the skill is to 
                             identify and respond to the DARN elements, while leaving the rest. 
                   
                 Eliciting Change Talk 
                         o  The simplest way: Ask for it.  Use open, forward focused questions to elicit 
                             desire, ability, reasons, need 
                   In what ways would it be good for you to . . . .? 
                                 If you did decide to . . . ., how would you do it? 
                                 What would be the good things about . . . .? 
                                 Why would you want to . . . .? 
                         o Decisional balance:  
                                 What are the good things about . . .   And what are the not so good 
                                 things? 
                         o  Importance and Confidence rulers: 
                   On a scale from 1 to 10, how important is it for you to . . . . . 
                                         Why are you at ____ and not one?  (The answer is change talk) 
                   On a scale from 1 to 10, how confident are you that you could . . . . . 
                                         Why are you at ____ and not one?  (The answer is ability talk) 
                         o Looking forward: 
                   If you don’t make any change, what do you think will happen? 
                                 Where would you like to be in ___ years?  What do you hope will be 
                                 different? 
                                 And how does _[smoking]_ fit into that? 
                  
                 Responding to Change Talk 
                         o  When you hear change talk, don’t just sit there! Use your EARS: 
                                    ASK FOR (E)LABORATION: When was the last time; in what ways, 
                                     What else?   What other reasons? 
                                    AFFIRM - reinforce, encourage, support it  
                                    REFLECT it back to the person, infer meaning, add to what has been 
                                     said 
                                  SUMMARIZE  
                  
                 Giving Advice 
                         o  The person is more likely to hear and heed your advice if you have 
                             permission to give it 
                         o  Three forms of permission: 
                                 1.  The patient offers it (e.g., asks for advice) 
                                 2.  You ask permission to give it  
                    There’s something that worries me here.  Would it be all right if I . . . 
                                         Would you like to know . . .  
                                         Do you want to know what I would so, if I were in your situation? 
                                         I could tell you some things other patients have done that worked. .  
                                 3.  You preface your advice with permission to disagree/disregard 
                                                                                                                         2
The words contained in this file might help you see if this file matches what you are looking for:

...Motivational interviewing identify behavior changes open ended questions affirmation reflection summarize ask about their concerns share yours evaluate good things mixed feelings outcome not so negotiate plan importance confidence rulers menu of options the big traps playing expert change in arguing positive hypothetical giving unsolicited advice premature focus on asking too many is a collaborative conversation style for strengthening person s own motivation and commitment to criminogenic needs family problems pro social modeling vocational skills employment antisocial attitudes anger management substance abuse treatment self control reducing contacts relapse prevention non they don t predict recidivism stress anxiety vague emotional esteem fear official punishment cohesiveness peer group physical activity discipline creativity matching approach stages individuals are either unconvinced that have problem or unwilling pre contemplation raise consciousness consider highlight discrepancy...

no reviews yet
Please Login to review.