Objectives • To understand the concept of motivational interviewing. • To be able to discuss some of the general principles. • To be able to begin to use some of the concepts in practice
What is Motivational Interviewing? • Client –centred counselling style for changing behaviour by helping clients explore/resolve ambivalence. • A approach to help individuals develop a commitment to changing problematic behaviour. • A motivation to change that comes from the client.
Be aware of………… • Assuming that the client wants to change. • Assuming the client’s health is the prime motivating factor from them. • That if the client does not decide to change then the intervention has failed.
5 General principles • Express sympathy • Develop discrepancy • Avoid arguments • Roll with resistance • support self efficacy (believe one is capable of performing in a certain manner)
Strategies of MI • Elicit - draw out • Clarify – make clear • Resolve ambivalence – simultaneous attraction + revulsion towards an object/ action ( I do but I don’t!)
For a client to change they need to……… • Recognise the current behaviour is a problem or concern. • Believe that they will be better off if they change. • Believe that they are able to change.
Worker skills • Express empathy through reflective listening. • Communicate respect for and acceptance of their feelings. • Establish a non judgemental relationship with client. • Be complimentary not punitive. • Listen rather than tell. • Gently persuade ( change is up to the client.) • Develop discrepancy between clients goals and values and their current behaviour. • Focus on clients strengths to support and optimising needed to change.
Undertaking an interview • Examine the good things about the clients behaviour. • Examine the less good things and compare the two. • Explore how much of a concern the less good things are.
Tool kit! • Be empathic – non judgemental • Use open Questioning • Reflective listening • Summarize • Use decisional balance sheet
Some good phrases to use! • Tell me about your …………… • What do you like about ……………… • What is positive about your……..for you? • Do you have any concerns about……………
Summary • Sowing a seed!! • Helping people to maintain change • Client centred • Non confrontational • Opportunist • Can be delivered by non-specialist