Motivational Interviewing Week #1 - NFARtec€¦ · Week #1 Motivational Interviewing . Week # 7 -...
Transcript of Motivational Interviewing Week #1 - NFARtec€¦ · Week #1 Motivational Interviewing . Week # 7 -...
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Week #1
Motivational Interviewing
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Week # 7 - Agenda
• ReviewLearningActivityfromWeek6
• Managingsustaintalk• IntentionalChangeTalk–Demonstration
• RecognizingReadinesstoChange
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Week 6 Learning Activity - Discussion
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What is Unique to MI?
• Intentionalevokingandreinforcementofchangetalk
• Strategic-directiveuseofreflectionsandsummary
• Sequencingofpreparatorychangetalk-DARN-CAT
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MotivationalInterviewingwascreatedtoexploreandresolveambivalenceandtoincreasemotivationforchange.
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• “Convincing”peoplewhoareambivalentcanbecounterproductive–theyrespondby:
• Arguing• Defending• GivingLipService• BecomingPassive
Guidingthemtoexploretheirowndesire,reasons,ability,andneedtochangeismoreeffective
Ambivalence
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Sustain Talk and Change Talk
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Sustain Talk - Discord - Change Talk
CHANGETALK
Desire
Ability
Reason
Need
Commitment
Action
TakingSteps
DISCORD
Wheredoesitcomefrom?Previousexperiences,communicationroadblocks,lackofengagementHowdoesitshowup?Arguing,Ignoring,Interrupting,DiscountingWhattodo–Reengage,EmphasizeAutonomy,Apologize,ShiftFocus
SUSTAINTALK"Ireallywanttoquitsmokingbuttherearetimeswhensmokingisreallygreat."SustainingCounselor:"Tellmemoreaboutwhatyougetoutofsmoking?"Counselorhearingchangetalk:"youreallywanttoquitsmoking,saymoreaboutthat."
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Softening Sustain Talk
SUSTAINTALKWecancreatediscordbyrespondinginanMInon-adherentway.
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Intentional Change Talk
RecognizingandReinforcingChangeTalkChangetalkandsustaintalkreflecttwosidesofaperson'sambivalenceaboutchanging.Theintentionalcounsellorunderstandsthatdifferenceandguidestheclientawayfromsustaintalkandtowardchangetalk,listeningespeciallyforstatementsthatshowcommitment.
IntentionalChangeTalkDemonstration
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Recognizing Readiness to Change
IntheTOOLBOX
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Week 7 Learning Activity
Howdoyouknowthereisenoughmotivationtobeginplanning?• Bringexamplesof:• Someonewhoisnotreadyforplanning.Why?Whatwouldyoudonext?• Someonewhoseisreadyforplanning-Whatistheindicationofreadiness?
• Remembertouseyourjournaltodocumentyourcourseexperiences!
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Toallofyou…
….andseeyouallnextweek!!
Gettingtoknowyou...Gettingtoknowyou...