MOTIVATIONAL INTERVIEWING Key Concepts Lack of Information Laziness Oppositional Personality Denial...
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- Slide 1
- Slide 2
- MOTIVATIONAL INTERVIEWING Key Concepts
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- Lack of Information Laziness Oppositional Personality Denial
Resistance MISCONCEPTIONS
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- AMBIVALENCE IS OFTEN MISTAKEN FOR RESISTANCE MOTIVATIONAL
INTERVIEWING CAN ELICIT A A PERSONS MOTIVATION TO CHANGE
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- CORE SKILLS FOR MOTIVATIONAL INTERVIEWING Open Questions
Affirmations Reflections Summaries
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- CLOSED VS. OPEN QUESTIONS CLOSED OPEN How much alcohol do you
drink a day? What role does alcohol play in your life? Dont you
want to move to a safer place? What are the advantages that you see
in moving? Are you in pain? How do you feel?
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- AFFIRMATIONS You really care a lot about your family This is
hard work your doing
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- REFLECTIONS Patient - I have been this way for so long, I think
its just my personality Provider Response - So all of this seems
normal to You
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- SUMMARIES If I understood you correctly, youve been Thinking
about moving. There is a downside In that you have to find a new
doctor
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- SPIRIT OF MOTIVATIONAL INTERVIEWING CORE PRINCIPALS ACCEPTANCE
COMPASSION EVOCATION
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- THE FOUR PROCESS OF MOTIVATIONAL INTERVIEWING Engaging Focusing
EvokingPlanning
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- ENGAGING Helps to establish a trusting and mutually respectful
relationship Avoid bombarding patient with questions in the initial
encounter Avoid telling patients how to fix their problem Avoid
labeling patients ie. stubborn, resistant
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- FOCUSING An ongoing process of seeking and maintaining
direction Agree on an agenda based on clients and counselors goals
& priorities Practice listening skills
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- EVOKING Elicit a clients own motivation to change change talk
Asking questions that favors a movement in the direction of change
I want, I can, I wish
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- PLANNING Developing a specific change plan Plan should be
-Specific -Measurable -Achievable -Relevant -Timed
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- REFERENCES Miller, W. & Rollnick, S. (2002). Motivational
Interviewing: Preparing people for change (2 nd ed.). New York, NY:
Guilford Press Rochon, D., Ross, M.W. Looney, C., Nepal, V.P.,
Price, A.J. & Giordano, T.P. (2011). Communications strategies
to improve HIV treatment adherence. Health Communication, 26,
461-467