Lack of Information Laziness Oppositional Personality Denial
Resistance MISCONCEPTIONS
Slide 4
AMBIVALENCE IS OFTEN MISTAKEN FOR RESISTANCE MOTIVATIONAL
INTERVIEWING CAN ELICIT A A PERSONS MOTIVATION TO CHANGE
Slide 5
CORE SKILLS FOR MOTIVATIONAL INTERVIEWING Open Questions
Affirmations Reflections Summaries
Slide 6
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?
Slide 7
AFFIRMATIONS You really care a lot about your family This is
hard work your doing
Slide 8
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
Slide 9
SUMMARIES If I understood you correctly, youve been Thinking
about moving. There is a downside In that you have to find a new
doctor
Slide 10
SPIRIT OF MOTIVATIONAL INTERVIEWING CORE PRINCIPALS ACCEPTANCE
COMPASSION EVOCATION
Slide 11
THE FOUR PROCESS OF MOTIVATIONAL INTERVIEWING Engaging Focusing
EvokingPlanning
Slide 12
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
Slide 13
FOCUSING An ongoing process of seeking and maintaining
direction Agree on an agenda based on clients and counselors goals
& priorities Practice listening skills
Slide 14
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
Slide 15
PLANNING Developing a specific change plan Plan should be
-Specific -Measurable -Achievable -Relevant -Timed
Slide 16
Slide 17
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
