November 2016 with John Russell

www.miinlondon.org / miclub@miinlondon.org

Follow us on Twitter @miinlondon / Tweet #miinlondon

1

Giving Advice in MI Welcome to MI Club

Today

2

•  18:00 – Giving Advice: What’s good look like?

•  18:10 – Giving Advice: MI interpretation

•  18:20 – Practise (yay!)

•  18:40 – Trainer Demonstration

•  18:50 – Debrief

A few quick things

3

•  Toilets

•  Fire Exits

•  Thank You for taking time out of your day to

come to MI Club.

Giving Advice

4

What’sgoodlooklike?

5

Think about times that you’ve been given advice?

1.  What’s happened when it’s well received? 2.  What’s happening when it’s not well received? 3.  Talk to the person next to you to discuss (5 mins) 4.  We’ll then have the chance to feedback as a group

Send us a Tweet: @MIinlondon

Giving Advice

6

WhatdoesMIliteraturesay?

7

How do you give advice in MI? Use Elicit Provide Elicit (EPE)

Step 1 (E) – Find out what they know already Step 2 (P) – Ask permission, then provide your advice Step 3 (E) – Check their understanding

Send us a Tweet: @MIinlondon

8

Step 1: Elicit FIND OUT WHAT DO THEY KNOW ALREADY

“Tell me what you know about… [healthy eating]” “What’s your understanding of... [alcohol units]” “What’s your experience of... [depression]”

NEXT: PROVIDE (ASK PERMISSION, GIVE YOUR ADVICE)

Send us a Tweet: @MIinlondon

9

Step 2: Provide ASK PERMISSION, THEN PROVIDE YOUR ADVICE

“May I tell you about… [healthy eating]” “Can I talk you about... [alcohol units]” “Could I give you some information on... [depression]”

WAIT FOR “YES” - NEXT: PROVIDE YOUR ADVICE / INFO (Respectfully and Succinctly whilst Supporting autonomy)

NEXT: PROVIDE (GIVE YOUR INFO / ADVICE)

Send us a Tweet: @MIinlondon

10

Step 3: Elicit CHECK THEIR UNDERSTANDING

What do you think about that? (Question) You look puzzled (Observational reflection) Tell me in your own words what you think I’ve said (Check)

NEXT: REPEAT (IF MIS-INFORMATION PERSISTS)

Send us a Tweet: @MIinlondon

Giving Advice

11

MISkillsPracBse

Today’s practise improves your

practice!

(MI is 10% theory, 90% practise)

12 Send us a Tweet: @MIinlondon

5 minute group practise. Use Elicit-Provide-Elicit (EPE)

Get into groups of 3:

•  Person A – Interviewer •  Person B – Client / Patient / Service User •  Person C – Observer

13

Two minute conversation between Interviewer & Client. Facilitator will time your conversation

Use EPE as per next slide. .

14

15

Use Elicit Provide Elicit (EPE)

Step 1 (E) – Find out what they know already What you know about… [Your topic]

Step 2 (P) – Ask permission, then provide your advice May I tell you about… [Your topic]

Step 3 (E) – Check their understanding What do you think about that?

Debrief

1.  One minute debrief by interviewer. - Ask “Would you mind if I tell you how it felt to do”

2.  One minute debrief by client. - Ask “Would you mind if I told you what it was like to be on the receiving end of you”

3.  One minute debrief by observer. - “Would you mind if I tell you what I thought?”

16

Giving Advice

17

TrainerDemonstraBon

Live Trainer DemoCan I have a volunteer?

18 Send us a Tweet: @MIinlondon

19

Use Elicit Provide Elicit (EPE)

Step 1 (E) – Find out what they know already What you know about… [Your topic]

Step 2 (P) – Ask permission, then provide your advice May I tell you about… [Your topic]

Step 3 (E) – Check their understanding What do you think about that?

Send us a Tweet: @MIinlondon

Giving Advice

20

De-brief+QuesBons

Ques1ons

Q: Is the final elicit about a:tude or understanding or both?A: I would say both! Finding out where your client is with either a:tude of understanding of your advice/informa1on will be helpful to you both.

Q: What if someone says ‘no’ they don’t want your advice/informa1on?A: Comment on it, reflect, empathise, “that’s not something you want to talk about”, or “talking about this is difficult”, or “you’d rather talk about something else, what is that?”

21 Send us a Tweet: @MIinlondon

22

See you on Tuesday 6th December 2016

Thanks for coming!

Send us an email: miclub@miinlondon.org