2.1 Overview of Motivational Interviewing in AOD Practice

miller and rollnick definition

“MI is a particular way of talking with people about change and growth to strengthen their own motivation and commitment.” (Miller & Rollnick, 2023)

MI spirit, how to ‘be’: PACE

Partnership, Acceptance, Compassion, Empowerment

does motivation fluctuate

yes

what does the fixing reflex do?

4 tasks that guide the conversation

• engaging (can we walk together)

• focussing (what is the destination)

• Evoking (why would you go there?)

• Planning (how will you get there?)

ambivalence is comprised of what two types of talk and what are they? and what difference does this make?

Ambivalence is comprised of:

• Change talk – arguments/reasons/needs for how things could be better, and/or what is not liked about the current situation.

• Sustain talk – any argument/reason/need to maintain the status quo.

In MI, we can influence the amount of change talk (and sustain talk) we and the person ‘hear’.

• The more a person talks about doing (or not doing) something, the more likely they are to do it (or not do it)!

what are the two types of change talk?

Preparatory change talk (DARN statements)

Desire, Ability, Reason, Need

Mobilising Change Talk (CAT statements)

• Commitment Talk

• Activation

• Taking Steps

what is OARS technique and its aim?

open questions qualities and types of Q’s

Affirmations

Reflections (two types)

summaries

role of MI across the stages

what is discord

Refers to strain or tension in the relationship between the person and the worker.

Discord requires two people – discord in therapy is not solely owned by the person/client. It requires two voices.

The creation and maintenance of discord is just as much about the worker's role and input.

 Worker note: It is the responsibility of the worker to attempt to repair discord.

signs of discord (smoke alarm)

• Defending

• Squaring off

• Interrupting

• disengagement