WEEK 7 MOTIVATIONAL INTERVIEWING

understanding motivation (background)

• historical with addiction and confront them and telll them (high level of relapse)

• regardless of treatment it matters who gives the treatment

transtheoritical model

• precontemplation

• contemplation

• preparation

• action

• maintenance

precontemplation

first step, “i wont”

family can force u, or have court order 

contemplation 

help person resolve their ambivalence in the direction of change 

ex: go to the gym to get fit (pro), angrry people (cons) 

“i might “

preparation

help person develop change plan and find support

find a gym, get a trainer

“i will”

action

• tasks is to help ppl carry out and stick with their efforts - treatment usually occurs here 

  • “i am”

maintenance 

challenge is to help people maintain their initial chnages

relapse prevention 

“ihave”

what is motivational interviewing

• complex counseling techniques that takes time to learn

  • evokes clients own motivations 

• when clients express motivations for change, desire, and ability — headed the right direction 

• client resistance is sign to change how ur responding 

  • client leads it 

history of motivational interviewing

• originally concieved as prep for treatment 

  • MI intervention alone can trigger change 

spirit of MI

• collaborative - partnership where clients are experts

• evocative - call forth clients own motivation, insights resources 

• acceptance - respecting clients autonomy 

• compassion - commitment to clients 

what is the processes of MI

engaging, listening and working with clients

what is focusing of MI

developed shared goals

evoking

evoking clients own motivation for change

planning

how a client will get there 

specific categories with questions 

desire, ability, reasons, need, and commitment 

helps people been taken accountable 

oars

open questions, afifirm, reflect, and summairze

motivation for change

• helpful to explore and have clients express various kinds of motivation for change 

• in what ways do they want, to change or continue 

• what reasons do they have for using and quitting or cutting down 

any of these avenues can lead to commitment and change

• dont need all , just enough 

• work with the motivations that you have

• all are matter of degree 

outcomes

When MI is working, clients hear themselves express motivation, then hear you reflect it back to them

“put it back to them — sounds like ur relationship would be heaps better 

MET — motivational enhancement therapy

• feedback tells clients — how they’re doing and whether they need to make a change 

• share assessment findings with client 

  • motivates chnage in substance use when done in info and non conditional manner

evaluation checkup

• for people not seeking treatment

• provided to community

  • not part of treatment program

  • participants would not be free to use — info as they saw fit

• most did not seek formal treatment