Motivational Interviewing

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Motivational Interviewing

• Presented by Nick Alenkin,MSSW
• PHLAG Conference Call
• October 23, 2007

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Presentation Overview

• Define Motivational Interviewing (M.I.)
• Key Components of M.I.
• Creating Change In Consumers
• Case Example
• Discussion

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Motivational Interviewing

• Client-centered, directive method for enhancing
  intrinsic motivation to change by exploring and
  resolving ambivalence (Miller Rollnick, p.
  25).
• We look to the individual to recognize their own
  current situation and align ourselves with them
  to create change.

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Key Components of M.I.

• Person-Centered- it focuses on the individual and
  their agenda, not ours.
• Directive- it focuses on the dynamics of
  ambivalence(maybe) and incorporates change
  talk.
• Non-technical- it focuses on communication with
  our consumers not on a technique (e.g.,CBT).

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Key Components of M.I.(cont.)

• Elicits motivation- it focuses on intrinsic
  motivators through recognition of current life
  situations.
• Value-driven- it focuses on the values and
  concerns for change.

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Stages of Change

• Veterans Role Workers Role
• Pre-contemplation (Pros and Cons)
• What problem? Some benefits are
• Contemplation (Reason for Change)
• Tell me more I can help you with
  this
• Preparation (Educate on Change)
• I have gathered my resources Here are some
  options

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Stages of Change

• Veterans Role Workers Role
• Action (Supporting Change)
• Ive met with my therapist What
  else can I do?
• Maintenance (Connecting to Change)
• I can see a difference Keep up the good work
• Relapse (Reflecting on Change)
• Did I fail? Change can be hard

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Eliciting Change Talk

• Creating a motivation for change
• Current Goal
• Situation
• We move the veteran to their goal through
• Collaboration with them
• Eliciting their values, perceptions, and goals
• Affirming their right to make choices and accept
  outcomes

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Creating a Success Plan

• Success Map
• My current situation is
• I would like to be ___________ in
  ____________(days, weeks, etc).
• Two goals I have are 1)
• 2)
• I plan to incorporate the following to reach my
  goals
• (Action) (By this date)
• Other people that can help me with the goal are
• Some of the areas which may impact my goal(s)
  are
• I know when I have been progressing in my goal or
  am successful when I

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Case Study

• David has been coming to group for the last 3
  weeks, he has non-service connected benefits at
  this time. He reports a homeless history of the
  last 3 years. His last living situation was with
  a roommate 3 years ago for which he left, When
  we couldnt get along. He reports applying for
  housing but is not able to secure anything. He
  reports, What gives, I think Im doing the right
  thing here?
• What other information would be pertinent for you
  to secure from David?
• What in what stage is he in?
• How can you elicit change talk with David?

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Discussion/References

• References
• http//www.motivationalinterview.org/
• DiClemente, C. C. and J. O. Prochaska (1985).
  Processes and stages of self-change Coping and
  competence in smoking behavior change. Coping and
  Substance Use. S. Shiffman and T. A. Wills. New
  York, Academic Press.
• Miller, W. Rollnick, S. (2002). Motivational
  Interviewing (2n Ed.) Preparing People for
  Change. NYGuilford Press.