Expanding What We Know
Presented by:
Missy Berglund
Butler Institute for Families,
University of Denver
Motivating for Change
April 2015
Butler Institute for Families
Before we start
• Please take a moment to answer the following
questions on your first handout.
– A technique I have had success with
– A technique I want to enhance or have questions
about is
– One way my agency can support my further
development of these skills is by.
Motivating for Change
April 2015
Butler Institute for Families
Welcome!
• Introductions
– Find someone you don’t know, engage them
around the three questions using your OARS, then
switch roles.
Motivating for Change
April 2015
Butler Institute for Families
Stages of MI
• Engaging -
Motivating for Change
April 2015
Butler Institute for Families
Stages of MI
• Focusing -
Motivating for Change
April 2015
Butler Institute for Families
Stages of MI
• Evoking -
Motivating for Change
April 2015
Butler Institute for Families
Stages of MI
• Planning -
Motivating for Change
April 2015
Butler Institute for Families
POP QUIZ!
Motivating for Change
April 2015
Butler Institute for Families
Motivational Interviewing Techniques
Express Empathy
Support Self-Efficacy
Roll With Resistance
Develop Discrepancy
Open-Ended Questions
Affirmations
Reflective Listening
Motivating for Change
April 2015
Butler Institute for Families
Motivational Techniques
Evoking
Motivating for Change
April 2015
Butler Institute for Families
Responding to Change Talk
Motivating for Change
April 2015
Butler Institute for Families
Ten Strategies for Evoking Change
Talk
• Ask Evocative Questions
• Query Examples
• Ask for Elaboration
• Use Change Ruler
• Ask for Examples
• Explore Goals and
Values
• Look Back
• Look Forward
• Come Alongside
• Decisional Balance
Motivating for Change
April 2015
Butler Institute for Families
Motivational Techniques
Planning
Motivating for Change
April 2015
Butler Institute for Families
Planning
• There is a negotiation of change goals and
plans, an exchange of information, and usually
a specification of next steps that may or may
not involve further treatment. It is common
for progress and motivation to fluctuate,
inviting renewal of planning, evoking,
refocusing, or even re-engagement
Motivating for Change
April 2015
Butler Institute for Families
Key Points to Planning
• Developing the plan is the _________, not the
________ _______.
• Implementation intentions involve both a
_________ ________and the intention or
commitment to______ ___ ____.
• Public commitment, _______ ______, and
self- monitoring can ___________ the best of
intentions.
Motivating for Change
April 2015
Butler Institute for Families
Informing and Advising
• In MI, providing information and advising is
appropriate, with two considerations:
1. Information and advice are ________ _____
___________
2. 2. The goal for the counselor is to ___________
the client’s perspective of the topic, their needs,
and to facilitate the client drawing their own
___________ about the ____________of any
information provided
Motivating for Change
April 2015
Butler Institute for Families
Exchanging Information
• Practitioners often overestimate the amount
of information clients need It is unhelpful to
give clients information they already have
(e.g., “smoking is bad for your health”)
• It is more useful to learn what they know,
what they’ve already done or tried
Motivating for Change
April 2015
Butler Institute for Families
Information Exchange
Principles of Good Practice
• Clients are the _____ _____ __________(using
affirmations and reflections elicits a wealth of
information) Find out what they know and need to
know
• _________ ____________to clients needs
• Clients can tell you what ____ _____ ___________
would be helpful
• Advice _______ _________ clients needs is helpful
Motivating for Change
April 2015
Butler Institute for Families
Elicit
Motivating for Change
Provide
April 2015
Elicit
Butler Institute for Families
Ethnographic Interviewing
• Assists workers in gathering family-specific information
for assessment and case planning.
• Helps professionals understand the parent’s point of
view.
• Deals with cultural differences between worker and
family.
• Demonstrates respect for family’s worldview.
Motivating for Change
April 2015
Butler Institute for Families
Solution Focused Practice
Focus on the family’s strengths
and abilities.
Find out what is working and
do more of it.
Families have the resources for
change.
Families generate workable
solutions.
Change starts small and has a
ripple effect.
Focus on the future when the
problem has been solved.
Focus on when the problem is
not a problem.
Motivating for Change
April 2015
Butler Institute for Families
Stages of Solution Focused
Interviewing
1.
D
2.
D
3.
M
4.
E
5.
P
6.
D
7.
E
Motivating for Change
April 2015
Butler Institute for Families