What is it? ___________________________________ What is it not? - PDF document

Slide 1 ___________________________________ 1. Come alongside ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 2 ___________________________________ MI in a nutshell ___________________________________ What is it? ___________________________________ What is it not? ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 3 ___________________________________ Have a look! HIV consultation from South Africa ___________________________________ “ What I notice that is consistent with MI is …….” 1. Read and reflect ___________________________________ 2. Exchange reflections with a colleague ___________________________________ (Consultation in handout) ___________________________________ ___________________________________ ___________________________________

Slide 4 ___________________________________ Practitioner : I’m glad you came back to see me today. Mother : I must do this for my baby Practitioner : This baby is very important to you Mother : Yes Practitioner : And you want it to be healthy ___________________________________ Mother : Yes, I told my husband and he is supportive but there are some issues he is not helping me with – he doesn’t want to use the condoms Practitioner : What would be most helpful for us to start talking about? Is it condoms, your medication, your diet, or perhaps something else? ___________________________________ Mother : I want to talk about the medication Practitione r: Yes, fine, we can come back to other things. The medication feels important to you Mother : Its very important, I want to know how to take these tablets so that I keep well ___________________________________ Practitioner : What would you most like to know about the medicine? Mother : If I miss doses I worry that it will bring harm ___________________________________ ___________________________________ ___________________________________ Slide 5 ___________________________________ MI in a nutshell ___________________________________ What is it? ___________________________________ What is it not? ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 6 ___________________________________ MI IS NOT - FOR EVERYONE ___________________________________ - JUST CLIENT CENTRED COUNSELLING ___________________________________ - A TECHNIQUE APPLIED TO OR ON CLIENTS ___________________________________ - UNIQUE It can be recongised in the style, manner & skills of a guide ___________________________________ ___________________________________ ___________________________________

Slide 7 ___________________________________ Direct - Guide - Follow teach draw out listen ___________________________________ instruct encourage understand lead motivate go along with ___________________________________ MI is an refined form of guiding ___________________________________ - 70-80% should be familiar ___________________________________ ___________________________________ ___________________________________ Slide 8 ___________________________________ Three editions of core text ___________________________________ ___________________________________ 2002 1991 2012 Miller W & Rollnick S Motivational Interviewing: ___________________________________ Helping People Change, Guilford Prtess, 2012 Thanks to Jeff Allison for image design ___________________________________ ___________________________________ ___________________________________ Slide 9 ___________________________________ ___________________________________ Righting reflex Ambivalence ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

Slide 10 ___________________________________ ___________________________________ Listening Ambivalence ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 11 ___________________________________ People are generally better persuaded by the reasons which they have themselves discovered, than by those ___________________________________ which have come into the mind of others.” Blaise Pascal, Pensées , (1670) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 12 ___________________________________ Goal Quietly clarify ambivalence and elicit change talk ___________________________________ Definition ….a collaborative conversation style for strengthening a person’s own motivation and commitment to change ___________________________________ Purposeful and focused ___________________________________ Language about change …….. ___________________________________ ___________________________________ ___________________________________

Slide 13 ___________________________________ Core Skills OARS: ___________________________________ Open questions Affirmation Reflection ___________________________________ Summary ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 14 Helen is leaning against the school gates, panting ___________________________________ A teacher notices her. She says she cant breathe. She seems wobbly, possibly drunk? ___________________________________ Her husband leaves the house early, and says she should pull her socks up. The two boys are very hard work. A secret drink is about the only way she feels she can cope with ___________________________________ The panic and get them to school. The teacher makes a tel. call, and she walks into your room.. . (This could be in just about any setting) ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 15 ___________________________________ Change talk flickers in a busy conversation “... He makes me cross. He leaves the house and says ‘you’ll be ___________________________________ OK’ and its easy for him. I don’t like being like this but what can I do? I feel I am about to have a heart attack and I go all dizzy, and then……” ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

Slide 16 ___________________________________ Recognise, then highlight change talk…. …. and evoke more “... He makes me cross. He leaves the house and says ‘you’ll be ___________________________________ OK’ and its easy for him. I don’t like being like this but what can I do? I feel I am about to have a heart attack and I go all dizzy, and then……” ___________________________________ Open question: “Why don’t you like being like this?” or Reflection: “ Youre not happy having these panic attacks” ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 17 ___________________________________ Recognise, then highlight change talk…. …. and evoke more “... He makes me cross. He leaves the house and says ‘you’ll be ___________________________________ OK’ and its easy for him. I don’t like being like this but what can I do? I feel I am about to have a heart attack and I go all dizzy, and then……” ___________________________________ Open question: “Why don’t you like being like this?” or Reflection: “ Youre not happy having these panic attacks” ___________________________________ Predicts better Then more change talk will follow…. outcome ___________________________________ ___________________________________ ___________________________________ Slide 18 ___________________________________ Your task is to help the person explore - and articulate - what’s in their own true best interests . ___________________________________ Speech influences behaviour ___________________________________ MI is the purposeful evocation of change talk ___________________________________ ___________________________________ ___________________________________ ___________________________________