12/9/13& Health Coach Meeting. Wednesday November 20, 2013 Japanese Cultural Center & &
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1 Health Coach Meeting Wednesday November 20, 2013 Japanese Cultural Center & & Real Play Pair up and practice your motivational interviewing skills. Using the Readiness Ruler, asses your partners readiness for this afternoons training. 1&
2 Arguments*both*for*and*against* change*already*reside*within*the* ambivalent*person*(p7).* A couple of notes R esist the Righting Reflex A mbivalence The&most&common&place&to& get&stuck&on&the&road&to& change&is&ambivalence&(p7).&& (Miller&&&Rollnick,&2013)& 4& What is Motivational Interviewing? Layperson s+defini/on+ Mo=va=onal*interviewing*is*a*collabora=ve*conversa=on*style*for* strengthening*a*person s*own*mo=va=on*and*commitment*to* change.** Prac//oner s+defini/on+ Mo=va=onal*interviewing*is*a*person?centered*counseling*style*for* addressing*the*common*problem*of*ambivalence*about*change.** Technical+defini/on+ Mo=va=onal*interviewing*is*a*collabora=ve,*goal?oriented*style*of* communica=on*with*par=cular*aaen=on*to*the*language*of* change.*it*is*designed*to*strengthen*personal*mo=va=on*for*and* commitment*to*a*specific*goal*by*elici=ng*and*exploring*the* person s*own*reasons*for*change*within*an*atmosphere*of* acceptance*and*compassion.** (Miller&&&Rollnick,&2013,&p&29)& 5& The Spirit of Motivational Interviewing Partnership!! Acceptance! Compassion! Evocative! (Miller&&&Rollnick,&2013,&p&14F&24)& 6& 2&
3 The Spirit of Motivational Interviewing (Miller&&&Rollnick,&2013,&p&22)& 7& 1. Our&services&exist&to&benefit&the&people&we&serve&(and& not&vice&versa).&the&needs&of&clients&(parmcipants,& paments,&consumers,&customers,&etc.)&have&priority.&& 2. Change&is&fundamentally&selfFchange.&Services& (treatment,&therapy,&intervenmons,&counseling,&etc.)& facilitate&natural&process&of&change&(prochaska&&& DiClemente,&1984).& 3. People&are&the&experts&on&themselves.&No&one&knows& more&about&them&than&they&do.&& 4. We&don t&have&to&make&change&happen.&the&truth&is& that&we&can t&do&it&alone.& (Miller&&&Rollnick,&2013,&p&22F23)& 8& 5. We&don t&have&to&come&up&with&all&the&good&ideas.& Changes&are&that&we&don t&have&the&best&ones.& 6. People&have&their&own&strengths,&moMvaMons,&and& resources&that&are&vital&to&acmvate&in&order&for& change&to&occur.&& 7. Therefore,&change&requires&a&partnership,&a& collaboramon&of&expermse.& 8. It&is&important&to&understand&the&person s&own& perspecmve&on&the&situamon,&what&is&needed,&and& how&to&accomplish&it.&& (Miller&&&Rollnick,&2013,&p&22F23)& 9& 3&
4 9. Change&is¬&a&power&struggle&whereby&if&change& occurs&we& win. &A&conversaMon&about&change& should&feel&like&dancing,¬&wrestling.& 10. MoMvaMon&for&change&is¬&installed,&but&is&evoked.& It s&already&there&and&just&needs&to&be&called&forth.& 11. We&cannot&revoke&people s&choice&about&their&own& behavior.&people&make&their&own&decisions&about& what&they&will&and&will¬&to,&and&it s¬&a&change& goal&unml&the&person&adopts&it.&& (Miller&&&Rollnick,&2013,&p&22F23)& 10& The Four Processes Engaging& Establish&a&helpful&connecMon&and&working&relaMonship& Focusing& Develop&and&maintain&a&direcMon&& Evoking& Elicit&moMvaMons&for&change& Planning& Develop&commitment&to&change& Formulate&a&plan&of&acMon& (Miller&&&Rollnick,&2013,&p&25F30)& Engaging! Focusing! Evoking! Planning! 11& Worker Reflective Questions Engaging+ How&supporMve&and&helpful&am&I&being? & Does&this&feel&like&a&collaboraMve&partnership? & Focusing+ Do&I&have&a&clear&sense&on&where&we&are&going? & Does&this&feel&more&like&dancing&or&wrestling? & Evoking+ What&change&talk&am&I&hearing? & Is&the&righMng&reflex&pulling&me&to&be&the&one&arguing&for&change? & Planning+ Am&I&remembering&to&evoke&rather&than&prescribe&a&plan? & Am&I&offering&needed&informaMon&or&advice&with&permission? & (Miller&&&Rollnick,&2013,&p&32)& 12& 4&
5 The Four Processes in more detail Evoking! Focusing! Engaging! Planning! (Miller&&&Rollnick,&2013,&p&26)& 13& Interviewing Skills pen-ended Questions ffirm eflective listening ummarize Paddle&designed&by&Stephen&Robert&Hemenway&from&The&Noun&Project& (Miller&&&Rollnick,&2013,&p&33&F&35)& 14& References Center for Substance Abuse Treatment. Enhancing Motivation for Change Inservice Training. DHHS Publication NO. (SMA) Rockville, MD: Substance Abuse and Mental Health Services Administration, Rollnick, S., Miller, W. R., & Butler, C. C. (2008). Motivational interviewing in health care: Helping patients change behavior. New York, NY: Guilford Press. Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing (3 rd ed.). New York, NY: Guilford Press. 5&
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