Project ECHO Motivational Interviewing (MI): A Brief Overview - Part Four Affirmations Mark Evans, MSW, LCSW Member, Motivational Interviewing

Transcription

1 Project ECHO Motivational Interviewing (MI): A Brief Overview - Part Four Affirmations Mark Evans, MSW, LCSW Member, Motivational Interviewing Network of Trainers (MINT)

2 What is Motivational Interviewing? A CONVERSATION about CHANGE!

3 The Spirit of Motivational Interviewing From: Advanced Motivational Training Two Day Seminar facilitated by Drs. Miller and Moyers. April 2012: Albuquerque, New Mexico

4 OARS - Core Interviewing Skills in MI Miller, William R. and Stephen Rollnick. Motivational Interviewing: Helping People Change. Third Edition. New York: The Guildford Press. 2013

5 OARS - Core Interviewing Skills in MI Continued O Open Ended Questions A Affirmations R Reflections S Summaries Miller, William R. and Stephen Rollnick. Motivational Interviewing: Helping People Change. Third Edition. New York: The Guildford Press. 2013

6 Getting Moving: OARS OPEN Questions AFFIRMATIONS REFLECTIONS SUMMARIES

7 Affirmations Affirms the client by saying things that are positive or reinforcing. Focusing on strengths, abilities, or efforts. o Affirm behaviors, not ideas. You statements vs. I statements if possible.

8 Affirmations Continued Seek opportunities to affirm, appreciate, and reinforce. Strengthens the working relationship.

9 Affirmations Continued Should be genuine. Expresses positive regard and caring. Don t overdo.

10 Affirmations Continued Focus on descriptions and not evaluations. Think of affirmations as attributing interesting qualities to clients. Nurture a competency instead of focusing on a deficit. REFRAME.

11 Affirmations Continued There s a fine line between affirming and becoming a cheerleader. Don t want the client to become dependent upon our approval. What happens when the client lapses?

12 Affirmations Continued Comment positively on an attribute o You re a strong person, a real survivor. A statement of appreciation o You ve been very open and honest today, and that s not always easy.

13 Affirmations Continued Catch the person doing something right o Even though it s been difficult, you re sticking to your plan. o You took a big step in coming here today. o You really handled that situation well.

14 Affirmations Continued A compliment o You ve been very thoughtful about this. An expression of hope, caring, support o Good luck with your quit attempt! You ve worked so hard to prepare. o It s been great talking with you, and getting to know you today.

15 Affirmations - Examples Thank you for listening so carefully today! You clearly have the insight to recognize the risk here, and the courage to do something before it gets more serious. You ve been through a lot together, and the fact you ve stayed together says a lot about your love and commitment.

16 Affirmations - Examples Continued You ve tried to quit smoking before, and you haven t given up. You keep trying. You really had some concerns about this appointment, and you kept it! You don t give up.

17 Affirmations - Examples Continued You have some really good ideas about how you might make this change. You ve taken a big step today, and clearly have a lot of determination. You are a loyal friend, willing to defend others, even when it causes you trouble. Adapted from Berg Smith Training & Consultation 2010

18 Affirmations - Examples Continued By the way you handled that, you showed a lot of strength. You don t take the easy way out. Adapted from Berg Smith Training & Consultation 2010

19 Affirmations - Examples Continued You re concerned about what is best not only for you, but for the people you care about. Being a good parent is important to you. Adapted from Berg Smith Training & Consultation 2010

20 Affirmations - Examples Continued You re the kind of person who cares a lot about other people. Despite your strong reservations, you must have a lot of resolve to come in today. What would others say about this step that you took?

21 Exercise - Time Permitting (or on your own/with a colleague) Generate a list of strengths that you have come across in your work with your clients Let s use this list of strengths to generate affirming statements

22 A Sneak Preview Where do we go from Here? The OARS Open Ended Questions Affirmations Reflections Summaries

23 ACKNOWLEDGEMENTS/REFERENCES Unless otherwise noted, the materials in this presentation are from/adapted from the following publications/individuals/organizations: Miller, WR and Rollnick, S. Motivational Interviewing. Helping People Change. New York: The Guilford Press Third Edition. The Motivational Interviewing Network of Trainers (MINT), and Patricia Figueroa, M.Ed., Lorraine Reitzel, Ph.D., Nanette Stephens, Ph.D., Theresa Moyers, Ph.D., and William Miller, Ph.D. for training, mentoring, and sharing of materials. Stephen Malcolm Berg Smith. Advanced MI Training. Sept , 2011, San Francisco, CA. The Motivational Interviewing website: Special thanks to: Paul Cinciripini, Ph.D., Janice Blalock, Ph.D., Maher, Karam Hage, MD, David Wetter, Ph.D. and Diane Beneventi, Ph.D., for training opportunities, encouragement and support for training.

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