Motivating Behavior Change What Really Works? Pre-Test
|
|
- Maria Maxwell
- 5 years ago
- Views:
Transcription
1 Motivating Behavior Change What Really Works? Practice of Medicine I Christine M. Peterson, M.D. Terry Saunders, Ph.D. Pre-Test Among deaths in the U.S. that occur prematurely, the per cent attributable to personal behavior is
2 Which of the following unhealthy behaviors ranks first in contributing to deaths in the U.S.? 1. Alcohol abuse 2. Drug abuse 3. Tobacco use Alcohol abuse Drug abuse Tobacco use You can increase the patient s confidence in his/her ability to change when you give him/her a wide variety of suggestions. 1. True 2. False True False If your patients resists change, you can help them by pointing out their resistance and maintaining a strong position for change. 1. True 2. False True False 2
3 For the following 3 questions, label each statement as a facilitator or deterrent for motivating a patient to change an unhealthy behavior. Letting the patient indicate interest in information before providing it E.g., Would you like to learn more about exercise and its effects on your condition? 1. Facilitator 2. Deterrent Facilitator Deterrent Giving praise for following the physician's recommendations E.g., I m so pleased that you followed my advice and lost ten pounds. 1. Facilitator 2. Deterrent Facilitator Deterrent 3
4 Soliciting the patient s s ideas about negative aspects of the potential change E.g., Can you tell me what you ve heard about how people feel when they first stop smoking? 1. Facilitator 2. Deterrent Facilitator Deterrent Do You Know? Half of all deaths in the US are attributable to personal behavior, including: Tobacco = 435,000 deaths (one of every 5) Poor diet and physical inactivity = 365,000 deaths Alcohol = 85,000 deaths Drugs = 17,000 deaths Other: Homicide, suicide, some accidents, etc. Mokdad et al., JAMA 2004;291(10) Do You Know? Half of all patient visits require a behavior change on the part of the patient as part of treatment Meds Diet Exercise Safer sex practices Substance avoidance Etc., etc., etc. 4
5 Life experience In observing others who have changed a health-related behavior, what seemed to work? Motivational Interviewing A directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. - Rollnick and Miller, 1995 Goals of this section of PoM To gain a better understanding of the difficulty and complexity of behavior change To practice approaching a patient in an open and non-judgmental manner 5
6 Behavioral objectives for students To maintain an open and curious approach To learn about techniques useful in motivating behavior change, esp. exploring ambivalence and limiting resistance To learn about own attitudes and beliefs about changing behavior THESE WILL BE ASSESSED IN YOUR PoM GROUP THIS WEEK. Research findings: Behavior change = Adult learning Self-initiated and self-directed Practical, useful, applicable to real life (problem-solving) Incorporates feedback about efforts The power to change is in the patient. In clinical settings, physician should be: partner, not expert; coach, not parent; mirror, not magic bullet. 6
7 How do people actually change? Stages of change model (Prochaska and DiClemente) Precontemplation Contemplation Preparation / Planning Action Maintenance Relapse Readiness for change: What to do? Why to do it? (= Importance ) How to do it? ( = Confidence ) What is readiness? High Importance (Why?) Low I should, but I can t. Huh? I m ready! I could, but why should I bother? Ending point Starting point Low Confidence (How?) High 7
8 What is readiness? High Importance A change in importance usually happens first. Low Low High Confidence What is readiness? High Relapse Action Maintenance Importance Preparation Contemplation The theory... Low Precontemplation Low Confidence High What is readiness? High Importance The reality! Low Low High Confidence 8
9 Behavior Change Job Descriptions Facts: physician s job Personal meaning: patient s job Physician s role in behavior change Goal = Help patient move ahead to the next stage First, accurately assess patient s current stage Then, facilitate movement to next stage ( double DARES ) Our patient A 55 year old woman who is 5 7 tall and weighs 190 lbs (BMI = 32). Her BP is 148/96. She has Type 2 diabetes. You know that losing weight is almost certain to lower her BP and improve her glucose tolerance perhaps to normal levels. 9
10 Assessment: Precontemplation Patient Denial Reluctance Other-defined Reactance Argument O'Connell D., Ch. 16 Behavior Change in Feldman and Christensen "Behavioral Medicine in Primary Care" Assessment: Contemplation Patient Openness Weighs pros and cons Dabbles in action Can be obsessive O'Connell D., Ch. 16 Behavior Change in Feldman and Christensen "Behavioral Medicine in Primary Care" Assessment: Preparation / Planning Patient Understands need for change (= IMPORTANCE) Begins to commit Can picture overcoming obstacles (= CONFIDENCE) May procrastinate O'Connell D., Ch. 16 Behavior Change in Feldman and Christensen "Behavioral Medicine in Primary Care" 10
11 Assessment: Action Patient Describes plan Follows a plan Shows commitment Resists slips Remains vulnerable O'Connell D., Ch. 16 Behavior Change in Feldman and Christensen "Behavioral Medicine in Primary Care" Assessment: Maintenance Patient Has accomplished Notes improvement Aware of need for vigilance May lose ground New lifestyle may help make relapse less likely O'Connell D., Ch. 16 Behavior Change in Feldman and Christensen "Behavioral Medicine in Primary Care" Assessment: Relapse Patient Returns to problem behavior Begins as slips Cycles back to earlier stage Needs help to shorten relapse O'Connell D., Ch. 16 Behavior Change in Feldman and Christensen "Behavioral Medicine in Primary Care" 11
12 Assessing readiness High Relapse Action Maintenance Importance Preparation Contemplation Low Precontemplation Low Confidence High After assessment, how to help? How can behavior change be facilitated by physicians? The answer is in the patient! Establish the Patient s Agenda The patient s agenda! Ask directly about patient s goals. Avoid assigning physician s agenda. 12
13 Link Behavior with Outcome Link patient s desired health outcome to a specific patient behavior: You have [condition]...and that is causing your [symptom or problem]. I think it might help to consider [behavior change]... Reinforce the Patient s Agenda Emphasize the patient s agenda: What do you think? What would you like to do? Physician s role in behavior change Goal = Help patient move ahead to the next stage First, accurately assess patient s current stage Then, facilitate movement to next stage ( double DARES ) 13
14 Yet another mnemonic: Double DARES Develop Discrepancy Avoid Argument Roll with Resistance Express Empathy Support Self-efficacy Develop Discrepancy; (Establish Ambivalence) Have patient describe the discrepancy between their current behavior and what they have told you is important to them: ambivalence. Have them present the reasons for change in terms of their desired outcome Establish Ambivalence; Pros and Cons Examine pros and cons of the current vs. the desired behavior Good things less good things about current behavior Re-state their reasoning for and against change 14
15 Avoid Arguing Be aware of threat of loss of freedom It should never be you against the patient; it should be the part of the patient that wants to change against the part that doesn t. Roll with Resistance Arises whenever there is tension or disagreement Results from traps: Taking control away Misjudging importance, confidence or readiness Meeting force with force Roll with Resistance Manifests in: Yes, but or in subtler ways ignoring, inattention, discounting, excusing, non-compliance blaming, hostility, splitting, etc. It is a sign that rapport needs attention. 15
16 Roll with Resistance Resistance is your cue to change strategies. Emphasize personal choice and control Reassess stage and/or readiness (importance, confidence) Back off and come alongside the patient Stay committed but curious. It s like dancing - you have to stay relaxed. Express Empathy Express empathy without unmindfully accepting the status quo. I can understand that you might feel that way. Yes, it sounds pretty difficult, doesn t it? Support Self-efficacy Fearful Information: No one wants it! Provide information ONLY WHEN PATIENT REQUESTS IT. Patient s interest : What have you heard about.? I wonder, would you be interested in knowing more about. Avoid having the patient put you in the Yes, but trap. 16
17 Roadblocks to Behavior Change Disagreeing, judging, blaming; Warning, threatening; Shaming, labeling. More Roadblocks to Behavior Change Moralizing ( shoulds ); Persuading; Challenging with questions; Directing, ordering, commanding. More Roadblocks to Behavior Change Giving advice, suggestions, solutions; Agreeing, approving, praising based on physician s agenda. 17
18 More Roadblocks to Behavior Change Reassuring, consoling; Interpreting, analyzing; Withdrawing, humoring. Maintaining Behavior Change: The 3 F s Timely follow-up by physician (or team member) Feedback Non-judgmental When you, then occurred. Focused on patient s agenda Post-Test 18
19 Among deaths in the U.S. that occur prematurely, the per cent attributable to personal behavior is Which of the following unhealthy behaviors ranks first in contributing to deaths in the U.S.? 1. Alcohol abuse 2. Drug abuse 3. Tobacco use Alcohol abuse Drug abuse Tobacco use You can increase the patient s confidence in his/her ability to change when you give him/her a wide variety of suggestions.. 1. True 2. False True False 19
20 If your patients resists change, you can help them by pointing out their resistance and maintaining a strong position for change. 1. True 2. False True False For the following 3 questions, label each statement as a facilitator or deterrent for motivating a patient to change an unhealthy behavior. Letting the patient indicate interest in information before providing it E.g., Would you like to learn more about exercise and its effects? 1. Facilitator 2. Deterrent Facilitator Deterrent 20
21 Giving praise for following the physician's recommendations E.g., I m so pleased that you followed my advice and lost ten pounds. 1. Facilitator 2. Deterrent Facilitator Deterrent Soliciting the patient s s ideas about negative aspects of the potential change E.g., Can you tell me what you ve heard about how people feel when they first stop smoking? 1. Facilitator 2. Deterrent Facilitator Deterrent Lessons We Have Learned Information alone doesn t work. Attempts to persuade create resistance. Exploring the patient s agenda and relating empathically to their ambivalence about change has been shown to be effective in promoting health behavior change. 21
Motivating Behavior Change What Really Works?
Motivating Behavior Change What Really Works? Pre-Test Practice of Medicine 1 Christine M. Peterson, M.D. David Waters, Ph.D. Do You Know? Half of all deaths in the US are attributable to personal behavior,
More informationMotivating Behavior Change What Really Works?
Motivating Behavior Change What Really Works? Practice of Medicine Christine M. Peterson, M.D. Pre-Test Do You Know? Half of all deaths in the US are attributable to personal behavior, including: Tobacco
More informationMotivational Interviewing
Motivational Interviewing By: Tonia Stott, PhD What is Motivational Interviewing? A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence
More informationMotivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training
Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training Infectious Disease Division, Department of Medicine, University of Rochester Medical Center STD/HIV Program,
More informationMotivational Enhancement Therapy & Stages of Change
Motivational Enhancement Therapy & Stages of Change Learning Objectives Participants will be able to: 1) Identify the stages of change and how they can be implemented 2) Describe the principles of MET
More informationMotivational Enhancement Strategies to Promote Healthy Behavior Change
Motivational Enhancement Strategies to Promote Healthy Behavior Change Joseph H. Hinkebein Ph.D., ABPP Licensed Psychologist Health Behavior Coach My Challenge! Our Challenge! Health care providers often
More informationSuggested topics to review with your students
Working with Students: Building Blocks for Motivational Interviewing and Brief Intervention Strategies Jason R. Kilmer, Ph.D. University of Washington Associate Professor Psychiatry & Behavioral Sciences
More informationObjectives. David Hodgins, University of Calgary. The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout
David Hodgins, University of Calgary 2015-05-20 The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout David Hodgins www.addiction.ucalgary.ca Midwest Conference on Problem
More informationMOTIVATIONAL INTERVIEWING
MOTIVATIONAL INTERVIEWING Facilitating Behaviour Change Dr Kate Hall MCCLP MAPS Senior Lecturer in Addiction and Mental Health School of Psychology, Faculty of Health, Deakin University. Lead, Treatment
More informationIntroduction to Motivational Interviewing in NAS Interventions
Introduction to Motivational Interviewing in NAS Interventions Daniel Raymond Tanagra M. Melgarejo Workshop Overview 1 Training Objectives By the end of this session you will be able to: Describe the fundamental
More informationPM-SB Study MI Webinar Series Engaging Using Motivational Interviewing (MI): A Practical Approach. Franze de la Calle Antoinette Schoenthaler
PM-SB Study MI Webinar Series Engaging Using Motivational Interviewing (MI): A Practical Approach Franze de la Calle Antoinette Schoenthaler Webinar Housekeeping Please keep your phone on mute when not
More informationMotivational Interviewing for Family Planning Providers. Motivational Interviewing. Disclosure
for Family Planning Providers Developed By: Disclosure I I have no real or perceived vested interests that relate to this presentation nor do I have any relationships with pharmaceutical companies, biomedical
More informationObjectives. Changing Landscape of Healthcare
The Well Woman Visit Pre/Interconceptional Care, One Year Later Motivational Interviewing Peg Dublin, RN, MPH Richard Rutschman, EdD. IDHS Bureau of Maternal & Infant Health Satellite Conference June 17,
More informationVOLUME B. Elements of Psychological Treatment
VOLUME B Elements of Psychological Treatment Module 2 Motivating clients for treatment and addressing resistance Approaches to change Principles of Motivational Interviewing How to use motivational skills
More informationThe Challenging Client: Using MI Tools to Engage & Treat
The Challenging Client: Using MI Tools to Engage & Treat MCLEOD CENTER CHARLOTTE, NORTH CAROLINA NOVEMBER 16, 2018 L A U R I E C O N AT Y, L C S W, L C A S L A U R I E C O N AT Y. C O M M A K E I T W O
More informationHelping Patients Make Healthy Fistula Choices Craig R. Fisher, Ph.D., L.C.S.W. Slide 1. Slide 2. Slide 3. 1 of 19
1 Helping Patients Make Healthy Choices When the patient does not have a clue about the reasons they should or any desire to do so.. A training Module developed by the Patient Leadership Committee of Renal
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment Module 2 Motivating clients for treatment and addressing resistance Basic counselling skills for drug dependence treatment Special considerations when
More informationImproving the Odds of Success through Motivational Interviewing
Disclosure Information Western Occupational Health Conference 2011 Robert Scales, Ph.D. I have no financial relationships to disclose I will not discuss off label use and/or investigational use in my presentation
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationMotivational Interactions
Motivational Interactions James Carter, Ph.D. Specialty Behavioral Health UCSD Dept. of Psychiatry Presented for TRICOR Nashville, TN June 9, 2011 What motivates people to change? Rewards Punishments /
More informationWhat Stimulates Change? Translating Motivational Interviewing Theory into Practice
Influential Person Exercise What Stimulates Change? Translating Motivational Interviewing Theory into Practice! Bring to mind someone in your life who isn t particularly helpful! What are their qualities?!
More informationKAP Keys. For Clinicians. Based on TIP 35 Enhancing Motivation for Change in Substance Abuse Treatment. CSAT s Knowledge Application Program
KAP KEYS Based on TIP 35 Enhancing Motivation for Change in Substance Abuse CSAT s Knowledge Application Program KAP Keys For Clinicians Based on TIP 35 Enhancing Motivation for Change in Substance Abuse
More informationMost applicable in consultations where there is a preferred outcome
Motivational Interviewing for Health Behavior Change Ellen R. Glovsky, PhD, RD, LDN The Institute for Motivation and Change And Northeastern University 2010 Missouri WIC Conference October 26, 2010 Motivational
More informationKelly J. Lundberg, Ph.D. Associate Professor, Department of Psychiatry Executive Director, ARS Director of Psychotherapy Training, Adult Psychiatry
Kelly J. Lundberg, Ph.D. Associate Professor, Department of Psychiatry Executive Director, ARS Director of Psychotherapy Training, Adult Psychiatry Residency Program University of Utah kelly.lundberg@hsc.utah.edu
More informationColorectal Cancer Screening: Helping to Motivate Patients. Michael Quinn, PhD
Colorectal Cancer Screening: Helping to Motivate Patients Michael Quinn, PhD Common Barriers to CRC Screening Access to affordable screening resources Identify screening-eligible patients Provider aware
More informationMotivational Interviewing in Chronic Diseases. Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017
Motivational Interviewing in Chronic Diseases Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017 Motivational Interviewing in Chronic Diseases Presenter Names: Janelle W. Coughlin, Ph.D. &
More informationOverview. What about your clients? MOSBIRT Annual Training Nikole J Cronk, PhD. o Review of MI basics
Nikole J Cronk, PhD Overview o Review of MI basics o Moving Forward with MI o Interactive, tailored problem solving and skill enhancement What about your clients? o Myth of the unmotivated patient/client
More informationMotivational Interviewing Enhancing Motivation to Change Strategies
Motivational Interviewing Enhancing Motivation to Change Strategies Learning Objectives At the end of the session, you will be able to 1. Describe the stages of change. 2. Demonstrate at least two methods
More informationThe New York State Cessation Center Collaborative Statewide Conference Call. Jonathan Fader, PhD
Motivational Interviewing & the Five R s: Helping Clients Who Aren t Ready to Quit The New York State Cessation Center Collaborative Statewide Conference Call Jonathan Fader, PhD September 2, 2009 Disclosure
More informationMotivational Interviewing. Calvin Miller, CADC, MAATP
Motivational Interviewing Calvin Miller, CADC, MAATP Why use Motivational Interviewing? Respectful approach Considers the where the client is at in the Stages of Change. Considers the client s resources.
More information1. Evolution in MI-3 2. Three Puzzles Emerging from MI Research MINT Forum, Sheffield
1. Evolution in MI-3 2. Three Puzzles Emerging from MI Research 2011 MINT Forum, Sheffield 1983 1991 MI-1 2002 MI-2 2008 2012 MI-3 2022 MI-4 X Generalized Principles of MI 1. Express Empathy 2. Develop
More informationMotivational Interviewing
Motivational Interviewing Barbara M. Miller, RN, CEC Robin Seabury, MS WVU School of Nursing And Finally What Do You Want To Leave With Today? Change Remember, change is much larger than behavior.
More informationINTRODUCTION TO MOTIVATIONAL INTERVIEWING PRESENTED BY: BRIAN SERNA LPCC LADAC SERNA SOLUTIONS LLC
INTRODUCTION TO MOTIVATIONAL INTERVIEWING PRESENTED BY: BRIAN SERNA LPCC LADAC SERNA SOLUTIONS LLC BRISERNA@YAHOO.COM WWW.SERNASOLUTIONSLLC.COM Why don t people change? Work with one other person General
More informationIdentify the benefits of using a Brief Negotiated Intervention (BNI) to screen for alcohol and drug disorders. Review a four step model of Screening,
Kate Speck, PhD Identify the benefits of using a Brief Negotiated Intervention (BNI) to screen for alcohol and drug disorders. Review a four step model of Screening, Brief Intervention and Referral to
More informationMotivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR
Motivational Interviewing in Healthcare Presented by: Christy Dauner, OTR The Spirit of MI Create an atmosphere of acceptance, trust, compassion and respect Find something you like or respect about every
More information9/17/15. Patrick Boyle, mssa, lisw-s, licdc-cs director, implementation services Center for Evidence-Based Case Western Reserve University
Patrick Boyle, mssa, lisw-s, licdc-cs director, implementation services Center for Evidence-Based Practices @ Case Western Reserve University 1 What changes are residents you serve considering? What changes
More informationStage Based Interventions for Tobacco Cessation
Precontemplation Stage Based Interventions for Tobacco Cessation Relapse Contemplation Preparation Action Maintenance Theoretical and practical considerations related to Movement through the Stages of
More informationWelcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational
Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational interviewing. 1 The goals for this session are listed on
More informationPrevention for Positives with Motivational Interviewing
Prevention for Positives with Motivational Interviewing S H A R L E N E J A R R E T T C L I N I C A L P S Y C H O L O G I S T ( M & E O F F I C E R N A T I O N A L H I V / S T I P R O G R A M M E, J A
More informationSlide
Slide 2 13.7.2010 Slide 6 13.7.2010 Slide 7 13.7.2010 Slide 14 13.7.2010 Conflict within an individual is the simultaneous arousal of two or more incompatible motives. To understand the dynamics
More informationMotivational Interviewing
Motivational Interviewing Joining and Engaging, Increasing Participation, Improving Behaviors, Mastering Resistance Mark M. Lowis, LMSW Core Skills What Is Motivational Interviewing? Motivational Interviewing
More informationMOTIVATIONAL INTERVIEWING
MOTIVATIONAL INTERVIEWING Joining and Engaging, Increasing Participation, Improving Behaviors, Mastering Resistance Mark M. Lowis, LMSW CORE SKILLS What Is Motivational Interviewing? Motivational Interviewing
More informationThe Utilization of Motivational Interviewing Techniques with Consumers of Color
The Utilization of Motivational Interviewing Techniques with Consumers of Color By Dr. Allen E. Lipscomb, PsyD, LCSW What is MI? a collaborative, person-centered form of guiding to elicit and strengthen
More informationHELPING PEOPLE STOP SMOKING
HELPING PEOPLE STOP SMOKING Using motivational interviewing skills JENNIFER PERCIVAL RGN. RM.RHV. FETC Counselling Dip RCN TOBACCO POLICY ADVISOR TOBACCO IS A SERIOUS PROBLEM In the year 2000 1 in every
More informationOPIOID SUMMIT Partners Behavioral Health Management
OPIOID SUMMIT Partners Behavioral Health Management March 11, 2016 Presented By: David R. Swann, MA, LCAS, CCS, LPC, NCC Senior Integrated Healthcare Consultant MTM Services The National Council for Behavioral
More informationUnderstanding Your Coding Feedback
Understanding Your Coding Feedback With specific feedback about your sessions, you can choose whether or how to change your performance to make your interviews more consistent with the spirit and methods
More informationIntroduction to Stages of Change and Change Talk in Motivational Interviewing Lisa Kugler, PsyD. March 29, 2018
Introduction to Stages of Change and Change Talk in Motivational Interviewing Lisa Kugler, PsyD. March 29, 2018 Workshop Objectives Participants will be able to identify 3 key elements of motivational
More informationMotivational Interviewing
Motivational Interviewing OMED 2018 October 6, 2018 San Diego, CA Stephen A. Wyatt, DO Medical Director, Addiction Medicine Behavioral Health Service Carolinas HealthCare System Case Presentations A 12-year-old
More informationSome of the tools we use in the group sessions
Some of the tools we use in the group sessions Power and Control vs. Equality wheels The Power Pyramid Fair arguing, assertiveness, aggression and passivity The use of time-outs and self-talk Anger and
More informationMotivational Strategies for Challenging Situations
Motivational Strategies for Challenging Situations Mandy Fauble, PhD, LCSW Executive Director, Safe Harbor Behavioral Health of UPMC Hamot James, Wyler, MA, CPRP Scenario When I talked to her about my
More informationIs there any way you might be better off if you quit? What happens when you think about it? What do you imagine will happen if you don t change?
This material has been prepared by the Massachusetts Smoker's Quitline, a program of the American Cancer Society. STAGES OF CHANGE Research on addiction and behavior change done by Prochaska and DiClemente,
More informationIncreasing Readiness for Change
Increasing Readiness for Change Objectives Define ambivalence and its relationship to the change process Define the righting reflex Show the connection between ambivalence and the righting reflex Identify
More informationHow Can Employers Make a Difference
PATHWAYS TO SUCCESSFUL HEALTH BEHAVIOR CHANGE: How Can Employers Make a Difference CARLO C. DICLEMENTE, Ph.D. University of Maryland, Baltimore County www.umbc.edu/psych/habits www.mdquit.org diclemen@umbc.edu
More informationSHIP Conference Motivational Interviewing. Shannon Garrett, LGSW Mountain Manor Treatment Center
SHIP Conference Motivational Interviewing Shannon Garrett, LGSW Mountain Manor Treatment Center Substance Abuse Counseling and Motivational Interviewing Discuss risky behaviors that students participate
More informationFundamentals of Brief Cessation Counseling Approaches
Fundamentals of Brief Cessation Counseling Approaches Jamie S. Ostroff Ph.D. Director, Smoking Cessation Program Memorial Sloan Kettering Cancer Center Co-Project Leader Queens Quits! Cessation Center
More informationMotivational Interviewing
MI Motivational Interviewing Jassin M. Jouria, MD INTRODUCTION Motivational interviewing (MI) is a method that promotes behavior change, and can be used in a multitude of environments and situations to
More informationApproaches to Treatment - Motivational Interviewing
Approaches to Treatment - Motivational Interviewing Presenter: Date: Kevin Fisher, R. Psych November 25, 2009 The FASD Learning Series is part of the Alberta government s commitment to programs and services
More informationReflections on Motivational Interviewing
Reflections on Motivational Interviewing Cardiff September 27, 2011 1983 1991 MI-1 2002 MI-2 2008 2012 MI-3 2022 MI-4 X Generalized Principles of MI 1. Express Empathy 2. Develop Discrepancy 3. Avoid
More informationSession 3, Part 1 Motivational Interviewing Basics
Session 3, Part 1 Motivational Interviewing Basics Motivational Interviewing Basics Overview of Session 3, Part 1: Getting Started Goal (of all parts of session 3) Define MI to understand core principles
More informationCOVER MONTANA MOTIVATIONAL INTERVIEWING- Gina Pate-Terry, LCSW, LAC,
COVER MONTANA MOTIVATIONAL INTERVIEWING- Gina Pate-Terry, LCSW, LAC, gpateterry@mtpca.org MOTIVATIONAL INTERVIEWING It is an openness to a way of thinking and working that is collaborative rather than
More informationFACILITATOR GUIDE: Promoting Adherence and Health Behavior Change DocCom Module 16
FACILITATOR GUIDE: Promoting Adherence and Health Behavior Change DocCom Module 16 Check-in: (5 min): Ask questions like: What s happening in your lives? ; What do we have to do to clear the air so we
More informationDebra Poole, PA-C UIHC Department of Psychiatry
IPAS October 3, 2016 Debra Poole, PA-C UIHC Department of Psychiatry debra-poole@uiowa.edu! I have no disclosures! Thank you to Michael Flaum, MD 1 ! Introduction to Motivational Interviewing! Turn on
More informationMOTIVATING BEHAVIOUR CHANGE IN PATIENTS USING OPIOIDS
MOTIVATING BEHAVIOUR CHANGE IN PATIENTS USING OPIOIDS Opioid Webinar Series Laura Murphy, PharmD Disclosures No conflict of interest Acknowledgements Andrea Fernandes Anne Kalvik Pearl Isaac Karen Ng Beth
More informationIn helping people change, your biggest challenge is. A Little About Shawn & MI. An Overview 9/12/2013
A Little About Shawn & MI An Overview If you treat a person as he is, he will stay as he is; But if you treat him as if he were what he ought to be and could be, he will become what he ought to be and
More informationBehavior Change Counseling to Improve Adherence to New Diabetes Technology
Behavior Change Counseling to Improve Adherence to New Diabetes Technology Reinventing Diabetes Care for the 21st Century Robert A. Gabbay, M.D., Ph.D. Executive Director, Penn State Institute for Diabetes
More informationToday's Goal. Motivational interviewing. Motivational interviewing is: Methods that don't help
Today's Goal Motivational interviewing To get an understanding of MI as a way of relating to the client To be able to judge different motivational stages To be able to use some of MI s techniques Motivational
More informationCindy McGeary, Ph.D., ABPP Associate Professor Clinical Psychology Training Director Department of Psychiatry
Cindy McGeary, Ph.D., ABPP Associate Professor Clinical Psychology Training Director Department of Psychiatry Stages of Change What is Motivational Interviewing? Research Support Spirit of Motivational
More informationCommunity Support Services Training Direct Care Series Session 3
Community Support Services Training Direct Care Series Session 3 Rutgers, The State University of New Jersey School of Health Professions Department of Psychiatric Rehabilitation and Counseling Professions
More informationAn Introduction to Motivational Interviewing in Clinical Settings
An Introduction to Motivational Interviewing in Clinical Settings Kelly Walker Lowry, Ph.D. Medical Psychologist, Ann & Robert H. Lurie Children s Hospital of Chicago Assistant Professor, Northwestern
More informationThe Stages of Change Stage One: Precontemplation Stage Two: Contemplation
The Stages of Change The stages of change are: Precontemplation (Not yet acknowledging that there is a problem behavior that needs to be changed) Contemplation (Acknowledging that there is a problem but
More informationRecovery Focus and Introduction to Motivational Interviewing. March 7, 2018 Lisa Kugler, Psy.D.
Recovery Focus and Introduction to Motivational Interviewing March 7, 2018 Lisa Kugler, Psy.D. Goals of Today s Presentation To increase understanding around recovery To increase understanding of how to
More informationTaste of MI: The Listener. Taste of MI: The Speaker 10/30/2015. What is Motivational Interviewing? (A Beginning Definition) What s it for?
What is Motivational Interviewing? (A Beginning Definition) Implementing Motivational Interviewing Kelly Wurdelman, MSN, RN Behavioral Health Clinic CentraCare St. Cloud Hospital What s it for? Motivational
More informationASSISTING PATIENTS with QUITTING EFFECTS OF CLINICIAN INTERVENTIONS. The 5 A s. The 5 A s (cont d)
ASSISTING PATIENTS with QUITTING CLINICAL PRACTICE GUIDELINE for TREATING TOBACCO USE and DEPENDENCE Released June 2000 Sponsored by the AHRQ (Agency for Healthcare Research and Quality) of the USPHS (US
More informationMotivational Interviewing
Motivational Interviewing April Wiechmann, PhD Assistant Professor Associate Director of the Memory Disorders Clinic Department of Geriatrics Adapted with permission from Dr. Susan Franks and Dr. James
More informationMotivational Interviewing
Motivational Interviewing The behavior of human beings is influenced not only by the past and current environment, but also by our images of the future. AI Lisa Stockwell, M.Ed. There are three levels
More informationFASD Prevention and Health Promotion Resources
FASD PREVENTION AND HEALTH PROMOTION RESOURCES FASD Prevention and Health Promotion Resources Module 2 Brief Intervention and Motivational Interviewing September 2017 Review Module 1: What is FASD? Module
More informationInterviewing, or MI. Bear in mind that this is an introductory training. As
Motivational Interviewing Module 2 Slide Transcript Slide 1 In this module, you will be introduced to the basics of Motivational Interviewing, or MI. Bear in mind that this is an introductory training.
More informationVOLUME B. Elements of Psychological Treatment
VOLUME B Elements of Psychological Treatment VOLUME B MODULE 1 Drug dependence and basic counselling skills Biology of drug dependence Principles of drug dependence treatment Basic counselling skills for
More informationStages of Change & Motivational Interviewing
Stages of Change & Motivational Interviewing Welcome to Module 3: Stages of Change and Motivational Interviewing. By the end of this Learning Module, you will be able to describe the stages of change,
More informationHow to Increase Motivation
How to Increase Motivation Richard Saitz, MD, MPH Professor of Medicine & Epidemiology Boston University Schools of Medicine and Public Health Boston Medical Center What Is Motivation? (Or Lack of Motivation?)
More informationThe Art of Coaching in Primary Care
The Art of Coaching in Primary Care By Maureen Ryan DNP, NP, CHWC, CST April 10, 2014 Attendees at this presentation will learn to utilize coaching strategies to facilitate sustainable change leading patients
More informationDisclosure. What s this all about? From wrestling to dancing with patients: Motivational Interviewing in 10 minutes
From wrestling to dancing with patients: Motivational Interviewing in 10 minutes Delwyn Catley, Ph.D. Professor Department of Psychology University of Missouri Kansas City Disclosure I have no relevant
More informationMotivational Interviewing
Taste of MI Motivational Interviewing I have had prior training in MI. I feel competent in using MI. TRUE FALSE ENTER Transtheoretical Change Process HOW PEOPLE CHANGE Maintenance Precontemplation Action
More information29/05/2014. Motivational Approaches: Supporting Individuals With Complex Needs. Triangle Community Resources. Diverse and Complex Characteristics
Motivational Approaches: Supporting Individuals With Complex Needs Triangle Community Resources Long history of delivering services specifically for Multi barriered individuals Extensive experience assisting
More informationMOTIVATIONAL INTERVIEWING AND INTIMATE PARTNER VIOLENCE VICTIMS IN AFRICA
MOTIVATIONAL INTERVIEWING AND INTIMATE PARTNER VIOLENCE VICTIMS IN AFRICA Abstract Andrew Ibegbulem Department of Counselling and Clinical Health Studies, Villanova University, Villanova frchiomaosa03@gmail.com
More informationDamian Walsh DipTeach; BEd; Cert Addictions Counselling; MSocSc. Motivational Interviewing: A Tool for Behaviour Change
Damian Walsh DipTeach; BEd; Cert Addictions Counselling; MSocSc Motivational Interviewing: A Tool for Behaviour Change Abstract This paper will provide a brief overview of the counselling models used in
More informationADDITIONAL CASEWORK STRATEGIES
ADDITIONAL CASEWORK STRATEGIES A. STRATEGIES TO EXPLORE MOTIVATION THE MIRACLE QUESTION The Miracle Question can be used to elicit clients goals and needs for his/her family. Asking this question begins
More informationAcademic advising from the lens of a psychologist. Mehvash Ali, Ph.D. NACADA 2014
Academic advising from the lens of a psychologist Mehvash Ali, Ph.D. NACADA 2014 Introduction Clinical Psychologist 10+ years of experience in college mental health Currently working as Director of Academic
More information3/3/2014. Co Occurring Disorders. Examples of Dual Disorders: Substance and Mental Health: Treating Co-occurring Disorders
Substance and Mental Health: Treating Co-occurring Disorders Billie J Gilliam LPC LICDC-CS 1 2 Co Occurring Disorders Dually diagnosed? Dually disordered? Co morbid disorders? Co-Occurring Disorders Refers
More informationMotivational Interviewing: Walking Through the Four Processes
Motivational Interviewing: Walking Through the Four Processes William R. Miller, Ph.D. University of New Mexico Hong Kong December 17, 2018 1 2 1. Engaging 2. Focusing 3. Evoking 4. Planning Can we walk
More informationScreening, Brief Intervention, Referral to Treatment
Screening, Brief Intervention, Referral to Treatment Kalea Benner, PhD, MSW, LCSW Cassie Brown, MSW, LCSW Funded by SAMHSA, Grant #TI - 025976 Rationale SBIRT research and implementation has primarily
More informationHelping Patients Make Healthy Choices
Helping Patients Make Healthy Choices When the patient does not have a clue about the reasons they should or any desire to do so.. A training Module developed by the Patient Leadership Committee of Renal
More informationScreening, Brief Intervention, and Referral to Treatment (SBIRT) Part II: Brief Intervention
Screening, Brief Intervention, and Referral to Treatment (SBIRT) Part II: Brief Intervention Farah Khorassani, PharmD, BCPS, BCPP Shannon Tellier, PharmD Objectives Interpret prescreen and questionnaire
More information11/8/2013. Homecare Association of Arkansas 2013 Fall Conference and Trade Show. Objectives. What is patient engagement?
Homecare Association of Arkansas 2013 Fall Conference and Trade Show Motivational Interviewing and Patient Activation Paula Suter, BSN, MA Clincal Director Sutter Center for Integrated Care Sutter Health,
More informationMotivational Interviewing
An introduction to Motivational Interviewing Dr Tim Anstiss M.B., M.Ed., D.Occ.Med.,M.F.S.E.M. Visiting Research Fellow Human Development and Health Academic Department University of Southampton Medical
More informationResistance in Counseling. Client Resistance. Resistance 10/26/15
Resistance in Counseling Client Resistance What is it? Any conscious or unconscious attempt to avoid a topic of discussion, avoid working on a problem, or avoid committing to the counseling relationship.
More informationHelping People Change
Helping People Change Richard Saitz MD, MPH, FACP, FASAM Chair, Department of Community Health Sciences Professor of Community Health Sciences and Medicine Boston University Schools of Medicine & Public
More informationHow to increase motivation
How to increase motivation Richard Saitz MD, MPH, FACP, FASAM Professor of Medicine & Epidemiology Boston University Schools of Medicine & Public Health Director, Clinical Addiction, Research and Education
More informationTraditional Health Teaching is. Evidence-based Health Coaching is IN!
Traditional Health Teaching is Out Evidence-based Health Coaching is IN! Melinda Huffman, BSN, MSN,CCNS,CHC National Society of Health Coaches Copyright 2015 Miller & Huffman Outcome Architects, LLC All
More information