Objectives. Changing Landscape of Healthcare
|
|
- Jemima Owen
- 5 years ago
- Views:
Transcription
1 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, 2008 Objectives Identify key differences between traditional provider/client interaction and Motivational Interviewing adherent interaction. Describe the key elements and characteristics of the spirit and process of Motivational Interviewing. List 2-3 examples of research demonstrating evidence of benefits of motivational interviewing in practice settings related to behavioral and lifestyle change. Changing Landscape of Healthcare Rise in chronic conditions Less emphasis on acute care Greater attention to lifestyle modification and disease management 1
2 Changing Landscape in Maternal and Child Health Growing body of evidence of importance of preconception and interconceptional health Training of Public Health and Healthcare Professionals Traditionally trained to respond to acute, short-term illnesses Hierarchical model of relationships Emphasis on patient instruction and patient compliance Different approaches are needed to help people manage and thrive in their own cultural and environmental context. 2
3 Self-Management The individual s ability to manage the symptoms, treatment, physical and social consequences and lifestyle changes inherent in living with a chronic condition. Barlow, 2002 Core Self-Management Skills Problem-solving Decision making Resource utilization Forming of a patient/health care provider partnership Taking action Lorig and Holman, 2003 Self-Management Support Relies on a collaborative process between clients and providers/staff 3
4 Self-Management Support Empowers and prepares clients to manage their health and health care Emphasizes the client s central role in managing their health Motivational Interviewing A client-centered counseling style that helps people build motivation for change by allowing them to articulate reasons for and against change William Miller & Stephen Rollnick, 2002, Motivational Interviewing Role Play Activity 4
5 Paired Activity: Two Trials Decide who would like to discuss some possible change being considered, such as I d like to lose 5 lbs. or increase my activity level ; you will be the client. The other person will be the counselor. Instructions for the counselor As soon as the person tells you what they are considering changing do some of the following: Trial One Instructions for Counselor 1. Ordering, directing, or commanding 2. Warning or threatening 3. Giving advice, making suggestions, or providing solutions 4. Persuading with logic, arguing, or lecturing 5. Moralizing, preaching, or telling clients what they "should" do 6. Disagreeing, judging, criticizing, or blaming 7. Shaming, ridiculing, or labeling 8. Questioning or probing How did this interaction feel? As the client I felt: As the counselor I felt:
6 Trial Two Instructions 1. Why would you want to? 2. If you did decide, how would you do it? 3. What reasons are there? 4. On a scale of 1 to 10, with 10 being most important, how important is this to you? 5. Give a summary of what you heard why she/he is prepared to change. 6. Final question: What do you think you need to accomplish this? How did this interaction feel? As the client I felt: As the counselor I felt: Comparison Activity Discussion of two trials 6
7 Spirit of MI Health Priority belief that humans develop in the direction of health and adaptive behavior if given support. Empathic able to put oneself in their shoes, listening so well to be able to enter their world Safe Environment creates trust & rapport Collaborative/Egalitarian treats client as an equal and as their ally. Spirit... Non-Judgmental accept person as they are, does not give opinion Honors Autonomy makes clear that control and choice is clearly theirs regarding change Builds on Theoretical Underpinnings self-perception, self-determination and selfefficacy Theoretical Underpinnings Bem s Self-Perception Theory (psychologist Daryl Bem) Self-Determination Theory Bandura s Self-Efficacy Theory (Albert Bandura, 1986) 7
8 Underlying Concepts of MI Clients are ambivalent about change Practitioner s pushing for change evokes resistance from the client Resistance predicts lack of change Evoking the client s own change talk will enhance behavior change Is MI Evidence-based? Literature search found 72 randomized controlled trials Studies addressed wide range of behavioral problems and diseases, such as obesity, alcohol use, smoking, HIV risk behavior, pain management Meta-analysis showed significant effect for MI Using MI in brief encounters of 15 min., 64% of studies showed effect Rubak, Sandboek et al., 2005 Motivational Interviewing: A Schematic Ambivalence Resistance Change Talk Importance Confidence 8
9 How to Start? Got the Spirit? Establish Rapport Set Agenda Behavioral Focus Tasks in consultations about behavior change Establish Rapport Multiple behaviors Set agenda Single behavior Assess importance and confidence Explore importance Build confidence From: Rollnick, Stephen, Mason, Pip, & Butler. Health Behavior Change, Establishing Rapport Body language Collaborative language Time Open-ended questions 9
10 Agenda Setting Chart Diet Exercise Losing Weight Relationship Issues Stress School/Work Practices of Motivational Interviewing Express Empathy Develop discrepancy Roll with resistance Support self-efficacy Client Centered Counseling Skills O= open-ended questions A= affirmations R=reflections S=summaries 10
11 Open-Ended Questions Example Tell me about how things have been going with your pregnancy since I last saw you a month ago? Tell me what your thoughts are about breastfeeding. Affirmations Examples You really care about your health. Look at how well you ve cut back on drinking pop. Reflections Simple Reflection Paraphrase, short Examples You re frustrated. Complex Reflection Picking out the change talk or unstated emotion Examples You really want to have a healthy pregnancy. 11
12 Summaries Metaphoric bouquet of flowers Review of what s been said Targeting change talk Transition to next steps Eliciting Change Talk D Desire In what ways would it be good for you to A Ability If you did decide to how would you do it? R Reasons What would be the good things about? N Need Why would you want to... DARN Scale (Ruler) On a scale from what number would you give yourself regarding Desire? Ability? Reason? Need?
13 Importance & Confidence Ruler Importance How important is it for you right now to...? On a scale from what number would you give yourself? 0 10 Confidence If you did decide to change, how confident are you that you would succeed? On a scale from what number would you give yourself? 0 10 Responding to Change Talk Reflect it restate it back Ask for examples/elaboration Affirm Summarize Activity Drum Roll Rolling with Resistance Reflection Amplified reflection Double-sided reflection Emphasize autonomy 13
14 EPE for Giving Information Elicit-Provide-Elicit Ask what they know (Elicit) Ask or get permission to Provide Information/Options (Provide) If advice, offer several options rather than one (for some people ) Ask what they think now (Elicit) ACTION PLAN This is something you WANT to do! Describe your plan for the next week or weeks. What? Where? When? How Much? How Often? How confident are you that you can accomplish the entire plan? Not at all confident Totally confident Example of a positive change you ve made in the past: Barriers you might face when working on this plan: Plans to overcome challenges: Date of Follow-Up: Demonstration of MI Audience to observe and count OARS, using handout 14
15 Feedback from Panel Next Steps for Audience Training Opportunities MI website Contact Info: Peg Dublin: or Richard Rutschman: or
Motivational 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 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 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 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 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 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 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
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 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 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 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 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 informationTCPI Motivational Interviewing Series Part 3 of 3 June 7, 2018
TCPI Motivational Interviewing Series Part 3 of 3 June 7, 2018 Hosted by: Margaret M. Menna, MBA Senior Training & Education Specialist Rhode Island Quality Institute Motivational Interviewing in the Clinical
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 informationAn Introduction to Motivational Interviewing Helping People Change
An Introduction to Motivational Interviewing Helping People Change Todd Gibbs, M.A., LPC a person-centered counseling style for addressing the common problem of ambivalence about change Motivational Interviewing:
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 informationAmy Shanahan, MS, CADC Director of Clinical Care Services Western Psychiatric Institute & Clinic of UPMC
Motivational Interviewing Introduction Amy Shanahan, MS, CADC Director of Clinical Care Services Western Psychiatric Institute & Clinic of UPMC shanahana@upmc.edu Jeff Geibel, PhD Senior Program Director
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 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 informationMotivating Behavior Change What Really Works? Pre-Test
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
More informationPrinciples of MI. Afternoon at the Improv. MI Begins with Lending an Ear. Contemplation. 1. Express Empathy. 2. Develop Discrepancy
Motivational Interviewing Presented by: Beth A. Cassel Mary M. LeVasseur Mary Lee Steffy Theresa Whitesel Motivational Interviewing (MI) http://www.ctri.wisc.edu/hc.providers/healthcare_o ndemand_tug.htm
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 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 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 Training
Motivational Interviewing Training National Stroke Nurse Forum Kelly Davis Martin 16 th May 2014 Agenda Introductions What is Motivational Interviewing How is it being used Theories that inform Motivational
More informationMotivational Interviewing Engaging clients in a conversation about change
Motivational Interviewing Engaging clients in a conversation about change 16 th Annual Social Work Conference University of Southern Indiana March 2nd, 2018 Chad Connor, MSSW, LCSW So what is Motivational
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 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 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: An introduction. Jan Larkin Consultant Clinical Psychologist Turning Point (Substance Misuse and Public Health)
Motivational Interviewing: An introduction Jan Larkin Consultant Clinical Psychologist Turning Point (Substance Misuse and Public Health) Overview of the session Learning objectives Your own behaviour
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 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 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 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 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 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 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 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 informationTCPI Motivational Interviewing Series Part 1 of 3 May 1, 2018
TCPI Motivational Interviewing Series Part 1 of 3 May 1, 2018 Hosted by: Margaret M. Menna, MBA Senior Training & Education Specialist Rhode Island Quality Institute Trainer: Beth Bennett, NCTTP, CTTS-M,
More informationBeyond Physical Therapy: Incorporating Health Promotion into Your Practice to Help Your Patients Move Better, Feel Better, Live Better
Saturday, March 25, 2017 10:30 am 11:50 am Auditorium Dr. Janet Bezner, PT, DPT, PhD Beyond Physical Therapy: Incorporating Health Promotion into Your Practice to Help Your Patients Move Better, Feel Better,
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 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 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 informationA personal taste of MI. When practicing MI you don t need to be clever and complex, just interested and curious. An uncluttered mind helps.
Building skills in MOTIVATIONAL INTERVIEWING helping people change MI is Your hopes? ken kraybill Your goals? A personal taste of MI Dilemma/concern? What s okay about status quo? What s not? If no change,
More informationIntroduction. Jim Tillman, D.Min. Certified Integrative Health Coach Presently working with HTN patients in Lenoir Co.
Introduction Jim Tillman, D.Min. Certified Integrative Health Coach Presently working with HTN patients in Lenoir Co. Acknowledgement Material contained within this training was largely based on the work
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 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 informationConflict of Interest. Motivational Interviewing (MI) What is Motivational Interviewing. Empathy & MI spirit Consistent use of MI
Conflict of Interest Motivational Interviewing (MI) The speaker has no conflict of interest t to disclose Edna Hamera PhD APRN Upon completion you will be able to: Identify philosophy and mechanisms of
More informationUnlocking the Secrets to Motivational Interviewing for Chronic Disease Prevention and Treatment
Unlocking the Secrets to Motivational Interviewing for Chronic Disease Prevention and Treatment Rhonda DiNovo, LMSW Clinical Assistant Professor, COSW Today s Learning Objectives Intro to Motivational
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 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. 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 informationUsing Motivational Interviewing
Using Motivational Interviewing to Support Providers & Consumers Jon Diggs, LPC Psychotherapist T2SEnterprises, LLC jon@t2senterprises.com @jdiggslpc About the Presenter Worked in HIV Prevention for 10
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 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 informationBrief Intervention: Motivational Interviewing
Brief Intervention: Motivational Interviewing Introduction, Spirit, Principles Tim Guimond, MD, MSc, FRCPC, PhD (cand) Clinician-Researcher, St. Michael s Hospital Consulting Psychiatrist, Casey House
More informationFacilitating Change Using the Relational Elements of Motivational Interviewing
UNC-CH CLINICAL LECTURE INSTITUTE Facilitating Change Using the Relational Elements of Motivational Interviewing Marty Weems, LCSW, LCAS, MINT UNC School of Social Work 10-20-2016 Learning Objectives Understand
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 informationLET S GO! MOTIVATIONAL INTERVIEWING GUIDE.
LET S GO! MOTIVATIONAL INTERVIEWING GUIDE www.iowahealthieststate.com/5210 1 This tool is designed to help primary care providers remember some key elements of Motivational Interviewing. The information
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 informationINTEGRATING MOTIVATIONAL INTERVIEWING INTO THE MEDICAL APPOINTMENT
INTEGRATING MOTIVATIONAL INTERVIEWING INTO THE MEDICAL APPOINTMENT MELODY COLE, MS, RDN, CD, CDE A MEMBER OF THE MOTIVATIONAL INTERVIEWING NETWORK OF TRAINERS DISCLOSURE None 1 2 OBJECTIVES Compare the
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 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 information2/9/2017 DISCLOSURES MOTIVATIONAL INTERVIEWING TO PROMOTE BEHAVIOR CHANGE LEARNING OBJECTIVES WHY PHARMACISTS AND TECHNICIANS
MOTIVATIONAL INTERVIEWING TO PROMOTE BEHAVIOR CHANGE DISCLOSURES The presenter has no actual or potential conflicts of interest in relation to this presentation. Sarah E. Kelling, PharmD, MPH, BCACP Clinical
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 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 informationCounseling for Choice
Counseling for Choice Iván C. Balán, Ph.D. Assistant Professor of Clinical Psychology Columbia University College of Physicians & Surgeons Research Scientist HIV Center for Clinical and Behavioral Studies
More informationErica R. Thomas MS DDA Health Initiative
Erica R. Thomas MS DDA Health Initiative Learning Objectives Nurses will be able to identify, practice and apply the basic strategies of motivational interviewing Nurses will be able to define the importance
More informationMotivational Interviewing: Brushing up on the Basics
Motivational Interviewing: Brushing up on the Basics September 25, 2018 Hosted by John A. Renner, Jr., MD, DLFAPA Professor of Psychiatry Boston University School of Medicine Director, Addiction Psychiatry
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 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 informationInspiring and Supporting Behavior Change
Inspiring and Supporting Behavior Change A Food, Nutrition, and Health Professional s Counseling Guide Second Edition Cecilia Sauter, MS, RD, CDE, FAADE Ann Constance, MA, RD, CDE, FAADE Contents Foreword...vii
More informationCh2- Cont d Motivational Interviewing
1 Ch2- Cont d Motivational Interviewing FNU 425-FAR SPRING 1435-1436 10/ 5/ 1436 outline 2 Motivational Interviewing Definition Intrinsic vs. Coerced motivation Motivational factors MI elements MI spirit
More informationMotivational Interviewing with Adolescents in Primary Care: The Basics
Motivational Interviewing with Adolescents in Primary Care: The Basics Nick Weiss, MD Vancouver, WA January 26, 2019 Objectives Describe the rationale for MI Relate MI to the Stages of Change Model Describe
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 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 informationMotivational Interviewing (Brief)
Motivational Interviewing (Brief) Stephen R. Andrew LCSW LADC CCS CGP Health Education & Training Institute 25 Middle Street Portland, Maine 04101 www.hetimaine.org 207-773-3275 Biography Stephen R. Andrew,
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 informationWelcome! Please click on the colored link below to download the handout for today: webinar handout
Working with Families Who Are Stuck : Motivating for Change Welcome! Please click on the colored link below to download the handout for today: 12-8-09 webinar handout Motivating for Change Agenda Brief
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 informationMOTIVATIONAL INTERVIEWING OVERVIEW & TIPS
Sobell & Sobell 2003 MOTIVATIONAL INTERVIEWING OVERVIEW & TIPS GOAL To get people to resolve their ambivalence (i.e., conflict) about changing their behavior, while not evoking resistance (e.g., get confrontational,
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 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 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 informationWhat is Motivational Interviewing?
What is Motivational Interviewing? Motivational Interviewing (MI) is a guiding style of communication that provides patients with the opportunity to create change in behaviors by providing a nonjudgmental
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 informationMotivational Interviewing: Clinical Updates within Substance Abuse Treatment TARA DEWITT, PHD
Motivational Interviewing: Clinical Updates within Substance Abuse Treatment TARA DEWITT, PHD Learning Objectives Updates within MI-3 Appreciate the Spirit of Motivational Interviewing: including awareness
More informationRisk Assessment and Motivational Interviewing. Tracy Salameh MSN, APRN, FNP-BC
Risk Assessment and Motivational Interviewing Tracy Salameh MSN, APRN, FNP-BC Today's Presentation Performing a risk assessment Principals of motivational interviewing Unique prevention measures Treatment
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 informationBRIEF ACTION PLANNING. 18 Mar , 2014, 2015
BRIEF ACTION PLANNING www.centrecmi.ca 18 Mar 2015 2013, 2014, 2015 SESSION OVERVIEW Quick review of what helps support behavioral change for patients Explore the Spirit of MI Review of BAP Mr. Jones and
More informationWhat is Motivational Interviewing?
What is Motivational Interviewing? Motivational Interviewing (MI) is a guiding style of communication that provides patients with the opportunity to create change in behaviors by providing a nonjudgmental
More informationMotivational Interviewing in Primary Care: The Basics
Motivational Interviewing in Primary Care: The Basics Nick Weiss, MD Assistant Professor of Psychiatry, U of Washington Consultant, Partnership Access Line and 2nd Opinion Consults Seattle Children s Hospital
More informationA"Definition"of"Motivational"Interviewing" The!definition!of!Motivational!Interviewing!(MI)!has!evolved!and!been!refined!since!the!original!
ADefinitionofMotivationalInterviewing ThedefinitionofMotivationalInterviewing(MI)hasevolvedandbeenrefinedsincetheoriginal publicationsonitsutilityasanapproachtobehaviorchange.theinitialdescription,bywilliam
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 informationWhat We Will Discuss Today. MI foundations and concepts The four processes of motivational interviewing Some practical applications
1 UNC School of Social Work / Wake AHEC Clinical Lecture Series Moving People Toward and Through Change: Understanding and Applying the Four Processes of Motivational Interviewing January 13, 2014 Paul
More informationCommunity Care of Wake & Johnston Counties
Community Care of Wake & Johnston Counties Motivational Interviewing Primer-CCWJC MI Champions Anne Morton, Provider Services Manager, amorton@wakedocs.org Christy Street, MSW, CCM, Social Work Care Manager,
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 information