MOTIVATIONAL INTERVIEWING (including questions, approach etc.,)
5 Key Questions
1. Why would you want to make this change?
2. How might you go about it in order to succeed?
3. What are the three best reasons for you to do it?
4. How important is it for you to make this change, and why?
5. So what do you think you’ll do?
– notice “change language”
– evoke from person (their concerns, wishes, hopes, strengths, goals, values, intentions) &
– explore their reason for change
4 MI PROCESSES:
1. Engaging (empathic, compassionate)
2. Focusing (topic & goal)
3. Evoke (motivation for change)
4. Planning (commitment and steps)
MOTIVATION FOR CHANGE:
– Willing: importance to change (problem cognition; cost-benefit expectancies, values)
– Able: confidence (global, specific)
– Ready: commitment (intention)
– understand & learn from the client
CORE SKILLS: [OARS]
O [open-minded questioning]
– What kinds of things have you tried?
– what has made it hard for you?
– What do you make/think of that?
– you did a great job dealing with that situation
– I am so impressed with your ability to laugh no matter how hard things get.
– you managed to keep your kids fed even when you felt like everything was falling apart
R [listening reflectively]
RESPONDING TO CHANGE TALK:
E – Elaborate
A – Affirm
R – Reflect
S – Summarise
Agreement with a twist
– What do you think you are going to do?
– Where do we go from here?
– What do you think has to change?
– What are your option snow?
– What’s the next step?