HOW MOTIVATIONAL INTERVIEWING CAN HELP ENGAGE ATRISK YOUTH

HOW MOTIVATIONAL INTERVIEWING CAN HELP ENGAGE AT-RISK YOUTH Va. Ronica Little, LCSW November 2017

Motivational Interviewing How to deal with the battle within

Key Elements to MI 1. Express Empathy 2. Develop Discrepancies 3. Roll with Resistance/ Reflect Discord 4. Support Self-efficacy Motivational Interviewing

Express Empathy Motivational Interviewing Express Empathy

Express Empathy O A R S open ended questions affirmations reflective listening summary reflections Motivational Interviewing Express Empathy • OARS

Develop Discrepancies Motivational Interviewing Express Empathy • OARS Develop Discrepancies

Develop Discrepancies Motivational Interviewing Express Empathy • OARS Develop Discrepancies • Reframing

Develop Discrepancies Point Out Ambivalence § Recognize § Verbalize § Elaboration § Colombo Technique § Therapeutic Paradox Motivational Interviewing Express Empathy • OARS Develop Discrepancies • Reframing • Point Out Ambivalence

Develop Discrepancies Motivational Interviewing Express Empathy Develop Discrepancies • Reframing • Point Out Ambivalence • Emphasize Choice

Develop Discrepancies Motivational Interviewing Express Empathy Develop Discrepancies • Reframing • Point Out Ambivalence • Emphasize Choice • Comparisons

Roll with Resistance § Amplified Reflection § Double Sided Reflection § Clarification § Shift the focus away from the stumbling block § Decision Balance Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance • Amplified Reflection • Double Sided Reflection • Clarification • Shift away • Decision Balance

Roll with Resistance Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance • • Amplified Reflection Double Sided Reflection Clarification Shift away Decision Balance Desire vs Ability Reason vs Need Emphasize Personal Choice and Control

Roll with Resistance Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance • • Amplified Reflection Double Sided Reflection Clarification Shift away Decision Balance Desire vs Ability Reason vs Need Emphasize Personal Choice and Control

Roll with Resistance Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance • • Amplified Reflection Double Sided Reflection Clarification Shift away Decision Balance Desire vs Ability Reason vs Need Emphasize Personal Choice and Control

Support Self Efficacy Readiness Ruler Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy • Readiness Ruler

Support Self Efficacy Encourage Change Talk § Desire Motivational Interviewing § Ability Express Empathy § Preparatory Change Talk § Reason § Need § Implementing Change Talk § Commitment § Activation § Taking Steps Develop Discrepancies Roll with Resistance Support Self Efficacy • Readiness Ruler • Encourage Change Talk

Support Self Efficacy Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy • Readiness Ruler • Encourage Change Talk

Support Self Efficacy Ingredients of Change D desire A ability Motivational Interviewing R reasons Express Empathy N need Develop Discrepancies Roll with Resistance C commitment A action • Readiness Ruler T tracking • Encourage Change Support Self Efficacy Talk • DARN CAT

Support Self Efficacy E A R S express affirm reinforce summarize Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy • Readiness Ruler • Encourage Change Talk • DARN CAT • EARS

Support Self Efficacy Build Confidence and Self Esteem Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy • Readiness Ruler • Encourage Change Talk • DARN CAT • EARS • Confidence and Esteem

Putting it all together §Express Empathy §Develop Discrepancies §Roll with Resistance §Support Self-efficacy Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy Putting it all together

Putting it all together §Get out of your head §Own it §Just Be You §Take Action Now Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy Putting it all together

Questions and Comments Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy Putting it all together vlittle@utah. gov

References § Martino, S. , Carroll, K. M. , O'Malley, S. S. , & Rounsaville, B. J. (2000). Motivational interviewing with psychiatrically ill substance abusing patients. American Journal on Addictions, 9(1), 88 -91. § Miller, W. R. , & Rollnick, S. (2002). Motivational interviewing: Preparing people to change (2 nd edition). New York: Guilford. § Resnicow, K. , Dilorio, C. , Soet, J. E. , Borrelli, B. , Hecht, J. , & Ernst, D. (2002). Motivational interviewing in health promotion: It sounds like something is changing. Health Psychology, 21(5), 444 -451. § Rollnick, S. , & Allison, J. (2001). Motivational interviewing. In N. Heather, T. J. Peters & T. Stockwell (Eds. ), International handbook of alcohol dependence and problems (pp. 593 -603). New York: John Wiley. § Sobell, L. C. , & Sobell, M. B. (2003). Using motivational interviewing techniques to talk with clients about their alcohol use. Cognitive and Behavioral Practice, 10, 214 -221. § Substance Abuse and Mental Health Administration. (1999). Enhancing motivation for change in substance abuse treatment (Treatment Improvement Protocol Series). Rockville, MD: U. S. Department of Health and Human Services. § Otani, A. (1989). Client resistance in counseling: Its theoretical rationale and taxonomic classification. Journal of Counseling and Development, 67, 458 -461. Motivational Interviewing Express Empathy Develop Discrepancies Roll with Resistance Support Self Efficacy Putting it all together

dsamh. utah. gov Va. Ronica Little, LCSW vlittle@utah. gov Division of Substance Use and Mental Health 195 N. 1950 W. Salt Lake City, UT 84116