THE FOUR PROCESSES OF MOTIVATIONAL INTERVIEWING ENGAGING FOCUSING

THE FOUR PROCESSES OF MOTIVATIONAL INTERVIEWING ENGAGING FOCUSING EVOKING PLANNING

IN THIS REFRESHER, WE WILL FOCUS ON THE SECOND PROCESS: FOCUSING

FOCUSING IS… THE PROCESS BY WHICH YOU DEVELOP AND MAINTAIN A SPECIFIC DIRECTION IN THE CONVERSATION ABOUT CHANGE.

ELEMENTS OF FOCUSING WHILING EXPLORING A SPECIFIC DIRECTION FOR THE CONVERSATION, YOU MAY RUN INTO: - SUSTAIN TALK WHERE A CLIENT ARGUES FOR THE STATUS QUO. - RESISTANCE TALK WHICH IS RELATED TO THE BEHAVIOR CHANGE AND USUALLY INCLUDES BEHAVIORS SUCH AS INTERRUPTING THE INTERVIEWER, DISAGREEING OR DISCOUNTING WHAT IS BEING SAID TO THEM AND ATTEMPTS TO CHANGE THE SUBJECT.

ELEMENTS OF FOCUSING WHAT SKILLS DO WE USE TO ROLL WITH THE RESISTANCE? WE WANT TO ELICIT CHANGE TALK BY… • EXPLORING THE CLIENT’S AMBIVALENCE AND BUILD THEIR MOTIVATION. • STRENGTHENING THEIR COMMITMENT TO CHANGE. • WE DO THIS BY USING OUR SAD/SCARED SKILLS.

SAD • RESPONDING TO AMBIVALENCE BY REFLECTIVE RESPONSES: - SIMPLE REFLECTION - AMPLIFIED REFLECTION - DOUBLE-SIDED REFLECTION

SCARED • RESPONDING TO AMBIVALENCE BY STRATEGIC RESPONSES: - SHIFTING FOCUS - COMING ALONGSIDE - AGREEMENT WITH A TWIST - REFRAMING - EMPHASIZING PERSONAL CHOICE/CONTROL - DISCLOSING FEELINGS

EXAMPLE OF FOCUSING • IN THE AUDIO, THE OFFICER IS IN THE FOCUSING PROCESS WITH A CLIENT. WHILE YOU LISTEN, REFER TO YOUR MI MANUAL AND SEE IF YOU CAN IDENTIFY HOW MANY SAD/SCARED SKILLS THAT WERE USED. EXERCISE: AUTO SAMPLE OF FOCUSING