Using Motivational Interviewing to show that you

C.A.R.E.Friday, December 6, 2019

Cassandra Desire

ICE BREAKER

Learning Objectives1. Identify the definition for CARE

2. Identify Motivational Interviewing Principles and practice basic skills

3. Identify how to help your client / student that have experienced trauma towards change in a positive and supportive way -- through CARE(ing) for them.

What is Motivational Interviewing?

Motivational Interviewing (MI)?●An effective way of talking to people about CHANGE.

●A directive, person – centered counseling style that enhances motivation for change by helping the individual clarify and resolve ambivalence about a behavior change.

●To create and amplify discrepancy between present behavior and desired outcome.

●Help elicit the person’s own motivation to change

Think about a behavior related to wellness you have tried to change

- Addiction

- Diabetes

- Exercise- Smoking

- Hypertension

- Study Habits

- Medication Adherence

- Diet / Weight Loss

Was your behavior easy to change?●How easy has it been to change your behavior?

●Have you ever experience relapse?

●What motivated you to change your behavior?

●Take a second to think about someone who helped or did not help you make that change?

Change is Difficult … Why?●Lazy?

●Lack of Information?

●Defiance?

●Denial?

Nope, None of the Above …

C. A. R. E.C = Client – Centered / Collaborative / Confidence

E = Empathy / Emotional Availability

A= Autonomy

R= Rolling with Resistance/Respect

Client – Centered / Collaborative / ConfidenceCommitment

A lot of working with clients with trauma history is just showing up, every day, and accepting the person no matter what behaviors emerge.

Are you committed to yourself?

Take care of yourself. One of the most important things to remember. If you work with even just one client who experienced trauma, you can experience vicarious trauma or compassion fatigue. Use your own support system and make time to do things that fill your tank.

Autonomy

●Feeling Self – Directed

●Being able to make meaningful decisions in our lives, without coercion

●Give the person a sense of voice or contribution

●Being able to make a decision based on free will

Rolling with Resistance / Respect

Do’s

1. Just listen reflectively

2. Develop discrepancy

3. Ask the person what an alternative viewpoint might be

Dont’s

1. Argue

2. Take their resistance personally

Empathy / Emotional Availability●Promotes a culture of safety, empowerment, and healing.

●Brené Brown on Empathy

Brené Brown on Empathy

Using the Spirit of MI to C.A.R.E C – Client – Centered / Collaborative / Confidence

A – Autonomy

R – Rolling with Resistance / Respect

E – Empathy / Emotional Availability

Core Principle of MIO = Open Questions

A = Affirmations

R = Reflective Listening

S = Summarizing

References ● Brené Brown on Empathy. Retrieved from https://youtu.be/1Evwgu369Jw

on December 16, 2017.

● Elizabeth E. Stewart, PhD, and Chester Fox, MD Fam Pract Manag. 2011 May-June;18(3):21-25.

● Miller, WR. Motivational interviewing with problem drinkers. Behavioural Psychotherapy. 1983;11:147-172.

● Resnicow, Ken; McMaster, Fiona (March 2012). "Motivational Interviewing: moving from why to how with autonomy support". International Journal of Behavioral Nutrition and Physical Activity.

● Retrieved from https://www.freepnglogos.com/pics/thinking on November 1, 2019.

● Rollnick, Stephen; Miller, William R. (October 1995). "What is Motivational Interviewing?". Behavioural and Cognitive Psychotherapy. 23 (4): 325–334.

● Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change, 2nd ed. New York: Guilford Press; 2002.