Slide 1

Advancing Learner Skills in MI: Coaching to the Finer PointsDeveloped by EckMaahs & Associates, LLC

For the MINT Forum, Fort Wayne, Indiana September 12-14, 2012

Presented by Sue EckMaahs, Fran Lesicko and Susan Littrell. Additional thanks to Jane Nakken for assistance with presentation and materials development.

AgendaAudiotape coaching within the broader MI coaching spectrumLearning from our mistakes!: Preparing learners for coaching with tapes Common Pitfalls in Learning MIListening for coaching points Audio ExerciseThe ABCs of audiotape based coaching Practice!

Where does audiotape coaching fit in the coaching spectrum?MI workshop(s) with individualized coaching and feedback during training exercisesSmall group skill practice/coaching sessionsIndividual coaching sessions using discussion and role-play or real-play (face-to-face or telephonic)Follow up individual coaching sessions using audiotape samples of MI work with clients/patients Preparing the Learner for the SessionCommunicate

Length of tape or MI segment desiredWhat you are looking for (MI spirit and core skills)Clear target & reasons to guide in the direction of change (avoid neutral/equipoise situations)How to use the technologydigital tapes work best with hands-on demo around use of recorder and uploading to computerNot a test done in the spirit of support and learning. The messier the MI, the more you learn!

Common Pitfalls in Learning MI1. Ramping up the HopelessnessSustaining the Sustain TalkThe Mis-Placed Decisional BalanceBarrier Question Fever

2. Stuck in the PastPsychotherapy AlleyThe Social History Buff

3. Missing or Moving TargetSkipping from Target to TargetThe classic Check-InNon-directive, client-centered listening without a focus

4. The Cheerleader

The Dog after a BoneSkimming the SurfaceLost in the ForestRacing to the FinishlineE-P-E without the E

5. The Dog after a BoneEvoking with the purpose of proving a pointChange Talk Pouncing

6. Skimming the SurfaceTouch n Go Responses to Change TalkNo depth in planning

7. Lost in the ForestGoing NowhereGoing in Circles

8. Racing to the Finish LineExploring the how to change and missing the Why

9. E-P-E without the EsThe nice expertNo exploring of the clients own ideas/knowledge before asking permission to give advice.

What do you hear? Listening for Strengths and Potential Coaching Points

Audiotape Coaching ProcessOne way to do it:Before meeting the learner, code the tape (if using a coding instrument); note strengths and potential coaching points. If first session, go over what the two of you will be listening for (i.e., spirit, direction/guiding, OARS, change talk, flow, etc.).Ask them to ID the target behavior and evoke learners perceptions of strengths.If not first tape, review goals from last session and evoke progress/thoughts.

11EckMaahs & Associates, LLC - 651-489-1122MINT Forum - Fort Wayne, IN 9-14-12Coaching Process (cont):Explain that you will listen together and either party may stop the tape periodically to discuss.While listening, be sure and reinforce/affirm the strengths and look for learning opportunities to use E-P-E for discovery and practice.Before ending the session, ask the learner to set 1-3 goals for further practice.Schedule next tape.Practice makes PRRRRRfect!

EckMaahs & Associates, LLC1424 Victoria St. NorthSaint Paul, Minnesota 55117Phone: 651-489-1122www.eckmaahs.com seckmaahs@eckmaahs.com Thank You for Attending!EckMaahs & Associates, LLC 11-09Head Start Rochester - August, 201214EckMaahs & Associates, LLC