C208: Motivational Interviewing

/Motivational Enhancement Therapy Course Outline

P a g e | 1

Introduction

• What is Motivational Interviewing? • Change

What is Change? Factors Impacting Change

• Addiction Viewpoints Three Perspectives

The Moral Model of Addiction The Disease Model of Addiction The Genetic Model of Addiction

Addiction as a Chronic and Catastrophic Disease

Motivational Enhancement Therapy

• Characteristics of Motivation • Psychological Reactance and the Theory of Change • Reactance Theory • Confrontation • Motivational Enhancement Theory vs. Confrontation Theory Transtheoretical Model of Change

• The Process of Change • Change as a Natural Progression

Common Natural Change Substance-Related Natural Change

• Motivation to Change • The Dimensions of Change

Dimension One: Stages of Change Stages of Change Model Five Stages of Change

o Precontemplation o Contemplation o Preparation o Action o Maintenance

Dimension Two: The Processes of Change Cognitive Change Processes

C208: Motivational Interviewing

/Motivational Enhancement Therapy Course Outline

P a g e | 2

Behavioral Change Processes Linking Stages of Change and the Change Process

Dimension Three: Markers of Change Decisional Balance Self-Efficacy and Temptation Benefits and Costs of Change

Dimension Four: Context of Change The Framework and Structure of Change

Summary: Four Dimensions of Change

Motivation Introduction

• Extrinsic Motivation versus Intrinsic Motivation • Motivational Strategies for Each Stage of Change

Precontemplation Contemplation Preparation Action Maintenance Recurrence

Motivational Interviewing

• Introduction to Motivational Interviewing Clinical Approach Solution-Focused Therapy Strengths Perspective Focus of Motivational Interviewing Client-Centered Approach versus Motivational Interviewing Confrontation Model versus Motivational Interviewing Model

• The Therapeutic Alliance Empathy Respect Authenticity

• The Columbo Approach • Resistance

Four Types of Client Resistance Arguing Interpreting

C208: Motivational Interviewing

/Motivational Enhancement Therapy Course Outline

P a g e | 3

Denying Ignoring

Skills to “Roll” with Resistance Simple Reflection Amplified Reflection Double-Sided Reflection Shifting Focus Agreement with a Twist Reframing Siding with the Negative

• Supporting Self-Efficacy, Hope, and Optimism Implementation of Motivational Interviewing Skills

• Strategies and Techniques Used in MI Implementation Asking Open-Ended Questions Listening Reflective Listening Summarizing Affirming Eliciting Self-Motivational Statements

Cognitive Recognition Affective Expression Direct/Implicit Optimism

• Key Points to Using Active Listening Skills Inviting Listening Reflecting

Assessing the Client’s Readiness to Change

• Assessing Readiness by Stages of Change • Guiding Principles When Assessing a Client

Establish and Maintain Rapport Express Empathy Develop Discrepancy Avoid Argumentation

C208: Motivational Interviewing

/Motivational Enhancement Therapy Course Outline

P a g e | 4

Roll with Resistance Support Self-Efficacy Ensure Client is Responsible for Change

Course Closing

• Finding the “DOROTHY” Within All Things Are Possible With Motivational Enhancement Therapy Means to Self-Efficacy

• Course Summary • Final Thoughts • References, Related Websites, and Suggested Readings