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The SCIP Technique
How to motivate people in three minutes
Today’s Training
Three Minute Motivation The New Conversation Behaviour Change ABC The SCIP Technique Skills Rehearsal Sweet and Sour Takeaway
Three Minute Motivation
The New Conversation
SCIP
Behaviour Change ABC
A: Ambivalence B: Beware the “Righting Reflex” C: Change Conversations
Adapted from “Motivational Interviewing in Health Care” by Rollnick, Miller and Butler
A: Ambivalence
No Change Change
Ambivalence
What’s good about
now
What’s bad about now
What’s good about
change
“To want to and not want to at the same time…”
What’s bad about
change
Exercise One - Inner Conflict
Reasons not to change
Reasons to change
Reasons to stay the same
Reasons not to stay the same
No Change Change
Ambivalence
B: Beware the Righting Reflex
No Change Change
Ambivalence
B: Beware the Righting Reflex
No Change Change
Ambivalence
“Yes but, no but”
B: Beware the Righting Reflex
Exercise Two (Pt.1) – ‘Yes But, No But’
Changer: “A good reason to change is…..”Helper: “Yes but….”
Is this kind of conversation familiar?
“Yes but, no but”
C: Change Conversations
Think about how we might do things differently?
Ask rather than advise Listen more and talk less
No Change Change
Ambivalence
“Change Conversations”
C: Change Conversations
C: Change Conversations
Ask “Open questions….
Summarise…..
C: Change Conversations
Remember the inner conflict: Changer: “....I’m worried that I won’t see my mates.....I’m not sure I can do this...”
Helper: “change is often difficult and there are always reasons to stay the same but let’s go back to what you just said a moment ago.....”
Exercise Two(Pt.2)• What is it about staying the same you don’t like?• How would things be better if you managed to change?• How could you change?
Think about how this conversationis different. “Change
Conversations”
One Problem!
How do we have an effective “change conversation”, that moves the person
out of ambivalence and towards change in a busy setting without using
the righting reflex to manage the time?
The SCIP Technique
SHARE the risks COMPARE to the benefits
discuss IDEAS make a PLAN
No Change Change
AmbivalenceI could….
I should……I might…
I WILL
SCIP Charts
Share the Risks
“Here are some of the down sides (risks) of what you are doing…..which stand out for you?”
No Change Change
Ambivalence
What’s bad about now
Compare to the Benefits
“Compare those to some of the good things (benefits) about changing…..which appeal to you?”
No Change Change
Ambivalence
What’s bad about now
What’s good about
change
Discuss Ideas
No Change Change
Ambivalence
I could….I should……I might….
“Here are some ideas that other people have found useful when thinking about this change……what do you think?”
Make a Plan
No Change Change
Ambivalence
I will
“you have lots of ideas that I’m sure you can do…which one are you going to try first…….tell me more about it”
Make a Plan
No Change Change
Ambivalence
I’m not sure
“It sounds like you still have some thinking to do. This change isn’t going to be easy but it sounds like there are some good reasons to give it a go……have a think about what your next steps are…I’d be interested to hear about what you did.”
SCIP: Skills Rehearsal
Dave is a 43 year old with a CVD risk factor of 27% during his Health Check he disclosed he drank 8-10 units of alcohol 3 to 4 times a week.
SCIP: Demonstration
SCIP-O-Meter
No Change Change
Ambivalence
Sweet and Sour Takeaway
What have you enjoyed?What have you not liked? What will you take away?
Reflection• If the change you were going to make was
‘to have a new conversation with patients about their behaviour change using SCIP’
What would be your reasons:
Not to change?To change?To stay the same?Not to stay the same?
This module supports….
• More Motivation• Increasing Physical Activity• Smoking Cessation SCIP• Healthy Eating• Drug & Alcohol SCIP
