Post on 27-Mar-2015
Motivational InterviewingMotivational Interviewing
Health Promotion ProgramNavy Environmental Health Center
Health Promotion ProgramNavy Environmental Health Center
Motivational InterviewingMotivational Interviewing
Goal- To enhance and strengthen motivation for change!
Goal- To enhance and strengthen motivation for change!
• Focus- To increase motivation for a specific behavior and lifestyle change!
• Focus- To increase motivation for a specific behavior and lifestyle change!
Motivational InterviewingMotivational Interviewing
• Used by -Medical & Dental Staff -Health Promoters -Educators -Mental Health -Substance Abuse
• Based upon clinical intervention studies
• Used by -Medical & Dental Staff -Health Promoters -Educators -Mental Health -Substance Abuse
• Based upon clinical intervention studies
Behavior ChangeBehavior Change
• Difficult to give up and change entrenched and harmful behaviors!
• Ambivalence is common…• Low motivation present
for difficult changes
• Difficult to give up and change entrenched and harmful behaviors!
• Ambivalence is common…• Low motivation present
for difficult changes
Changing BehaviorChanging Behavior
• Often we respond to resistance with confrontation…
• Confrontation often leads to increased resistance, conflict and arguments…
• Confrontation is often counterproductive and not helpful!
• Often we respond to resistance with confrontation…
• Confrontation often leads to increased resistance, conflict and arguments…
• Confrontation is often counterproductive and not helpful!
Motivational InterviewingMotivational Interviewing
• A new model of helping people change their behavior!
• A new model of helping people change their behavior!
Motivational InterviewingMotivational Interviewing
• Reconceptualize ambivalence• See resistance and
ambivalence as a normal part of change process and as a typical roadblock!
• Not dismissed and labeled as denial and unmotivated
• Reconceptualize ambivalence• See resistance and
ambivalence as a normal part of change process and as a typical roadblock!
• Not dismissed and labeled as denial and unmotivated
MI PhilosophyMI Philosophy
• Individual decision to change!
• Freedom to alter and modify harmful and unhealthy behaviors!
• Individual decision to change!
• Freedom to alter and modify harmful and unhealthy behaviors!
Motivational InterviewingMotivational Interviewing
• Motivation is elicited from the client/patient
• It is up to the client to express and resolve their ambivalence!
• Direct arguing/persuading is not an effective strategy for resolving ambivalence!
• Therapeutic relationship is a partnership…
• Motivation is elicited from the client/patient
• It is up to the client to express and resolve their ambivalence!
• Direct arguing/persuading is not an effective strategy for resolving ambivalence!
• Therapeutic relationship is a partnership…
MI ApproachMI Approach
• Active, not passive stance!
• Caring and warm approach!
• Listening
• Active, not passive stance!
• Caring and warm approach!
• Listening
MI is NOTMI is NOT
• The answer for every person and all ambivalence and resistance!
• The only intervention for every one you see…
• A replacement for your experience, training & judgment…
• The answer for every person and all ambivalence and resistance!
• The only intervention for every one you see…
• A replacement for your experience, training & judgment…
MI SkillsMI Skills
• Establish rapport• Show acceptance• Listening Skills• Way questions
asked can effect responses!
• Establish rapport• Show acceptance• Listening Skills• Way questions
asked can effect responses!
MI StrategiesMI Strategies
• Reflective Listening
• Express Empathy
• Develop Discrepancy
• Reflective Listening
• Express Empathy
• Develop Discrepancy
MI Strategies MI Strategies
• Roll with Resistance
• Support Self Efficacy- Reinforce expectation and belief that they can change!
• Roll with Resistance
• Support Self Efficacy- Reinforce expectation and belief that they can change!
Common RoadblocksCommon Roadblocks
• Labeling trap• Blaming trap• Question & Answer trap• Confrontation-Resistance-
Denial Trap
• Labeling trap• Blaming trap• Question & Answer trap• Confrontation-Resistance-
Denial Trap
MI SummaryMI Summary
• Purpose is to encourage and assist with individual behavior change!
• The readiness to change a specific and problem behavior often varies and fluctuates….
• Purpose is to encourage and assist with individual behavior change!
• The readiness to change a specific and problem behavior often varies and fluctuates….
Additional InformationAdditional Information
• Website http://www.motivationalinterview.org
• Motivational Interviewing. William Miller & Stephen Rollnick, 2002. Second Edition. Guilford Publications.
• Website http://www.motivationalinterview.org
• Motivational Interviewing. William Miller & Stephen Rollnick, 2002. Second Edition. Guilford Publications.