Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 256 views

    MI Cheat Sheet

    Uploaded by

    maddysen
    Motivational Interviewing (MI) focuses on empowering the client and eliciting their own reasons for change. The underlying spirit of MI emphasizes that the client is the expert in their own life, while the practitioner is an expert in healthcare. The principles of MI include resisting the urge to fix the client, understanding their perspective, listening to understand their motivations, and empowering their autonomy and choice regarding behavior change goals. Foundational MI skills involve using open-ended questions, affirmations, reflections, and summaries to explore the client's own reasons for and commitment to change.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MI Cheat Sheet

    Uploaded by

    maddysen
    256 views2 pages
    Motivational Interviewing (MI) focuses on empowering the client and eliciting their own reasons for change. The underlying spirit of MI emphasizes that the client is the expert in their own life, while the practitioner is an expert in healthcare. The principles of MI include resisting the urge to fix the client, understanding their perspective, listening to understand their motivations, and empowering their autonomy and choice regarding behavior change goals. Foundational MI skills involve using open-ended questions, affirmations, reflections, and summaries to explore the client's own reasons for and commitment to change.

    Original Title

    MI-Cheat-Sheet-copy

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Motivational Interviewing (MI) focuses on empowering the client and eliciting their own reasons for change. The underlying spirit of MI emphasizes that the client is the expert in their own life, while the practitioner is an expert in healthcare. The principles of MI include resisting the urge to fix the client, understanding their perspective, listening to understand their motivations, and empowering their autonomy and choice regarding behavior change goals. Foundational MI skills involve using open-ended questions, affirmations, reflections, and summaries to explore the client's own reasons for and commitment to change.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    256 views2 pages

    MI Cheat Sheet

    Uploaded by

    maddysen
    Motivational Interviewing (MI) focuses on empowering the client and eliciting their own reasons for change. The underlying spirit of MI emphasizes that the client is the expert in their own life, while the practitioner is an expert in healthcare. The principles of MI include resisting the urge to fix the client, understanding their perspective, listening to understand their motivations, and empowering their autonomy and choice regarding behavior change goals. Foundational MI skills involve using open-ended questions, affirmations, reflections, and summaries to explore the client's own reasons for and commitment to change.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Motivational Interviewing (MI) Basics

    Motivational Interviewing basics


    The underlying “spirit” (or philosophy) of MI is even more important than the skills. While you are an
    expert in health care, your client is an expert in his or her own life.

    SPIRIT OF MI: CAPE PRINCIPLES OF MI: RULE


    Resist the “righting reflex”
    The urge to “fix” the client. Arguing for
    change can have a paradoxical effect.

    Understand your client


    The client’s reasons for change are
    most important because these will
    most likely trigger behaviour change.

    Listen to your client


    MI involves as much listening as
    informing.

    Empower your client


    Convey hope around the possibility of
    change and support patients’ choice
    and autonomy re: change goals.
    * Also known as PACE

    FOUNDATIONAL SKILLS IN MOTIVATIONAL INTERVIEWING: OARS

    OPEN-ENDED questions encourage elaboration.


    AFFIRMATIONS promote optimism and acknowledge the client’s expertise, efforts and
    experience of the client. Affirmations are not about the practitioner’s approval of the client.
    RELECTIONS: the skill of accurate empathy:
    • simple reflections: paraphrase, repeat the content.
    • complex reflections: reflect what the client has said as well as what he or she is experiencing
    but has not yet verbalized (the meaning beneath the client’s words).
    SUMMARIES: The best are targeted and succinct, and include elements that keep the client
    moving forward. The goal is to help the client organize his or her experience.

    Miller. W. R. and Rollnick, S. 2013. Motivational Interviewing: Helping People Change. New York: Guilford Press.
    * Adapted from Miller & Rollnick. 2013, page 22

    ©2014 CAMH/TEACH
    Motivational Interviewing (MI) Basics
    Motivational Interviewing basics
    MI QUICK TIPS
    CHANGE AND SUSTAIN TALK
    “I know I should use my medication ............ ...but ... ............I always misplace my asthma inhaler.”
    CHANGE TALK SUSTAIN TALK

    TYPES OF CHANGE TALK: DARN CAT HOW TO ELICIT? ASK .....


    PREPARATORY CHANGE TALK (DARN) “Why do you want to make this change?”
    Desire to change (wishes, hopes, wants) “If you decided to make a change, how might you be
    able to do it?”
    Ability to change (optimism)
    “How would things be different if you changed?”
    Reasons for change (benefits of change)
    “How would things be better if you changed?”
    Need to change (problems with the status quo)
    When you hear change talk you know you are doing it right.
    MOBILIZING CHANGE TALK (CAT)
    Commitment (“I will . . . ,” “I plan to . . .”) COMMITMENT LANGUAGE PREDICTS CHANGE
    Activation (steps that the client is already taking in sup- “What do you intend to do?”
    port of a goal)
    “What are you ready or willing to do?”
    Taking Steps (same as Activation; e.g.,
    “What have you already done?”
    “I made an appointment to see my doctor about medi-
    cation for quitting smoking.”) “What is your next step?’

    READINESS RULERS
    Readiness rulers are a tool designed to elicit change talk. Use them to explore the importance clients attach to changing,
    and their confidence and readiness to change (on a scale of 1 to 10). “On a scale of 1 through 10, how important is it for
    you to quit smoking?” “On the same scale, how confident are you feeling about your ability to quit?”

    1 2 3 4 5 6 7 8 9 10
    Low importantance/confidence: Extremely important/confident
    Ask: “Why are you at __ [lower #] and not a __ [higher #]?”
    “What would it take to go from [client’s chosen #] to__ [one number #]?”

    AGENDA MAPPING
    Create a “bubble sheet” and invite the client to identify all the possible areas for change. You may choose to pre-populate
    some of the circles. After inviting the client to share his or her priorities, ask: “Given these possible areas of focus, what would
    you like to talk about in our time together today?”

    Meds ? Asthma

    Family ? Smoking

    ©2014 CAMH/TEACH
    Miller. W. R. and Rollnick, S. 2013. Motivational Interviewing: Helping People Change. New York: Guilford Press.

    You might also like