The volume is packed with realworld examples from a range of clinical settings, as well as sample interactions and handson learning activities. Introduced over 30 years ago, motivational interviewing mi has a growing body of supporting research. Motivational interviewing in a brief encounter skills handbook. Principles that motivational interviewing is built upon. An evidencebased approach to counseling helps patients follow. Five principles of motivational interviewing in their book, motivational interviewing. Explain why it is important for the person to make the change advise the person to make the change and discourage them from delaying making the change warn the person what may happen if the change is not made make suggestions as to how the person can go about making the change direct or tell the person what to do, preferably using should or. There are two videos to highlight motivational interviewing strategies that can be used in staffs daily work. Throughout our lives, we discover things about ourselves and our life that we would like to change. Focus on whats important to the patient regarding behavior, health, and welfare. Principles and techniques of motivational interviewing aipc. The five principles of motivational interviewing are effective techniques for helping people dealing with addictions.
Motivational interviewing mi is a counseling approach developed in part by clinical. A definition of motivational interviewing the definition of. Motivational interviewing is a proven method of communication for helping individuals undertake and maintain behavioral change. Motivational interviewing is an empathetic and collaborative style of counseling.
Workers perceptions of motivation may differ, not only from each other but. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Using motivational interviewing strategies to facilitate relationships and growth and handout 2. Motivational interviewing arizona state university. Resources for program directors, supervisors and staff about mi tip sheets books, manuals dvds, video clips bibliography recent news. The 4 processes in motivational interviewing help make the basic skills of oars into mi. Motivational interviewing is a particular way to help people recognize and do something about their. Principles of motivational interviewing geared to stages of change. Miller, phd tips for making the best use of the dvd 1. Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change.
Helping people change, written with stephen rollnick, in 1991. Key principles of motivational interviewing issue of motivation the issue of motivation is often raised in discussions about young people and also in relation to aod use. Step introducing the motivational interviewing blending package t he nidasamhsa blending team on motivational interviewing mi is pleased to provide you with a new package of tools for improving client engagement and retention. Psychological strategies motivational interviewing techniques. Motivational interviewing resources for supervisors. Try to match the individual to the optimal behavior change strategy. Motivational interviewing skills manual christopher bolling, md 2. Similar to carl rogers, millers goal of becoming a pastor was shortlived, with psychology becoming his subsequent area of professional interest. Principles that motivational interviewing is built upon there are certain rules and principles that are important for the relationship between counselor and client, all for the whole process to have a better effect on the client. Four fundamental processes in mi motivational interviewing. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion.
Principles of motivational interviewing mi miller and rollnick. Identifying mi strategies to help you deepen your knowledge of the process, spirit, and skills of mi. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. There are four general principles behind motivational. It is the five principles of motivational interviewing, principles that focus on empowering patients, that make the treatment different from more traditional therapies. Basic concepts of motivational interviewing for alcohol and. A brief guide to motivational interviewing the hrb. I dont see how my cocaine use warrants concern, but i hope. In researching and preparing for this workshop, here are some of the points that stood out for me on the principles of change and motivation. Christian faith was no longer working for him, and he became an agnostic for a short period of time.
These processes help practitioners use oars skills in a strategic and purposeful way to have a conversation about change in a way that creates a comfortable environment that allows the client or offender to talk about uncomfortable things, finds specific change. Helping people change applications of motivational interviewing pdf created date. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. The primary mission of mint is to promote the quality of training and practice of motivational interviewing. The basics of motivational interviewing educateria. The national center on health viewers guidefacilitating. Motivational interviewing techniques mcgill university.
Motivational interviewing network of trainers mint webpage. Motivational interviewing skills manual christopher bolling, md 1 motivational interviewing in a brief encounter skills handbook. Motivational interviewing is a collaborative process that edifies and makes the patient responsible for. Express empathy empathy involves seeing the world through the clients eyes, thinking about things as the client thinks about them, feeling things as the client feels them, sharing in the clients experiences. Microsoft word principles of motivational interviewing. In a recent workshop i presented on motivational interviewing originated by dr. A pedagogical challenge article pdf available in journal of teaching in social work 2712. Preparing people to change health behaviors tips sheet five general principles of motivational interviewing. Chapter 3motivational interviewing as a counseling style. Discuss with the individual the different choices are for approaches to making changes b. A technical therapeutic definition how does it work.
Motivational interviewing is a collaborative, personcentered communication strategy that strengthens the clients own motivation to change. Principles and practice of motivational interviewing a collaborative conference call jonathan fader, phd june 24, 2009. Strategies of motivational interviewing oars strategies description examples openended questions elicits descriptive information tell me about or describe. Craig piso is a psychologist with 32 years of experience in the field. Connors, phd, senior research scientist, research institute on.
Five principles of motivational interviewing career trend. Mi consists of four principles which underpin its skills miller and rollnick. This first in a two part unit on motivational interviewing explores how nurses can use the technique to motivate and empower patients in healthcare and wellbeing. Tnt manual 2014 d10 20150205 motivational interviewing. The main goal of this principle is to increase the patients awareness that there are consequences to their current behaviors. Miller in 1983, developed from his experience in the treatment of problem drinkers. Developing expertise in motivational interviewing mi takes practice, which is exactly the point of this engaging, userfriendly workbook. Motivational interviewing is a method that works on facilitating and engaging intrinsic motivation within an individual to change behaviour according to specific therapeutic goals.
Requires more of a response than a simple yes or no encourages student to do most of the talking helps us avoid premature judgments. Focus on whats important to the patient regarding behavior. Special considerations when involving families in drug dependence treatment. Listen respectfully and try to understand the clients perspective. Health behavior change in the dental practice wiley. Motivational interviewing skills manual christopher bolling, md 3 asking open questions. Cant be answered with yes or no allow for a fuller, richer discussion are nonjudgmental. By asking openended, nonjudgmental questions, you let your clients figure out why their behavior is risky and what they can do to change. Jul 02, 2014 motivational interviewing is a form of collaborative conversation for strengthening a persons own motivation and commitment to change. Lifestyle behaviour sedentariness, unhealthy diet, smoking and alcohol consumption not only plays a big part in the incidence of heart disease, stroke, cancer, chronic respiratory conditions and diabetes,1 but also affects the outcomes of chronic illnesses. The four principles of motivational interviewing are.
The basic process of counseling with neutrality is to explore thoroughly both the pros. Motivational interviewing is based on the principles of therapeutic communication and instead of providing advice, or even just a listening ear, the interviewer acts as a coach for the patient. Basic concepts of motivational interviewing for alcohol. Critical to these efforts are the use of evidencebased practices, data analysis, and an ongoing focus on improving the quality of decisions, services, and programs. Motivational interviewing mi is a patientcentered counseling approach used during a clinical visit. Help the patient examine the discrepancies between their current behavior and their values and future goals in a way that is inline with the spirit and principles of mi. There are four general principles behind motivational interviewing.
Its five key principles include expressing empathy, developing discrepancy, avoiding arguments and. Principles of motivational interviewing way station, inc. Motivation for change occurs when people identify a mismatch between where they are and where they want to be. During the treatment, interpersonal processes patients use to continue or change certain addictive behaviors are examined. Table, guiding principles of motivational interviewing. Principles and practice of motivational interviewing. While you are an expert in health care, your client is an expert in his or her own life. Spirit of motivational interviewing motivational interviewing is not a series of techniques for doing therapy but instead is a way of being with patients. Motivational interviewing as a valuable technique for health professionals assisting people to make changes to their behaviour, this clip introduces the key principles. Hospitality creating space for the stranger estrangement, a sense of not belonging, is common to the experience of homelessness.
It is rare to come across a volume that so carefully and adeptly communicates why and how to apply mi in a wide range of therapy scenarios. Four basic principles of motivational interviewing. Motivational interviewing in groups applications of. A core skill in building a collaborative relationship is asking open questions. Five basic principles of motivational interviewing are then presented to address. Motivational interviewing is a directive, clientcentred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. Basic principles of mi understanding the fundamental and overriding spirit of mi along with the basic principles and assumptions is essential to learning mi. Motivational interviewing techniques facilitating behaviour change in the general practice setting stress management completion of recommended screening or diagnostic tests or specialistallied healthpsychologist referral. Dr alistair duff alistair duff qualified as a clinical psychologist from leeds university in 1994 and. Pdf principles of motivational interviewing geared to.
Over the last 10 years hes been practicing motivational interviewing mi techniques and has developed workshops and. Miller and stephen rollnick, and is defined as a collaborative, personcentered directive counseling method for addressing the common problem of ambivalence about behavior change. Core concepts in motivational interviewing summary of motivational interviewing motivational interviewing mi was developed by william r. Basic counselling skills for drug dependence treatment.
Motivational interviewing mi is a therapeutic strategy for facilitating behaviour change. Keywords motivational interviewing behaviour change. Then you can start reading kindle books on your smartphone, tablet, or computer no kindle device required. Use the transcripts make notes in the video transcript for future reference. Mi is a skillful clinical method a set of integrated interviewing skills, not as simple as learning a set of techniques. Motivational interviewing a conversation of empathy and selfhealing. Introduction and key principles of motivational interviewing. Mi principles continued mi is founded on four basic principles.
Although it is an important concept in the behaviour change context, it is difficult to define. Brief intervention modules 1 and 2 focus on motivational interviewing which is a key element of brief interventions for substance misuse. Motivational interviewing and the stages of change theory. A pedagogical challenge article pdf available in journal of teaching in social work 2712 january 2007 with 1,005 reads. Module one motivational interviewing philosophy and principles. Introduced over 30 years ago, motivational interviewing mi. Motivational interviewing enables case managers to elicit. Motivational interviewing basics the underlying spirit or philosophy of mi is even more important than the skills.
We feel that mi may offer some useful resources for busy cf clinicians. It can be briefly integrated into patient encounters and is designed to promote clarity and open communication. From expressing empathy and supporting the client, counselors can move towards helping clients develop autonomy and better decisionmaking. The book provides interview examples that illustrate successful implementation of motivational interviewing in diverse contexts.
Support selfefficacy responses that are not reflective listening. Table, guiding principles of motivational interviewing substance abuse treatment for persons with cooccurring disorders. Through clinical experience and empirical research, the fundamental principles. The theory and main principles of motivational interviewing. Throughout our lives, we discover things about ourselves and our. Health behavior change in the dental practice presents an overview of health behavior change, focusing on the spirit of motivational interviewing. Stephen rollnick, the audience of interprofessional clinical practitioners came with varying degrees of familiarity with. Preparing people to change addictive behavior, miller and rollnick wrote, motivational interviewing has been practical in focus. The basic theoretical underpinnings, principles, and methods of motivational interviewing are dis cussed, with.
The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles. Helping people change applications of motivational. May 30, 20 in this slide presentation i talk about the basic concepts of motivational interviewing mi. Jan 12, 2015 if you have even a small track record of helping people change, you are familiar with the dynamics regarding change. Expression of empathy is critical to the mi approach. The strategies of motivational interviewing are more persuasive than coercive, more supportive than argumentative. Targeting the clinical application of the principles, the book applies lessons learned from the field. Motivating often means resolving conflicting and ambivalent feelings and thoughts. A brief history of motivational interviewing motivational interviewing mi is a way of talking with people about change related to things we often have mixed feelings about exercise, diet, alcohol and other drug use, relationship issues, risky sexual behaviors, school and job related concerns, spiritual. Express empathy expressing empathy towards a participant shows acceptance and increases the chance of the counselor and participant developing a rapport.
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