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The SCIP Technique How to motivate people in three minutes.

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Presentation on theme: "The SCIP Technique How to motivate people in three minutes."— Presentation transcript:

1 The SCIP Technique How to motivate people in three minutes

2 Todays Training Three Minute Motivation The New Conversation Behaviour Change ABC The SCIP Technique Skills Rehearsal Sweet and Sour Takeaway

3 Three Minute Motivation

4 The New Conversation SCIP

5 SCIP

6 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

7 A: Ambivalence No ChangeChange Ambivalence Whats good about now Whats bad about now Whats good about change To want to and not want to at the same time… Whats bad about change

8 Exercise One - Inner Conflict Reasons not to change Reasons to change Reasons to stay the same Reasons not to stay the same

9 No ChangeChange Ambivalence B: Beware the Righting Reflex

10 No ChangeChange Ambivalence B: Beware the Righting Reflex

11 No ChangeChange Ambivalence Yes but, no but B: Beware the Righting Reflex

12 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

13 C: Change Conversations Think about how we might do things differently? Ask rather than advise Listen more and talk less

14 No ChangeChange Ambivalence Change Conversations C: Change Conversations

15 Ask Open questions…. Summarise…..

16 C: Change Conversations Remember the inner conflict: Changer:....Im worried that I wont see my mates.....Im not sure I can do this... Helper: change is often difficult and there are always reasons to stay the same but lets go back to what you just said a moment ago.....

17 Exercise Two(Pt.2) What is it about staying the same you dont like? How would things be better if you managed to change? How could you change? Think about how this conversation is different. Change Conversations

18 D: Develop the Difference If their current behaviour threatens a firmly held belief or value this is a very powerful incentive to change. This is Change Fuel – and we need to use it!

19 D: Develop the Difference its interesting to think isnt it that on the one hand being less out of breath when you play with the kids is really appealing to you… …on the other your smoking is the major reason why you are out of breath. What do you think of that…..?

20 Exercise Three Changer:....its not that easy though is it; smoking helps me deal with the stress of being out of work.... No ChangeChange Ambivalence Yes but, no but Change Conversations

21 E: Empower Commitment Change is more likely if we empower people to come up with their own ideas. It can be helpful to offer people some options of what other people have tried Helper: here are some things that other people have found helpful when they decided to quit…..what would work for you?

22 E: Empower Commitment No ChangeChange Ambivalence I could…..I should……I might I WILL

23 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?

24 The SCIP Technique SHARE the risks COMPARE to the benefits discuss IDEAS make a PLAN No ChangeChange Ambivalence I could…. I should…… I might… I WILL

25 SCIP Charts

26 Share the Risks Here are some of the down sides (risks) of what you are doing…..which stand out for you? No ChangeChange Ambivalence Whats bad about now

27 Compare to the Benefits Compare those to some of the good things (benefits) about changing…..which appeal to you? No ChangeChange Ambivalence Whats bad about now Whats good about change

28 Discuss Ideas No ChangeChange 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?

29 Make a Plan No ChangeChange Ambivalence I will you have lots of ideas that Im sure you can do…which one are you going to try first…….tell me more about it

30 Make a Plan No ChangeChange Ambivalence Im not sure It sounds like you still have some thinking to do. This change isnt 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…Id be interested to hear about what you did.

31 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

32 SCIP-O-Meter No ChangeChange Ambivalence

33 Sweet and Sour Takeaway What have you enjoyed? What have you not liked? What will you take away?

34 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?

35 This module supports…. More Motivation Increasing Physical Activity Smoking Cessation SCIP Healthy Eating Drug & Alcohol SCIP


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