10”Roadblocks”/Righting reflex We have to avoid…”Roadblocks”/Righting reflexOrdering, or commandingWarning, or threateningGiving adviceTelling people what to doShaming, ridiculingJudging
11Show Empathy How to do… Active listening Try to understand the person’s dilemmaShow Empathy
12Empathy Treatment provider who shows a high degree of empathy in meeting with clientsincreases the likelihood that:"Resistance" is reduced.Reduces relapse.Reduction of interruptions in treatment.Increases the change tendency.Does not damage or worse treatment.
13MI’s Communication skills Open questionsAffirmationsReflectionsSummaries
15You are always nagging and complaining! I hate this place!I don’t know if I want to!I will always smoke weed!
16We can choose to try to reduce the resistance or cause it to increase Increases ResistanceArgueIgnoreRaise our voiceWarnReduceFeelingsAngerSadnesPowerlessnessFrustrationLonelinessMisunderstoodReduce ResistanceListenGive choicesConfirmShow empathyBe presentWe can choose to try to reduce the resistance or cause it to increase
17Some examples that can reduce resistance You are always nagging and complaining!You think I demand too much of you…I will always smoke weed!You think you’re going to smoke weed when you are forty…- I don’t know if I want to!You feel unsure about what you want…I hate this place!How do you think I can help you to feel a little better?
18We try Consistent and inconsistent with MI What do you think you need to do?You have really exerted yourself.You are the one who know yourself best.If I'm able to help you, you must do as I say.I'm warning you!I really appreciate you taking the time for this.Now you listen to me!How do you see it?
19We use the MI-spirit and MI’s Communication skills to show Empathy and elicit the Clients dilemma.
20Change Talk Desire Ability Reasons Need Commitment Activation Taking Steps“I want”, “I wish”“I could do it”, “I am able to”“I want to live with my parents”“I must”, “I need to”“I've decided to ...”,“I am ready to…”“I went to the meeting this week”
21………but……… Change Talk Change Talk and Sustain Talk It would feel good to practice, but I love to watch TVChange Talk and Sustain Talk“Other Side of the Coin”
22It would be good for me to take my medicine, but I ignore it. I want to stop drinking, but not now!I need help, but this is no help.
23We try I actually have time to exercise If I work out, I will be more alertIt's no fun to run in the rainI'm too old to go to the gym.I'll take the bike to work.On Thursday I'll go out and run.I will never find the strength to work out.I know I can.I've decided to start training
24Perhaps one of the most important encounter at the institution. The first meetingPerhaps one of the most important encounter at the institution.We have to:Remind us of the MI spiritBe active listeners and show empathy by using the OARS.Make use of an MI strategy, Meny/Agenda
25Meny/Agenda 4. Call home 1. 3. What happens next 2. Smoke 5. Råby Most important for you4.1.What happens next3.Smoke2.Råby5.
26Spirit of MICollaborativEvokingAutonomy supportEmpathy
27The essens of MI The MI-Spirit Avoid confrontation and The righting reflexElicit and respondChange talk
28MI is simpel but not easy We need to train and assist each other in MI
29Summary of ”how to do” The importance of MI-Spirit: Collaborative, Evoking, Autonomy support, EmpathyMI is like dancing, you need to be controlling and following at the same time.Most of the time use a guiding styleWhen we listen, we use active listening and try to show empathyThe first meeting is importantWe can reduce resistance by our way of beingWe listen and respond to change talkWe know that the more a person expresses change talk the more likely it is that she makes a change
30Member of: Motivational Interviewing Network of Trainers Thank you very much!Tobias SandbergMI-trainerMember of: Motivational Interviewing Network of Trainers