Effectively Promoting Positive Student Behavior Change Motivational Interviewing

Presentation Goals: To give a flavor of Motivational Interviewing.To give a flavor of Motivational Interviewing. Inspire future exploration of this approach.Inspire future exploration of this approach.

Motivational Interviewing Developed by William Miller, PhD and Stephen Rollnick, PhD in Developed by William Miller, PhD and Stephen Rollnick, PhD in Motivational Interviewing: Helping People Change. Third Edition, 2013 Motivational Interviewing: Helping People Change. Third Edition, 2013 Began focused on addiction, shifted to broad range of behavior change. Began focused on addiction, shifted to broad range of behavior change.

Write down one behavior you are considering changing. Something about yourself that you… Write down one behavior you are considering changing. Something about yourself that you… Want to change Want to change Need to change Need to change Should change Should change But haven’t yet But haven’t yet

Speaker: share only the sentence you wrote on the behavior you are considering changing. Counselor: Explain why the speaker should make the change Explain why the speaker should make the change Provide at least two benefits that would result from the change Provide at least two benefits that would result from the change Tell the speaker how they could make the change Tell the speaker how they could make the change Emphasize the importance of this change Emphasize the importance of this change p.s. this is NOT motivational interviewing

“MI” defined Motivational Interviewing is a collaborative conversation to strengthen a person’s own motivation for and commitment to change. Miller and Rollnick

Purpose of Motivational Interviewing The purpose of MI is to evoke and strengthen personal motivation for change. Miller and Rollnick, 2010

A way of being with people. Not a technique.

CHANGE TALK!

What is Change Talk? Distinctive to MI Distinctive to MI Any speech which favors movement in the direction of change on a target behavior Any speech which favors movement in the direction of change on a target behavior Predictive of behavior change Predictive of behavior change

Recognizing Change Talk DARN (Preparatory) DESIRE to change (want, like, wish…) DESIRE to change (want, like, wish…) ABILITY to change (can, could…) ABILITY to change (can, could…) REASONS to change (if … then) REASONS to change (if … then) NEED to change (need, have to, got to...) NEED to change (need, have to, got to...) CAT (Mobilizing) COMMITMENT (intention, decision, promise) COMMITMENT (intention, decision, promise) ACTIVATION (willing, ready, prepared) ACTIVATION (willing, ready, prepared) TAKING STEPS (“I moved my alarm clock away from my bed.”) TAKING STEPS (“I moved my alarm clock away from my bed.”)

A Taste of Motivational Interviewing Speaker: State the same change you were considering. Counselor: Listen carefully with the goal of understanding the dilemma; give no advice. Ask these 3 questions: Ask these 3 questions: Why would you want to make this change? Why would you want to make this change? How might you go about it in order to succeed? How might you go about it in order to succeed? What are the two best reasons to do it? What are the two best reasons to do it? Offer a short summary of the speaker’s motivations for the change, then ask, Offer a short summary of the speaker’s motivations for the change, then ask, What do you think you’ll do? And just listen. What do you think you’ll do? And just listen.

Resistance

Resistance What is it signaling? Highly responsive to counselor style. A fantastic in-session signal to do something differently.

MI Spirit A way of being with people which is… Collaborative Collaborative Evocative Evocative Accepting Accepting Compassionate Compassionate

Evocative

Open questions Evocation in Action Evocation in Action

Accepting ACCEPTANCE Absolute Worth Affirmation Accurate Empathy Autonomy

Compassionate

Reflective Listening Acceptance in Action Acceptance in Action

Levels of Reflection Simple reflection (What they SAY) Repeat – same words; Rephrase – slight change of words Complex reflection (What they MEAN) Paraphrase – major restatement which infers meaning; Reflection of feeling; Metaphor

Complex reflections

Forming Reflections

Demonstration with your critique

Exercise 1: Thinking Reflectively One thing I like about myself is...One thing I like about myself is... Listener: “You mean that you…”Listener: “You mean that you…” Speaker: Yes or No responsesSpeaker: Yes or No responses Listener: Continue to make guesses until understanding is reached.Listener: Continue to make guesses until understanding is reached.

Some sentence stems for reflections: It sounds like you… It sounds like you… You mean that… You mean that… So you… So you… You... You... What I hear you saying is that you…

Reflections Exercise Work in pairs on your assigned # Work in pairs on your assigned # Develop a simple and complex refection Develop a simple and complex refection Choose the direction of your reflection intentionally Choose the direction of your reflection intentionally Pay close attention to student change talk Pay close attention to student change talk

Wrap-up “I learned or gained _________”“I learned or gained _________” “MI seems like it could be helpful ___________”“MI seems like it could be helpful ___________”

To Get Info on Motivational Interviewing: Or call Susan Kaye (608)