UNSTICK THAT STUCK CLIENT Stages of Change & Motivational Interviewing

3 year (Feb Feb. 2010) Almost 3,000 participants – study and control group who were chronically unemployed Clients of First Nations, Métis, Inuit or non-status descent Single parents (mostly women), clients with multi-barriers to employment Persons with disabilities Ex-offenders Newcomers to Canada Youth (18-29 years of age) Employment Services Research Project (Manitoba)

We used the Stages of Change to assess client readiness to change & Motivational Interviewing to tip the scales of ambivalence The Models

Estimates less than 20% people making changes in their lives are in the action stage at any given time, but 90% of all programs designed to assist with change are intended for people in the action stage (Prochaska, et.al.,1994) Disconnect

“Motivational interviewing is a collaborative conversation style for strengthening a person’s own motivation and commitment to change” Miller and Rollnick, 2012 Motivational Interviewing

Person- Centered Directive MI is both Person-Centered & Directive

Client Centered Empathy Focus on client strengths Collaboration Disconnect between values & behaviour

INTAKE Assessment Contemplation MI & Assessment Preparation Action Plan Job Search Employment Development Precontemplative or Contemplative Preparation

25% decrease in clients being released from employment assistance services 34% increase in first time employed numbers 48% increase in 6-month employment retention Research Project Study Results

Effective short term intervention to move client’s otherwise deemed un-motivated It is directive and client-centered (moving towards outcomes in a respectful way) Increase job satisfaction & reduced practitioner burn- out Why use Motivational Interviewing?