DCF/DFES/BWF/Partner Training Section110/14/13 W-2 Case Management: Participant Motivation for Change

DCF/DFES/BWF/Partner Training Section210/14/13 Case Management and Change Case management provides “…an organized, structured process for moving participants through the process of change…” -Dr. Beverly Ford, Making Case Management Work, page 4

DCF/DFES/BWF/Partner Training Section310/14/13 Motivation Motivation: “…those forces that can push us to leave the comfort of what we know to venture out into the unknown.” -Dr. Beverly Ford, Making Case Management Work, page 14

DCF/DFES/BWF/Partner Training Section410/14/13 Trying to Motivate “Insight” “Knowledge” “Skills” “Suffering/Fear ”

DCF/DFES/BWF/Partner Training Section510/14/13 Motivation Hierarchy

DCF/DFES/BWF/Partner Training Section610/14/13 An Example

DCF/DFES/BWF/Partner Training Section710/14/13 Motivational Interviewing A collaborative conversation to strengthen a person’s own motivation for and commitment to change. A goal-oriented conversation, focusing on a target behavior with special attention paid to the language of change.

DCF/DFES/BWF/Partner Training Section810/14/13 Quicker and more cost effective in the long term Applicable across a range of problems Culturally relevant Useable by non-specialists Motivational Interviewing is:

DCF/DFES/BWF/Partner Training Section910/14/13 Key Elements Collaboration Evocation Autonomy

DCF/DFES/BWF/Partner Training Section1010/14/13 Listening “A practitioner who is listening, even if it is for just a minute, has no other immediate agenda than to understand the other person’s perspective and experience.” - Miller, Rollnick and Butler (MI Researchers), 2008

DCF/DFES/BWF/Partner Training Section1110/14/13 OARS Open Questions Affirmations Reflections Summarizing

DCF/DFES/BWF/Partner Training Section1210/14/13 Open Questions “What do you…” “What have you…” “What are the…” “How might you…” “Tell me about…” “Describe your…”

DCF/DFES/BWF/Partner Training Section1310/14/13 Affirmations Commenting positively on an attribute or strength A statement of appreciation “Catching” them doing something right

DCF/DFES/BWF/Partner Training Section1410/14/13 Reflections 1.Hear what the person is saying. 2.Make a guess about the underlying meaning or emotion. 3.Choose what you will respond to. 4.Make your reflection as a statement.

DCF/DFES/BWF/Partner Training Section1510/14/13 Summaries A recap Highlights participant motivation Demonstrates attentiveness Consolidation of information Useful for concluding or shifting direction of the conversation

DCF/DFES/BWF/Partner Training Section1610/14/13 Change Talk D A R N C A T esire bility easons eed ommitment ctivating aking steps

DCF/DFES/BWF/Partner Training Section1710/14/13 Ask evocative questions Explore decisional balance Try looking forward/looking back Query extremes Use readiness or confidence rulers Explore goals and values Evoking Change Talk

DCF/DFES/BWF/Partner Training Section1810/14/13 Responding to Change Talk

DCF/DFES/BWF/Partner Training Section1910/14/13 Sustain Talk Don’t: Push back Argue Judge or confront Overwhelm with reasons Cheerlead Jump ahead of readiness Discount or ignore feelings or thoughts

DCF/DFES/BWF/Partner Training Section2010/14/13 MI Skill Practice

DCF/DFES/BWF/Partner Training Section2110/14/13 Important Points to Remember MI is about: –Empathy –Collaboration –Respect –Evocation –Accepting –Autonomy

DCF/DFES/BWF/Partner Training Section2210/14/13