MI for YTP Summer Academy 2013

Rosalie Dan Heather

What MI is NOT A quick fix A set of tools/techniques to use on students The magic bullet for every student Authoritative, prescriptive, or coercive

What MI IS A collaborative communication style A quiet, searching process about listening A shift in style and attitude Coming alongside to gently nudge/guide Used to evoke their own sense of why & how they might change

What is UP with Youth? O A time of change in the brain O Autonomy and social interaction are key O Social interactions must feel safe or it will feel like a threat O NO ONE IS UNMOTIVATED

Have you ever felt……. that the culture in which we work is not always helpful to our students?

How do we describe a student? Barriers Strengths

Conversations with a student

Communication Styles Direct Guide Follow “You need to get a job” “Yes, but I really like my free time” “What do you want for your life” “I want to be independent” Guiding Guiding is suited to helping someone change

The Nature of Ambivalence “I like to smoke weed” “I am worried about getting caught” “Yes, but it relaxes me” “I don’t feel like doing anything” “It’s not that bad” “I must make a change” SUSTAIN TALKCHANGE TALK

Autonomy Exercise O Pick a topic you are ambivalent about O Find a partner O Talk for 90 seconds about your topic O Listener argues a “side” 60 seconds O Switch O Debrief with the group

Style is EVERYTHING Confrontational= Sustain Talk (Denial) Empathic=Change Talk (Motivation) Righting ReflexListening

Advice Elicit……..Provide………Elicit

You have brains in your head You have feet in your shoes You can steer yourself any direction you choose Oh the places you’ll go! - DR. SEUSS

Why does MI work? O We are best convinced by our own reasons O We have inside us the strength to make change happen O Students start talking themselves into changing by HOW we draw these out O “Change talk” increases commitment and the likelihood that change will occur

Collaboration Acceptance Evocation Compassion MI SPIRIT Absolute Worth Autonomy Accurate Empathy Affirmation Adapted from Motivational Interviewing, 3 rd Ed., Miller & Rollnick, 2012

Spirit Collaboration Collaboration (Partnership) “We are going to work together”Acceptance “I value you and am delighted to talk with you”Compassion “I want to understand and respect you and your experience”Evoking “I am going to create a space for you to share yourself and your story with me”

Rate my “MI Spirit” 0 = not at all10 = very much Collaboration Acceptance Compassion Evoking

How will you know it’s MI? O You are using an empathetic style O There is a target for change O You are evoking the person’s own motivations

Four Processes in MI Planning Evoking Focusing Engaging AAdapted from Motivational Interviewing, 3 rd Ed., Miller & Rollnick, 2012

Something to ponder………