1. Motivating for ChangeApril 2015Butler Institute for Families Expanding What We Know Presented by: Missy Berglund Butler Institute for Families, University of Denver

2. Motivating for ChangeApril 2015Butler Institute for Families Before we start Please take a moment to answer the following questions on your first handout. – A technique I have had success with – A technique I want to enhance or have questions about is – One way my agency can support my further development of these skills is by.

3. Motivating for ChangeApril 2015Butler Institute for Families Welcome! Introductions – Find someone you don’t know, engage them around the three questions using your OARS, then switch roles.

4. Motivating for ChangeApril 2015Butler Institute for Families Stages of MI Engaging -

5. Motivating for ChangeApril 2015Butler Institute for Families Stages of MI Focusing -

6. Motivating for ChangeApril 2015Butler Institute for Families Stages of MI Evoking -

7. Motivating for ChangeApril 2015Butler Institute for Families Stages of MI Planning -

8. Motivating for ChangeApril 2015Butler Institute for Families POP QUIZ!

9. Motivating for ChangeApril 2015Butler Institute for Families Motivational Interviewing Techniques Express EmpathySupport Self-EfficacyRoll With ResistanceDevelop DiscrepancyOpen-Ended QuestionsAffirmationsReflective Listening

10. Motivating for ChangeApril 2015Butler Institute for Families Motivational Techniques Evoking

11. Motivating for ChangeApril 2015Butler Institute for Families Responding to Change Talk

12. Motivating for ChangeApril 2015Butler Institute for Families Ten Strategies for Evoking Change Talk Ask Evocative Questions Ask for Elaboration Ask for Examples Look Back Look Forward Query Examples Use Change Ruler Explore Goals and Values Come Alongside Decisional Balance

13. Motivating for ChangeApril 2015Butler Institute for Families Motivational Techniques Planning

14. Motivating for ChangeApril 2015Butler Institute for Families Planning There is a negotiation of change goals and plans, an exchange of information, and usually a specification of next steps that may or may not involve further treatment. It is common for progress and motivation to fluctuate, inviting renewal of planning, evoking, refocusing, or even re-engagement

15. Motivating for ChangeApril 2015Butler Institute for Families Key Points to Planning Developing the plan is the _________, not the ________ _______. Implementation intentions involve both a _________ ________and the intention or commitment to______ ___ ____. Public commitment, _______ ______, and self- monitoring can ___________ the best of intentions.

16. Motivating for ChangeApril 2015Butler Institute for Families Informing and Advising In MI, providing information and advising is appropriate, with two considerations: 1.Information and advice are ________ _____ ___________ 2.2. The goal for the counselor is to ___________ the client’s perspective of the topic, their needs, and to facilitate the client drawing their own ___________ about the ____________of any information provided

17. Motivating for ChangeApril 2015Butler Institute for Families Exchanging Information Practitioners often overestimate the amount of information clients need It is unhelpful to give clients information they already have (e.g., “smoking is bad for your health”) It is more useful to learn what they know, what they’ve already done or tried

18. Motivating for ChangeApril 2015Butler Institute for Families Information Exchange Principles of Good Practice Clients are the _____ _____ __________(using affirmations and reflections elicits a wealth of information) Find out what they know and need to know _________ ____________to clients needs Clients can tell you what ____ _____ ___________ would be helpful Advice _______ _________ clients needs is helpful

19. Motivating for ChangeApril 2015Butler Institute for Families ElicitProvide Elicit

20. Motivating for ChangeApril 2015Butler Institute for Families Ethnographic Interviewing Assists workers in gathering family-specific information for assessment and case planning. Helps professionals understand the parent’s point of view. Deals with cultural differences between worker and family. Demonstrates respect for family’s worldview.

21. Motivating for ChangeApril 2015Butler Institute for Families Solution Focused Practice Focus on the family’s strengths and abilities. Find out what is working and do more of it. Families have the resources for change. Families generate workable solutions. Change starts small and has a ripple effect. Focus on the future when the problem has been solved. Focus on when the problem is not a problem.

22. Motivating for ChangeApril 2015Butler Institute for Families Stages of Solution Focused Interviewing 1.D 2.D 3.M 4.E 5.P 6.D 7.E