Motivational Interviewing: Helping People Change. SAM MINSKY, MA, MFT, Associate Clinical Director of Training Matrix Institute UCLA Integrated Substance Abuse Programs. What is Motivational Interviewing?. It is:
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
SAM MINSKY, MA, MFT,
Associate Clinical Director of Training
UCLA Integrated Substance Abuse Programs
A style of talking with people constructively about reducing their health risks and changing their behavior.
It is designed to:
Enhance the client’s own motivation to change using strategies that are empathic and non-confrontational.
It can be defined as:
A patient-centered directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.
You can recognize it by observing:
1. Patient and practitioner are equal partners in relationship (collaborative effort between two experts)
resolved for change to occur.
*Glovsky and Rose, 2008
Style in Action
Therapist elicits behavior change
of the patient
Tolerates patient’s ambivalence
Helps patient explore consequences
of choices being considered
The probability that a person will enter into, continue, and comply with change-directed behavior
• 40% in contemplation
• 20% in preparation or action
Not yet considering change or is unwilling or unable to change
Resolving ambivalence and helping the client choose to make the change
Help client identify appropriate change strategies
Help implement the change strategies and learn to limit or eliminate potential relapses
A stage in which the client has achieved the goals and is working to maintain them
Client needs to develop new skills for maintaining recovery
to elicit and reinforce self-motivational statements (Change Talk)
OARS (the microskills)
1. Expressing empathy
2. Developing discrepancy
3. Avoiding argumentation
4. Supporting self-efficacy
Patients are often demoralized and unwilling to consider alcohol and drug abstinence (or manage their dual disorders ) due to:
Severe and disabling symptoms
Frequent failed treatment episodes
Poor functional adjustments
Staying Clean and Sober
JLObert@matrixinstitute.org www.matrixinstitute.orgwww. uclaisap.orghttp://motivationalinterview.orgMiller, W.R., & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change (2nd Ed). New York: Guilford Press.