MOTIVATIONAL INTERVIEWING. OJACC OCTOBER 14, 2011. MOTIVATIONAL INTERVIEWING. Learn evidenced based interview techniques Provide skill building practice Apply skills to offender change process. Motivational Interviewing.
MOTIVATIONAL INTERVIEWING OJACC OCTOBER 14, 2011
MOTIVATIONAL INTERVIEWING • Learn evidenced based interview techniques • Provide skill building practice • Apply skills to offender change process
Motivational Interviewing A directive, client-centered counseling style for helping clients explore and resolve ambivalence about behavior change.
Ambivalence:The Dilemma of Change • “…is a state of mind in which a person has coexisting but conflicting feelings about something.” • “…want to, but I don’t want to.” • “…is normal • heart of the problem
MI: THE BIG PICURE Offenders answer the question: What can I do to get out of Criminal Justice System? Interviewers focus on ambivalence
Interviewing • Open questions, affirmation, reflective listening, summarization • Questions and strategies for eliciting self-motivating statements
Open Question vs Closed Question
Exercise OneClosed to open • Do you have any prior arrests? • Have you ever been fired? • Do you have any criminal friends? • Do you think that laws are fair?
Open Questions • What experiences have you had in the criminal justice system? • What were your favorite and least favorites jobs? And Why? • What was the best advice that you ever got from a friend? What was the worst? • Why do we have laws?
No More Than 3 Questions in a Row ? ? ? ? Or Defensiveness Starts Increasing
Reflectives • Parroting • Paraphrasing • Getting the gist • Reflection of feeling • Reflection of feeling and content • Reflections of meaning, implication, application
REFLECTIONS • DO YOU MEAN... • YOU FEEL... • WHAT I HEAR YOU SAYING IS... • SO WHAT YOU ARE TELLING ME IS...
EXERCISE TWO • Person 1: Pick a subject that you are ambivalent about • Person 2: use the reflective do you mean… • Person 1: Yes or No Only
Some Motivational Interviewing Standards • At least 70% of questions are Open • At least 2 Reflections for every question • Interviewers not talking more than 40% of the time • Reflections with more involved content structure are best
Affirmation • Acknowledges client difficulty • “I hear and I understand” • Promotes self-efficacy • Express empathy
Affirmation • I appreciate how hard this must be. • You took a big step. • I think it’s great that you want to do something about this problem. • That must be very difficult for you. • You’re certainly a resourceful person to have been able to live with the problem this long and not fall apart. • That’s a good suggestion. • Good work
Exercise Three • Respond with an affirmation only • I can picture how quitting using heroin would make my life better, but I can’t imagine never shooting up again • Staying sober the last few weeks really makes me feel good, but part of me wants to celebrate by getting loaded
Exercise FourThomas Gordon’s 12 Roadblocks • Ordering, directing • Warning, threatening • Giving advice, making suggestions, providing solutions • Persuading with logic, arguing, lecturing • Moralizing, preaching • Judging, criticizing, blaming
Exercise FourThomas Gordon’s 12 Roadblocks. • Agreeing, approving, praising • Shaming, ridiculing, namecalling • Interpreting, analyzing • Reasoning, sympathizing • Questioning, probing • Withdrawing, distracting, humoring, changing the subject
Self-Motivational Statements • 1. Get client to realize that there is a problem • 2. Get client to realize that they should change their behavior • 3. Get clients to feel like they can change
THERE IS A PROBLEM How important is it for you to do clean up? Why do you think that it is not okay to clean your bed area? Why do you think that foul language is acceptable? Why is it important to follow this rule? What will be the consequences of not following this rule?
I SHOULD CHANGE Is not following this rule getting you what you want? What will be the consequences if you do this? What will be the consequences if you don’t do this?
Exercise FiveSelf-Motivational Statements • The offender should be telling you why they need to change
Motivational Interviewing Close • Use open questions, reflective listening and affirmations for best information/change • Practice getting the offender to tell you why they should change