Motivational Interviewing (MI) is a state-of-the-art, evidence-based clinical counseling method designed for evoking intrinsic motivation for positive health behavior change. Originally developed in the drug and alcohol field, MI is now being widely applied in a variety of settings including health care and criminal justice. This training is for helping professionals who are in the role of counseling clients/patients to make and sustain healthy behavior changes.
Dana Sturtevant is a registered dietitian, educator, and trainer whose work focuses on humanizing health care. As a registered dietitian, Dana has been incorporating Motivational Interviewing into her clinical practice for over 20 years. She has received training and mentorship from some of the best in the field - Stephen Rollnick, Denise Earnst, and Steve Berg-Smith. After becoming a member of the Motivational Interviewing Network of Trainers in 2002, Dana has traveled around the country training helping professionals in communication and engagement strategies that lead to positive change. As a sought after speaker and writer, Dana advocates for compassionate, weight-inclusive models of care and offers supervision, training, and consultation for helping professionals and health care organizations. Her work has been featured in The New York Times, Self, Real Simple, Huffington Post, and the TEDx stage.
At the end of this course, participants will:
- Apply the theories and principles of Motivational Interviewing (MI).
- Understand the paradox of change; describe the spirit of MI.
- Use appropriate techniques to open the conversation.
- Ask open-ended questions to get the client to identify their own reasons/motivation to change/adhere/comply.
- Use listening skills, including reflections, to allow the client to hear their ‘change talk’ and guide participants toward change.
- Provide feedback, information or education in a motivation-enhancing way.
- Summarize and close the conversation to maximize effectiveness.
- Develop a personal plan for practicing and incorporating the primary skills and strategies of MI into practice.
Agenda – Day 1
Registration 8:30 to 9:00am
1. Introduction/Check In (9 to 9:30 am)
- My plans for training
- Name and why you came, what you hope to learn
- View and debrief video examples of counseling style (9:30 to 10:15 am)
Break (10:15 to 10:30 am)
- Brief review of theories and principles of Motivational Interviewing (10:30am to 12 pm)
- Interpersonal communication style - What works?
- Interpersonal communication style - What doesn’t work?
- What are the key elements of a therapeutic relationship? Summary of spirit
Lunch (12 to 1pm) on your own
- Listening (1 to 2:45 pm)
- Listening wisdom handout – Who has been a great listener in your life? What difference did s/he make in your life?
- What makes listening so hard? Gordon’s model of communication, judgments, assumptions, noises, monkey mind (WAIT – why am I talking?)
- Benefits of listening
- “Coaching presence” – being with; mindfulness
- Reflective listening exercise
- Focus on the whole message, what’s going on beyond the words
Break (2:45 to 3:00)
- Review OPEN EARS (3:00 to to 3:30 pm)
Open-ended questions Encourage; empathize
Permission first Affirm
Elicit change talk Reflect
Nurture Confidence Summarize
- Open-ended questions (3:30 to 4:15 pm)
- What’s the difference between a question and a reflection? Questions stimulate thinking; reflections stimulate feeling
- How and what questions are better than why…why may increase resistance if it sounds judgmental
- Ask questions from a place of curiosity
- Review and discuss patient scenarios that use open v closed questions
- What are some open-ended questions that you use with clients?
- Summary and wrap up (4:15 to 4:30pm)
- Plans for tomorrow
Agenda – Day 2
Sign in/light continental breakfast 8:30 to 9:00am
- Check in (9 to 9:30am)
- Name and one thing you walked away with after yesterday’s session
- Resistance (discord) and Sustain Talk (9:30 to 10:15am)
- Watch and debrief video clip on roll with resistance
- Review examples of discord and sustain talk
- Discuss strategies for rolling with resistance
Break (10:15 to 10:30 am)
- Eliciting change talk (10:30 am to 12pm)
- What is it? How to respond to it?
- ACTIVITY: Change talk real play - changes you are interested in making
- ACTIVITY: Exploring ambivalence
- ACTIVITY: Assessing readiness
- What are some questions you can ask your clients to elicit change talk?
LUNCH (12 to 1pm) on your own
- Empathic Listener (1 to to 1:45pm)
- Line Dancing activity
- Providing feedback, information, and education (1:45 to 2:30 pm)
- Explore, Offer, Explore
- ACTIVITY: Say it Better
- Remember, knowledge is not enough to change behavior
Break (2:30 to 2:45pm)
- FRAMES – 6 key elements of effective interventions (2:45 to 3:30 pm)
- Feedback, Responsibility, Advice, Menu of options, Empathy, Self-efficacy
- Create FRAMES statements for two case scenarios
- Putting it all Together – The Four Processes of MI (3:30 to 4:15 pm)
- Review and discuss examples of the four processes: Engage, Focus, Elicit, Plan
- Activity: Putting it all together
- Conclusions and next steps (4:15 to 4:30 pm)
Providence NE Rehab Clinic
507 NE 47th Ave
Portland, OR 97213