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W-2 Case Management: Participant Motivation for Change

W-2 Case Management: Participant Motivation for Change. Case Management and Change. Case management provides “…an organized, structured process for moving participants through the process of change…” -Dr. Beverly Ford, Making Case Management Work, page 4. Motivation.

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W-2 Case Management: Participant Motivation for Change

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  1. W-2 Case Management: Participant Motivation for Change

  2. Case Management and Change Case management provides “…an organized, structured process for moving participants through the process of change…” -Dr. Beverly Ford, Making Case Management Work, page 4

  3. Motivation Motivation: “…those forces that can push us to leave the comfort of what we know to venture out into the unknown.” -Dr. Beverly Ford, Making Case Management Work, page 14

  4. Trying to Motivate • “Insight” • “Knowledge” • “Skills” • “Suffering/Fear”

  5. Motivation Hierarchy

  6. An Example

  7. Motivational Interviewing A collaborative conversation to strengthen a person’s own motivation for and commitment to change. A goal-oriented conversation, focusing on a target behavior with special attention paid to the language of change.

  8. Motivational Interviewing is: • Quicker and more cost effective in the long term • Applicable across a range of problems • Culturally relevant • Useable by non-specialists

  9. Key Elements • Collaboration • Evocation • Autonomy

  10. Listening “A practitioner who is listening, even if it is for just a minute, has no other immediate agenda than to understand the other person’s perspective and experience.” - Miller, Rollnick and Butler (MI Researchers), 2008

  11. OARS • Open Questions • Affirmations • Reflections • Summarizing

  12. Open Questions • “What do you…” • “What have you…” • “What are the…” • “How might you…” • “Tell me about…” • “Describe your…”

  13. Affirmations • Commenting positively on an attribute or strength • A statement of appreciation • “Catching” them doing something right

  14. Reflections • Hear what the person is saying. • Make a guess about the underlying meaning or emotion. • Choose what you will respond to. • Make your reflection as a statement.

  15. Summaries • A recap • Highlights participant motivation • Demonstrates attentiveness • Consolidation of information • Useful for concluding or shifting direction of the conversation

  16. Change Talk • esire • bility • easons • eed • ommitment • ctivating • aking steps • D • A • R • N • C • A • T

  17. Evoking Change Talk • Ask evocative questions • Explore decisional balance • Try looking forward/looking back • Query extremes • Use readiness or confidence rulers • Explore goals and values

  18. Responding to Change Talk

  19. Sustain Talk Don’t: • Push back • Argue • Judge or confront • Overwhelm with reasons • Cheerlead • Jump ahead of readiness • Discount or ignore feelings or thoughts

  20. MI Skill Practice

  21. Important Points to Remember MI is about: • Empathy • Collaboration • Respect • Evocation • Accepting • Autonomy

  22. www.motivationalinterviewing.org

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