1 / 29

Developed by NDRI, Inc. ndri Joe Lunievicz, BA, RYT Director Training Institute

What Keeps Adolescents Moving Forward in Treatment? Motivational Interviewing Techniques in Juvenile Drug Court. Developed by NDRI, Inc. www.ndri.org Joe Lunievicz, BA, RYT Director Training Institute. Dyads: What Motivated You?. What was most important to you: When you were 13?

vicki
Download Presentation

Developed by NDRI, Inc. ndri Joe Lunievicz, BA, RYT Director Training Institute

An Image/Link below is provided (as is) to download presentation 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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. What Keeps Adolescents Moving Forward in Treatment?Motivational Interviewing Techniques in Juvenile Drug Court Developed by NDRI, Inc. www.ndri.org Joe Lunievicz, BA, RYT Director Training Institute Lunievicz/MI/

  2. Dyads: What Motivated You? What was most important to you: When you were 13? When you were 16? When you were 19? Lunievicz/MI/

  3. What Motivates your participants to move towards graduation? Lunievicz/MI

  4. Important Considerations • Adolescence is about identity. • Autonomy issues are powerful. • The adolescent brain is still developing. • Adolescent culture and values are different than adult culture and values. Lunievicz/MI/

  5. Why not just change? • Keep in mind the family dynamics adolescents go home to: • Do their parents use? • Were they born addicted? • Are they safe? • Have they witnessed the unimaginable? • Are there co-occuring mental health issues? • Are there learning disabilities? • How early did they start using? Lunievicz/MI/

  6. Motivational Interviewing A directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. It is a style of helping that uses a set of specific strategies. Lunievicz/MI/

  7. Motivational Interviewing (Cont.) Motivation- or presumed lack of it- is not viewed as a personality problem or character trait, but as a state of readiness for change that can be influenced by a helping relationship. Rollnick & Miller, 1995 Lunievicz/MI/

  8. MI Basic Principles • Expressing Empathy • Developing Discrepancy • Rolling with Resistance • Supporting Self-Efficacy Lunievicz/MI/

  9. Why use MI in Drug Court? • Better Engagement • More Information • Better Assessments • More Relevant Recommendations • More Successful Outcomes Lunievicz/MI/

  10. “You don’t understand.” “You won’t understand.” - Anonymous Adolescent Lunievicz/MI/

  11. Seek first to understand, then to be understood. -Stephen R. Covey 7 Habits for Highly Effective People Lunievicz/MI/

  12. MI Strategies - OARS • Open Ended questions • Affirm • Reflection • Summarize Lunievicz/MI/

  13. Impact of Communication Lunievicz/MI/

  14. Open Ended Questions • Who, what, where, when • Tell me about… • How did you… • Redirect: Now tell me about… Lunievicz/MI/

  15. Open-ended Examples: • What worries you about your current situation? • What difficulties have you had with your drug use? • What do you think will happen if you don’t change? • How has your anger interfered with your life? • What would your life be like 5 years from now? Lunievicz/MI/

  16. Practice: Open-ended Questions Interview your partner by asking only open ended questions. Buzzer sounds whenever a closed ended question is asked. Lunievicz/MI/

  17. Affirm (but don’t flatter) • Strengths based technique • Verbally supports or validates a participant’s thoughts, emotions, or actions • Demonstrates: Appreciation, Understanding, Support • When you see a strength, notice it Lunievicz/MI/

  18. Affirmation Example: 1. Participant arrives on time for his case management appointment. “You’re punctual. That will be a big help in this program.” 2. Participant: “I don’t want to do anything more than I need to. I just want to finish the program and get on with my life.” “Determination is a good characteristic to have in treatment. It will help to keep you focused.” Lunievicz/MI/

  19. Practice: Affirming Read the statement to your partner and your partner must respond with a strength’s based affirmation. Lunievicz/MI/

  20. Reflective Listening • Rationale • Conveys willingness to try to understand • Serves as a perception check • Clarifies feelings • Leads to more exploration • Demonstrates empathy • Common Errors • Not listening closely • Limited feeling vocabulary • Monotone vocal qualities • Premature focus on problem solving Lunievicz/MI/

  21. Reflection Expressing Empathy: • “So, what I hear you saying is…” Reflecting Conflict: • “On the one hand…but on the other hand…” • “So what you’re saying is…but you are not able to…” Rolling with resistance: • “You don’t have to do anything you don’t want to.” Lunievicz/MI/

  22. Practice: Reflection Paraphrase Reflect conflict Roll with resistance Lunievicz/MI/

  23. Summarizing • The set-up statement • Let me see if I understand correctly… • Reflection, Reflection, Reflection • Open ended Question • What did I miss? • What other concerns do you have? Lunievicz/MI/

  24. Practice: Summarize Let me see if I understand correctly… Reflection Reflection Reflection What did I miss? Lunievicz/MI/

  25. Questioning SkillsEffective vs. Ineffective Questions • Ineffective • Too many questions • Accusatory questions: Why? • Multiple questions • Explanatory questions • Closed questions Lunievicz/MI

  26. Questioning SkillsEffective vs. Ineffective Questions • Effective • Have specific objectives in mind • State background for question • Use language of the client • Check out whether client is understanding • Ask openly: Who, What, When, Where & How • Use open-ended questions • Paraphrase; Reflect; Summarize Lunievicz/MI/

  27. Resources: EBPs that Address Adolescents • Behavior Therapy (BT) • Cognitive-Behavioral Therapy (CBT) • Motivational Interviewing (MI) • Motivational Enhancement Therapy/Cognitive Behavioral Therapy (MET/CBT • Relapse Prevention Therapy (RPT) • Adolescent Community Reinforcement Approach (A-CRA) • Seeking Safety (SS) National Registry of Evidence-based Programs and Practices, SAMHSA Lunievicz/MI/

  28. Resources: EBTs that Address Familial Issues • Multisystemic Therapy (MST) • Addresses COD issues also • Brief Strategic Family Therapy (BSFT) • Functional Family Therapy (FFT) • Family Behavior Therapy (FBT) • Addresses COD issues also From: Evidence-Based Practice Recommendations for Juvenile Drug Courts by the National Center for Mental Health and Juvenile Justice in collaboration with the Louisiana Supreme Court Drug Court Office - 2009 Lunievicz/MI/

  29. Resources: EBTs that Address CODs • Trauma Focused Cognitive Behavioral Therapy ( • Individual, outpatient modality • Motivational Enhancement Treatment (MET, CBTS) • Individual and Group sessions • Continuous, Comprehensive, Integrated System of Care Nodel (CCISC) • A set of practice guidelines for dual diagnosis treatment From: Evidence-Based Practice Recommendations for Juvenile Drug Courts by the National Center for Mental Health and Juvenile Justice in collaboration with the Louisiana Supreme Court Drug Court Office - 2009 Lunievicz/MI/

More Related