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Motivational Interviewing

Motivational Interviewing. Health Promotion Program Navy Environmental Health Center. Motivational Interviewing. Goal- To enhance and strengthen motivation for change!. Focus- To increase motivation for a specific behavior and lifestyle change!. Motivational Interviewing. Used by

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Motivational Interviewing

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  1. Motivational Interviewing Health Promotion Program Navy Environmental Health Center

  2. Motivational Interviewing Goal- To enhance and strengthen motivation for change! • Focus- To increase motivation for a specific behavior and lifestyle change!

  3. Motivational Interviewing • Used by -Medical & Dental Staff -Health Promoters -Educators -Mental Health -Substance Abuse • Based upon clinical intervention studies

  4. Behavior Change • Difficult to give up and change entrenched and harmful behaviors! • Ambivalence is common… • Low motivation present for difficult changes

  5. Changing Behavior • Often we respond to resistance with confrontation… • Confrontation often leads to increased resistance, conflict and arguments… • Confrontation is often counterproductive and not helpful!

  6. Motivational Interviewing • A new model of helping people change their behavior!

  7. Motivational Interviewing • Reconceptualize ambivalence • See resistance and ambivalence as a normal part of change process and as a typical roadblock! • Not dismissed and labeled as denial and unmotivated

  8. MI Philosophy • Individual decision to change! • Freedom to alter and modify harmful and unhealthy behaviors!

  9. Motivational Interviewing • Motivation is elicited from the client/patient • It is up to the client to express and resolve their ambivalence! • Direct arguing/persuading is not an effective strategy for resolving ambivalence! • Therapeutic relationship is a partnership…

  10. MI Approach • Active, not passive stance! • Caring and warm approach! • Listening

  11. MI is NOT • The answer for every person and all ambivalence and resistance! • The only intervention for every one you see… • A replacement for your experience, training & judgment…

  12. MI Skills • Establish rapport • Show acceptance • Listening Skills • Way questions asked can effect responses!

  13. MI Strategies • Reflective Listening • Express Empathy • Develop Discrepancy

  14. MI Strategies • Roll with Resistance • Support Self Efficacy- Reinforce expectation and belief that they can change!

  15. Common Roadblocks • Labeling trap • Blaming trap • Question & Answer trap • Confrontation-Resistance- Denial Trap

  16. MI Summary • Purpose is to encourage and assist with individual behavior change! • The readiness to change a specific and problem behavior often varies and fluctuates….

  17. Additional Information • Website • http://www.motivationalinterview.org • Motivational Interviewing. William Miller & Stephen Rollnick, 2002. Second Edition. Guilford Publications.

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