Targeting the clinical application of the principles, the book applies lessons learned from the field. This book covers the key features of miinformed cbt, offering essential. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. Motivational interviewing is a counselinglike, bidirectional, and. This book is the first guide to translate the principles of motivational interviewing into. Principles and techniques of motivational interviewing aipc. Guilford press, publishing books in psychology, psychotherapy, mental health. Cant be answered with yes or no allow for a fuller, richer discussion are nonjudgmental.
Critical to these efforts are the use of evidencebased practices, data analysis, and an ongoing focus on improving the quality of decisions, services, and programs. An introduction presents the principles of motivational interviewing and its. Express empathy expressing empathy towards a participant shows acceptance and increases the chance of the counselor and participant developing a rapport. This book is written in an easytoread fashion with numerous helpful examples, mnemonics, and comprehension questions. A pedagogical challenge article pdf available in journal of teaching in social work 2712 january 2007 with 1,005 reads.
A career counselor might use a motivational interview to get his client to stop resisting change in. Four basic principles of motivational interviewing. Jul 02, 2014 motivational interviewing is a form of collaborative conversation for strengthening a persons own motivation and commitment to change. Listen respectfully and try to understand the clients perspective.
Familiarity with spirit and principles of mi identify change talk reflective listening. Motivational interviewing skills manual christopher bolling, md 3 asking open questions. How do substance abuse and dependence in adolescents differ from related problems in adults. There are two videos to highlight motivational interviewing strategies that can be used in staffs daily work. Principles that motivational interviewing is built upon there are certain rules and principles that are important for the relationship between counselor and client, all for the whole process to have a better effect on the client. Motivational interviewing is an empathetic and collaborative style of counseling. My kids keep saying that i cant hear and that i should use my hearing aids. Health behavior change in the dental practice wiley. Motivational interviewing is defined as, a directive, clientcentered counseling style for eliciting behavior change by helping clients explore and resolve ambivalence. In this slide presentation i talk about the basic concepts of motivational interviewing mi. Schumacher, phd, is an associate professor and vice chair for professional education and faculty development in the department of psychiatry at the university of mississippi medical center and director of the mississippi psychology training consortium. Throughout our lives, we discover things about ourselves and our life that we would like to change. Motivational interviewing supporting behaviour change. Module one motivational interviewing philosophy and principles.
Core concepts in motivational interviewing summary of motivational interviewing motivational interviewing mi was developed by william r. The main goal of this principle is to increase the patients awareness that there. U understand its the individuals reasons for change, not those of the practitioner, that will elicit a change in behaviour. Most of the basic principles are the same, and changes are based upon the. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. A core skill in building a collaborative relationship is asking open questions. If you have even a small track record of helping people change, you are familiar with the dynamics regarding change. Principles and practice of motivational interviewing. Health behavior change in the dental practice presents an overview of health behavior change, focusing on the spirit of motivational interviewing.
Motivational interviewing was formed 30 years ago by william r. Introduced over 30 years ago, motivational interviewing mi has a growing body of supporting research. What is motivational interviewing and why it helps to change lives mental health. A brief guide to motivational interviewing the hrb. Motivating often means resolving conflicting and ambivalent feelings and thoughts. Helping people change, written with stephen rollnick, in 1991. The 4 principles of motivational interviewing youtube. Principles and techniques of motivational interviewing. Throughout our lives, we discover things about ourselves and our. It is a patientcentered effort to help patients change their health behaviors, and that is. I dont see how my cocaine use warrants concern, but i hope. Jan 12, 2015 if you have even a small track record of helping people change, you are familiar with the dynamics regarding change. The primary mission of mint is to promote the quality of training and practice of motivational interviewing. The five principles of motivational interviewing are effective.
Motivational interviewing a conversation of empathy and selfhealing. A definition of motivational interviewing the definition of. The basics of motivational interviewing educateria. Motivational interviewing enables case managers to elicit. Craig piso is a psychologist with 32 years of experience in the field. The core principle of the approach is negotiation rather than conflict. Motivational interviewing mi is a counseling approach developed in part by clinical psychologists william r. Focus on whats important to the patient regarding behavior. The basics kindle edition by ellen glovsky phd rd ldn.
Motivational interviewing is a collaborative process that edifies and makes the patient responsible for. Principles of motivational interviewing way station, inc. There are four general principles behind motivational. I dont see how my cocaine use warrants concern, but i hope that by agreeing to talk about it, my wife will feel reassured. Use the transcripts make notes in the video transcript for future reference.
Mi is a skillful clinical method a set of integrated interviewing skills, not as simple as learning a set of techniques. Motivational interviewing exhibit 1 is a clientcentered yet directive style of case management interaction that helps clients explore and resolve their ambivalence and concerns about changing one or more lifestyle and risk behaviors. Support selfefficacy responses that are not reflective listening. Table, guiding principles of motivational interviewing. Welcome to the motivational interviewing network of trainers mint resources for those seeking information on motivational interviewing. There are four general principles behind motivational interviewing.
There is a focus during training in medical school on patientcentered interviewing. This focus on integrated treatment fit online course provides an introduction to the practice of motovational interviewing, which is designed to enhance a clients desire to change. Five basic principles of motivational interviewing are then presented to address. Principles of motivational interviewing geared to stages of.
Help the patient examine the discrepancies between their current behavior and their values and future goals in a way that is inline with the spirit and principles of mi. Can treatment principles that work with adults be adapted successfully to meet the special needs of teens. Motivational interviewing is a unique approach to counseling that empowers clients. In a recent workshop i presented on motivational interviewing originated by dr. Principles that motivational interviewing is built upon. The same may often be true in allied fields such as psychology, social work, and nursing. There are some major changes in this book the authors states 95% of the book is rewritten. Compared with nondirective counseling, it is more focused and goaldirected, and departs from traditional rogerian. Workers perceptions of motivation may differ, not only from each other but. Miller in 1983, developed from his experience in the treatment of problem drinkers. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles. Over the last 10 years hes been practicing motivational interviewing mi techniques and has developed workshops and. Tnt manual 2014 d10 20150205 motivational interviewing. Its five key principles include expressing empathy, developing discrepancy, avoiding arguments and.
Express empathy empathy involves seeing the world through the clients eyes, thinking about things as the client thinks about them, feeling things as the client feels them, sharing in the clients experiences. Initially, it was used to motivate patients who abused alcohol to modify their drinking behaviors. Connors, phd, senior research scientist, research institute on. Brief intervention modules 1 and 2 focus on motivational interviewing which is a key element of brief interventions for substance misuse. Motivational interviewing mi is a counseling approach developed in part by clinical. Miller and stephen rollnick as a way to push past the issue of low motivation to change.
Jan 16, 2014 a description of the 4 principles in motivational interviewing by dr. Jul 25, 2014 basic tenets of motivational interviewing 1. Motivational interviewing skills manual christopher bolling, md 1 motivational interviewing in a brief encounter skills handbook. Using motivational interviewing strategies to facilitate relationships and growth and handout 2. Motivational interviewing was created with addiction in mind, but the principles are applied to a range of mental health and physical health issues like. I would like to say that this book has great information that is so useful in my ability to find information and assist client. It is based on the idea that people are not always in a state of readiness to change their patterns of drinking, smoking, drug use, exercise or diet. Key principles of motivational interviewing issue of motivation the issue of motivation is often raised in discussions about young people and also in relation to aod use. It is rare to come across a volume that so carefully and adeptly communicates why and how to apply mi in a wide range of therapy scenarios. Motivational interviewing is based on the principles of therapeutic communication and instead of providing advice, or even just a listening ear, the interviewer acts as a coach for the patient. There are four general principles of motivational interviewing. The motivational interviewing network of trainers mint, an international organization committed to promoting highquality mi practice and training. Motivational interviewing mi is a patientcentered counseling approach used during a clinical visit.
Miller titled motivational interviewing with problem drinkers published in behavioral psychotherapy first used in substance treatment settings rollnick and miller meet at a conference in australia in the late 80s. Download it once and read it on your kindle device, pc, phones or tablets. Stephen rollnick, the audience of interprofessional clinical practitioners came with varying degrees of familiarity with. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Motivational interviewing techniques facilitating behaviour change in the general practice setting stress management completion of recommended screening or diagnostic tests or specialistallied healthpsychologist referral. Basic concepts of motivational interviewing for alcohol and. This book is essential reading for anyone in the business of helping people to change and will. Miller and stephen rollnick, and is defined as a collaborative, personcentered directive counseling method for addressing the common problem of ambivalence about behavior change. Five basic principles of motivational interviewing in the. The motivational interviewing network of trainers the motivational interviewing network of trainers mint, a professional organization of independent trainers, provides motivational interviewing resources including training exercises and publications, as well as shared practice and meeting opportunities. The principles, theory, and skills introduced in this book are, by and large, compatible with current substance abuse counseling theories, including 12step facilitation, cognitive. The counselor is a partner in a process that enables the client to lead and change. Chapter 3motivational interviewing as a counseling style.
The theory and main principles of motivational interviewing. But motivational interviewing mi is more than a patientcentered interview. Motivational interviewing as a valuable technique for health professionals assisting people to make changes to their behaviour, this clip introduces the key principles. Use features like bookmarks, note taking and highlighting while reading motivational interviewing. Expression of empathy is critical to the mi approach. Motivational interviewing library resource for power point presentations, books, forms. Motivational interviewing is a proven method of communication for helping individuals undertake and maintain behavioral change. In the next session, you will use these core skills plus selected tools that help patients better understand their competing priorities and ambivalence to changeto resolve their ambivalence and increase motivation for behavior change. R resist the urge to change the individuals course of action through didactic means.
Motivation for change occurs when people identify a mismatch between where they are and where they want to be. Requires more of a response than a simple yes or no encourages student to do most of the talking helps us avoid premature judgments. It can be briefly integrated into patient encounters and is designed to promote clarity and open communication. This 33page booklet offers an excellent primer or refresher on motivational interviewing. A brief history of motivational interviewing motivational interviewing mi is a way of talking with people about change related to things we often have mixed feelings about exercise, diet, alcohol and other drug use, relationship issues, risky sexual behaviors, school and job related concerns, spiritual. Developing clinical skills for substance abuse counseling. Psychological strategies motivational interviewing techniques. Motivational interviewing is a collaborative, personcentered communication strategy that strengthens the clients own motivation to change. Preparing people to change health behaviors tips sheet five general principles of motivational interviewing. Jan 02, 2015 motivational interviewing is a fantastic introductory course on how to discuss behavioral change with patients in a way that is genuine, personcentered, and effective.
The main goal of this principle is to increase the patients awareness that there are consequences to. The four principles of motivational interviewing are. Books motivational interviewing network of trainers mint. The national center on health viewers guidefacilitating. Microsoft word principles of motivational interviewing. Four fundamental processes in mi motivational interviewing. Principles and practice of motivational interviewing a collaborative conference call jonathan fader, phd june 24, 2009. Motivational interviewing is a style of consumercentered counseling.
Motivational interviewing skills manual christopher bolling, md 2. During the treatment, interpersonal processes patients use to continue or change certain addictive behaviors are examined. Identifying mi strategies to help you deepen your knowledge of the process, spirit, and skills of mi. Although it is an important concept in the behaviour change context, it is difficult to define. While you are an expert in health care, your client is an expert in his or her own life. Focus on whats important to the patient regarding behavior, health, and welfare.
Miller, phd tips for making the best use of the dvd 1. Five principles of motivational interviewing career trend. Most of the basic principles are the same, and changes are based. As a directive, patientcentered counseling style for eliciting behavior change through patient exploration of ambivalence, it can be widely applied to the treatment of patients with mental health conditions.
Strategies of motivational interviewing oars strategies description examples openended questions elicits descriptive information tell me about or describe. Motivational interviewing in a brief encounter skills handbook. In researching and preparing for this workshop, here are some of the points that stood out for me on the principles of change and motivation. Ellen succinctly describes the spirit and technique of motivational interviewing mi, especially as it relates to diet, nutrition, and weight issues. Motivational interviewing strategies and techniques is a daylong workshop that presents the key principles and strategies of motivational interviewing and its application to people with hoarding behavior. Through clinical experience and empirical research, the fundamental principles.
It is the five principles of motivational interviewing, principles that focus on empowering patients, that make the treatment different from more traditional therapies. By asking openended, nonjudgmental questions, you let your clients figure out why their behavior is risky and what they can do to change. Counselors use motivational interviewing to allow clients to explore their motives and options in life and to resolve any indecision. Motivational interviewing was developed to address patient resistance or ambivalence. It is a directive, clientcentered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Table, guiding principles of motivational interviewing substance abuse treatment for persons with cooccurring disorders. Motivational interviewing basics the underlying spirit or philosophy of mi is even more important than the skills. Principles of motivational interviewing geared to stages of change. Basic principles of mi understanding the fundamental and overriding spirit of mi along with the basic principles and assumptions is essential to learning mi. Introduced over 30 years ago, motivational interviewing mi.
1334 87 279 894 1547 1366 1421 490 1040 746 890 1360 1320 997 165 336 506 112 1075 841 1435 1514 1608 926 688 159 1290 276 295 942 759 1072 424 265 333 130 1209 1119 500 830 836 1390 1156