Introduced over 30 years ago, motivational interviewing mi has a growing body of supporting research. Five principles of motivational interviewing in their book, motivational interviewing. Tnt manual 2014 d10 20150205 motivational interviewing. Using motivational interviewing strategies to facilitate relationships and growth and handout 2.
A definition of motivational interviewing the definition of. Strategies of motivational interviewing oars strategies description examples openended questions elicits descriptive information tell me about or describe. Craig piso is a psychologist with 32 years of experience in the field. Motivational interviewing is a proven method of communication for helping individuals undertake and maintain behavioral change. Dr alistair duff alistair duff qualified as a clinical psychologist from leeds university in 1994 and. Miller, phd tips for making the best use of the dvd 1. Explain why it is important for the person to make the change advise the person to make the change and discourage them from delaying making the change warn the person what may happen if the change is not made make suggestions as to how the person can go about making the change direct or tell the person what to do, preferably using should or. Try to match the individual to the optimal behavior change strategy. Motivational interviewing is a directive, clientcentred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence. The five principles of motivational interviewing are effective techniques for helping people dealing with addictions. Cant be answered with yes or no allow for a fuller, richer discussion are nonjudgmental. Workers perceptions of motivation may differ, not only from each other but.
The volume is packed with realworld examples from a range of clinical settings, as well as sample interactions and handson learning activities. Spirit of motivational interviewing motivational interviewing is not a series of techniques for doing therapy but instead is a way of being with patients. A pedagogical challenge article pdf available in journal of teaching in social work 2712. During the treatment, interpersonal processes patients use to continue or change certain addictive behaviors are examined. Principles and practice of motivational interviewing. 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. Use the transcripts make notes in the video transcript for future reference. 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. Helping people change applications of motivational interviewing pdf created date.
Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Motivational interviewing is a collaborative process that edifies and makes the patient responsible for. Similar to carl rogers, millers goal of becoming a pastor was shortlived, with psychology becoming his subsequent area of professional interest. Motivational interviewing in a brief encounter skills handbook.
Motivational interviewing mi is a counseling approach developed in part by clinical. The 4 processes in motivational interviewing help make the basic skills of oars into mi. 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. Focus on whats important to the patient regarding behavior, health, and welfare. Mi consists of four principles which underpin its skills miller and rollnick. From expressing empathy and supporting the client, counselors can move towards helping clients develop autonomy and better decisionmaking. A brief guide to motivational interviewing the hrb. Basic concepts of motivational interviewing for alcohol and. Principles of motivational interviewing way station, inc. Motivational interviewing skills manual christopher bolling, md 1 motivational interviewing in a brief encounter skills handbook. Preparing people to change health behaviors tips sheet five general principles of motivational interviewing.
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. Discuss with the individual the different choices are for approaches to making changes b. Motivational interviewing techniques mcgill university. Step introducing the motivational interviewing blending package t he nidasamhsa blending team on motivational interviewing mi is pleased to provide you with a new package of tools for improving client engagement and retention. The theory and main principles of motivational interviewing. Chapter 3motivational interviewing as a counseling style. Basic counselling skills for drug dependence treatment. Introduction and key principles of motivational interviewing. 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. Principles and practice of motivational interviewing a collaborative conference call jonathan fader, phd june 24, 2009. Developing expertise in motivational interviewing mi takes practice, which is exactly the point of this engaging, userfriendly workbook. Motivational interviewing enables case managers to elicit.
Hospitality creating space for the stranger estrangement, a sense of not belonging, is common to the experience of homelessness. This first in a two part unit on motivational interviewing explores how nurses can use the technique to motivate and empower patients in healthcare and wellbeing. The primary mission of mint is to promote the quality of training and practice of motivational interviewing. Motivational interviewing is a method that works on facilitating and engaging intrinsic motivation within an individual to change behaviour according to specific therapeutic goals.
Motivational interviewing skills manual christopher bolling, md 3 asking open questions. Basic principles of mi understanding the fundamental and overriding spirit of mi along with the basic principles and assumptions is essential to learning mi. There are two videos to highlight motivational interviewing strategies that can be used in staffs daily work. By asking openended, nonjudgmental questions, you let your clients figure out why their behavior is risky and what they can do to change. Throughout our lives, we discover things about ourselves and our life that we would like to change. Motivational interviewing mi is a therapeutic strategy for facilitating behaviour change. The main goal of this principle is to increase the patients awareness that there are consequences to their current behaviors. The book provides interview examples that illustrate successful implementation of motivational interviewing in diverse contexts. Through clinical experience and empirical research, the fundamental principles. Five principles of motivational interviewing career trend.
Identifying mi strategies to help you deepen your knowledge of the process, spirit, and skills of mi. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. Motivational interviewing skills manual christopher bolling, md 2. There are four general principles behind motivational interviewing. The basic process of counseling with neutrality is to explore thoroughly both the pros. Expression of empathy is critical to the mi approach. Resources for program directors, supervisors and staff about mi tip sheets books, manuals dvds, video clips bibliography recent news. In a recent workshop i presented on motivational interviewing originated by dr. Keywords motivational interviewing behaviour change. Focus on whats important to the patient regarding behavior. Principles of motivational interviewing geared to stages of change. These processes help practitioners use oars skills in a strategic and purposeful way to have a conversation about change in a way that creates a comfortable environment that allows the client or offender to talk about uncomfortable things, finds specific change. Motivational interviewing is a particular way to help people recognize and do something about their.
Core concepts in motivational interviewing summary of motivational interviewing motivational interviewing mi was developed by william r. Special considerations when involving families in drug dependence treatment. Psychological strategies motivational interviewing techniques. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Motivational interviewing a conversation of empathy and selfhealing. Motivational interviewing as a valuable technique for health professionals assisting people to make changes to their behaviour, this clip introduces the key principles. It is the five principles of motivational interviewing, principles that focus on empowering patients, that make the treatment different from more traditional therapies. Lifestyle behaviour sedentariness, unhealthy diet, smoking and alcohol consumption not only plays a big part in the incidence of heart disease, stroke, cancer, chronic respiratory conditions and diabetes,1 but also affects the outcomes of chronic illnesses. Brief intervention modules 1 and 2 focus on motivational interviewing which is a key element of brief interventions for substance misuse. Motivational interviewing and the stages of change theory. I dont see how my cocaine use warrants concern, but i hope.
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. The national center on health viewers guidefacilitating. Motivational interviewing arizona state university. Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change. Miller and stephen rollnick, and is defined as a collaborative, personcentered directive counseling method for addressing the common problem of ambivalence about behavior change. Motivational interviewing techniques facilitating behaviour change in the general practice setting stress management completion of recommended screening or diagnostic tests or specialistallied healthpsychologist referral. Microsoft word principles of motivational interviewing. Mi principles continued mi is founded on four basic principles. Preparing people to change addictive behavior, miller and rollnick wrote, motivational interviewing has been practical in focus. Its five key principles include expressing empathy, developing discrepancy, avoiding arguments and. There are four general principles behind motivational. Motivational interviewing basics the underlying spirit or philosophy of mi is even more important than the skills. An evidencebased approach to counseling helps patients follow.
Then you can start reading kindle books on your smartphone, tablet, or computer no kindle device required. Basic concepts of motivational interviewing for alcohol. 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. Four fundamental processes in mi motivational interviewing. Jul 02, 2014 motivational interviewing is a form of collaborative conversation for strengthening a persons own motivation and commitment to change. Support selfefficacy responses that are not reflective listening. Health behavior change in the dental practice wiley. Motivational interviewing in groups applications of. We feel that mi may offer some useful resources for busy cf clinicians. 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 a collaborative, personcentered communication strategy that strengthens the clients own motivation to change. Motivation for change occurs when people identify a mismatch between where they are and where they want to be. A pedagogical challenge article pdf available in journal of teaching in social work 2712 january 2007 with 1,005 reads. While you are an expert in health care, your client is an expert in his or her own life. May 30, 20 in this slide presentation i talk about the basic concepts of motivational interviewing mi. Targeting the clinical application of the principles, the book applies lessons learned from the field. Motivational interviewing mi is a patientcentered counseling approach used during a clinical visit. Helping people change, written with stephen rollnick, in 1991.
Stephen rollnick, the audience of interprofessional clinical practitioners came with varying degrees of familiarity with. Miller in 1983, developed from his experience in the treatment of problem drinkers. Motivational interviewing resources for supervisors. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Table, guiding principles of motivational interviewing substance abuse treatment for persons with cooccurring disorders. Helping people change applications of motivational. Table, guiding principles of motivational interviewing. Motivational interviewing network of trainers mint webpage. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion. Although it is an important concept in the behaviour change context, it is difficult to define.
Four basic principles of motivational interviewing. Christian faith was no longer working for him, and he became an agnostic for a short period of time. The basics of motivational interviewing educateria. Listen respectfully and try to understand the clients perspective. Principles and techniques of motivational interviewing aipc. The four principles of motivational interviewing are. Mi is a skillful clinical method a set of integrated interviewing skills, not as simple as learning a set of techniques. Requires more of a response than a simple yes or no encourages student to do most of the talking helps us avoid premature judgments. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles. It can be briefly integrated into patient encounters and is designed to promote clarity and open communication. Connors, phd, senior research scientist, research institute on.
Introduced over 30 years ago, motivational interviewing mi. Principles of motivational interviewing mi miller and rollnick. Five basic principles of motivational interviewing are then presented to address. A core skill in building a collaborative relationship is asking open questions.
A technical therapeutic definition how does it work. Over the last 10 years hes been practicing motivational interviewing mi techniques and has developed workshops and. Module one motivational interviewing philosophy and principles. Principles that motivational interviewing is built upon.