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Advancing Motivational

Interviewing Practice

Dr. Marilyn Herie PhD RSW


Learning Objectives
1. Assess your areas of MI proficiency and further
development
2. Practice OARS to evoke client change talk
3. Practice OARS to respond to clients change talk
4. Apply strategies to respond to clients sustain talk
and enhance motivation for change.
thanks

self-assessment
marilyn.herie@utoronto.ca

www.educateria.com

@MarilynHerie
how will I participate?
Pre-session

ice-breaker with a twist


Motivational
Interviewing
101
http://tinyurl.com/lyk4gqo

The Righting Reflex


MI Spirit
4 Key Motivational Interviewing Skills

open questions
affirmations
reflections
summaries
Miller and Rollnick, 2012
darn cat
desire commitment
ability activation
reasons taking Steps
need

Miller & Rollnick 2012


four processes in MI
planning

evoking

focusing
engaging
Miller and Rollnick, 2012, p. 26
Motivational Interviewing: Practice Tips
MI Spirit: The Essential Foundation
Four MI Processes
Partnership: You and the client are equal
experts Planning
Acceptance: Absolute worth, accurate empathy, Evoking
autonomy support, affirmation
Compassion: Beneficence, caring, focus on the Focusing
other
Evocation: The clients wisdom is most Engaging
important

Agenda-Mapping OARS: Key Skills


Can we take a few minutes to talk about the different issues or
Listen for Change Talk: DARN CAT
Open Questions: What are your reasons for
concerns that you or others have? Just to get a big picture view of change? How might you go about it in order to Desire, Ability, Reasons, Need
what you are coping with right now succeed?
Commitment, Activation, Taking Steps
Affirmation: You have worked hard to make this
Treatment happen. I can see that youve given this a lot of
Diagnosis Finances thought.
Plan Readiness Ruler
Reflections: You wish that You would like to
Summary Statements: Let me make sure I People usually have multiple or competing priorities. On a
understand how this all fits together scale of zero-to-ten, how important is it to change? How
confident are you that you could make this change?
Benefits Stress

Elicit: What do you already know about?


Provide information: Be brief! 0 1 2 3 4 5 6 7 8 9 10

Symptoms Relationship Elicit: How does that fit for you? What do
you make of that? Why did you say [lower number] and not [higher number]?
What would it take to go from [lower number] to [higher number]?

Given all of these possible areas for change, what are your priorities?
Where would be the most helpful place for us to start? 2013 Marilyn Herie, PhD RSW marilyn.herie@utoronto.ca
Reference: Miller, W. & Rollnick, S. (2012). Motivational Interviewing: Helping People Change (3rd Edition). New York: Guilford.
whats the skill?
mining for affirmations
summarizing
find the change talk
CHANGE TALK
lunch
teach
back
evoking change talk
snatching change talk from
the jaws of ambivalence
easy as
recovering from mistakes
out of the woods
team consult
thanks

self-assessment
marilyn.herie@utoronto.ca

www.educateria.com

@MarilynHerie
wrapping up
reflections and next steps
Dr. Marilyn Herie PhD RSW
marilyn.herie@utoronto.ca
@MarilynHerie
educateria.com