Motivational Interviewing

Front 1

1. Ambivalence about substance use and change is normal and there's an important motivational barrier to substance use behavior change.

2. Ambivalence can be resolved by exploring the clients intrinsic motivations and values.

3. As a counselor your main goal and motivational interviewing are to express empathy and elicit clients reasons for a commitment to changing substances behaviors.

Back 1

Motivational interviewing

Front 2

The spirit of MI compromises the following elements: _____________, _____________, ______________, ________________.

Back 2

Partnership, acceptance, compassion, and evocation.

Front 3

An active collaboration between you and the client. A client is more willing to express concerns when you are empathetic and show genuine curiosity about the client's perspective.

Back 3

Partnership

Front 4

Your respect for an approval of the client. This doesn't mean a green with everything the client says but is a demonstration of your intention to understand the client's point of view and concerns.

Back 4

Acceptance

Front 5

An active interest in, and an effort to understand, the client's internal perspective reflected by your genuine curiosity and reflective listening.

Back 5

Accurate empathy

Front 6

Honoring and respecting a client's right to and capacity for self-direction

Back 6

Autonomy support

Front 7

Acknowledging the clients values and strengths

Back 7

Affirmation

Front 8

Your active promotion of the client's welfare and prioritization of client needs

Back 8

Compassion

Front 9

Pricing the inherent worth and potential of the client

Back 9

Absolute worth

Front 10

Elicits and explores motivation, values, strength, and resources the client already has

Back 10

Evocation

Front 11

Critical conditions for change which states that clients change when they're they are engaged in a therapeutic relationship in which the counselor is genuine and warm, expresses unconditional positive regard, and displays accurate empathy.

Back 11

Person-centered counseling

Front 12

Consist of client statements that support not changing a health risk behavior, like substance misuse.________________ Talk consist of client statements that favor change. ___________ and ________________ our expressions of both sides of ambivalence about change.

Clients I'm stuck in ambivalence won't engage in a lot of sustained talk, whereas clients who are more ready to change will engage in more change talk with stronger statements supporting change.

Back 12

Sustain talk and change talk

Front 13

Asking open questions

Affirming

Reflective listening

Summarizing

Back 13

Core skills of MI: OARS

Front 14

This is expressed in statements about wanting something different- I want to find an alcoholics anonymous meeting or I hope to start going to AA

Back 14

Change talk- desire to change

Front 15

This is expressed in statements about self-perception of capability- I could start going to AA

Back 15

Ability to change

Front 16

This is expressed as arguments for change- I'd probably learn more about recovery if I went to AA or going to AA would help me feel more supported

Back 16

Reasons to change

Front 17

This is expressed in client statements about importance or urgency- I have to stop drinking or I need to find a way to get my drinking under control

Back 17

Need to change

Front 18

This is expressed as a promise to change- I swear I will go to an AA meeting this year or I guarantee I will start at 8:00 by next month

Back 18

Commitment

Front 19

This is expressed in statements showing movement toward action- I'm ready to go to my first AA meeting

Back 19

Activation

Front 20

This is expressed in statements indicating that the client has already done something to change- I went to an AA meeting or I avoided a party where friends would be doing drugs

Back 20

Taking steps