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20 Cards in this Set
- Front
- Back
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what is motivational interviewing? |
directed, client focused counselling style for eliciting behaviour change to help clients to explore and resolve ambivalence |
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what and when was Mi first used on? |
in early 1980's on alcoholics and drug addicts |
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which practitioners use Mi? |
dentists counsellors doctors psychologists social workers podiatrist others |
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what areas is Mi used? |
alcohol and drug dentistry Hiv/aids mental health addictions gambling |
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is there such a excuse as a unmotivated pt? |
no.. there are ways around motivating any individual |
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what is the 'spirit' of Mi? |
using good rapport to help explore and resolve ambivalence about change |
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what is collaborative Mi? |
collaborative and co-operative partnership between patient and client
joint decisions |
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what is evocative of 'spirit' Mi? |
evoking patients main motivations for them to do something |
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what are the 4 guiding principles? |
RuLeS
R= resist the righting reflex= when there is ambivalence, arguing causes resistance u= understand your pts motivations L= listen to your pts E= empower your pt |
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what are the 3 communication styles? |
directing guiding following |
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what are the 4 core communication skills? |
asking informing listening
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what is ambivilance? |
having mixed feelings or contradictory ideas about something or someone people usually feel ambivalence about change |
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how is ambivalence experienced? |
-thinking of reasoning to change , then -thinking of reasoning not to change , and then - to stop thinking about change |
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what is change talk? |
listening to a pt can tell how likely they are to change |
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what are the 6 types of change talk? |
Desire Ability Reasons Needs commitment taking steps
each type reveals something about a persons motivation
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what are the 3 core communication skills? |
asking listening informing |
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how is the ability to absorb info influenced? |
-culture -background experience -language -level of interest -attitude -placement of importance |
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what are strategies for informing? |
1- chunk check chunk - two way communication 2- elicit- provide- elicit- asking open questions and waiting response
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what is the step by step process of Mi? |
1- establish rapport and trust 2-set the agenda 3- target the behaviour 4- assess importance and confidence 5- exchange info 6- roll with resistance 7- followup and relapse
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what are the stages of change model in roll with resistance? |
- pre-contemplation- not even considering change - contemplation- considering change - preparation- serious commitment to change -action- behaviour change initiated -maintenance- sustaining change/relapse -termination- no temptations, high self-efficiency |
