1. Motivational Interviewing and Stages of Change

2. What is Motivational
Interviewing (MI)?
MI is a collaborative, goal-oriented
method of communication with
particular attention to the language of
change. It is designed to strengthen an
individual’s motivation for and
movement toward a specific goal by
eliciting and exploring the person’s
own arguments for change.
Dr. Hettema’s slides

3. "A directive, client-centered counseling style for helping clients
explore and resolve ambivalence about behavior change."
William R. Miller, 1991
.

4. MI Core Skills
(YOUR TOOLS)
1. Open-ended questions
2. Affirmations
3. Reflections
4. Summaries
Dr. Hettema’s slides

5. Open-ended questions
An open-ended question is designed to encourage a full, meaningful
answer using the subject's own knowledge and/or feelings.
www.mediacollege.com/journalism/interviews/open-ended-
questions.html
Examples:

6. Affirmations
Recognition of strengths, progress, or effort
Examples
Reflections
• Ensure understanding
• Communicate interest
• Communicate acceptance
• Facilitate patient speech
• Facilitate patient exploration
Examples
Summaries
Definition
Examples

9. MI principles: These
five communication
principles include
expressing
empathy, supporting
self-efficacy, avoiding
argumentation, rolling
with resistance, and
developing
discrepancy.
https://www.accp.com
/docs/bookstore/psap/
p7b08.sample01.pdf