The document summarizes a meeting of the MI Club that focused on giving advice using Motivational Interviewing techniques. It provided guidance on using the Elicit-Provide-Elicit (EPE) method for giving advice in an MI-consistent way. Attendees participated in a group practice activity where they used the EPE method to give advice, and received feedback from an observer. A trainer then demonstrated using EPE in a live example with a volunteer client. The document concluded by taking additional questions about giving advice in MI.

1. November 2016
with John Russell
www.miinlondon.org / miclub@miinlondon.org
Follow us on Twitter @miinlondon / Tweet #miinlondon
1
Giving Advice in MI
Welcome to MI Club

2. Today
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• 18:00 – Giving Advice: What’s good look like?
• 18:10 – Giving Advice: MI interpretation
• 18:20 – Practise (yay!)
• 18:40 – Trainer Demonstration
• 18:50 – Debrief

3. A few quick
things
3
• Toilets
• Fire Exits
• Thank You for taking time out of your day to
come to MI Club.

4. Giving Advice
4
What’s good
look like?

5. 5
Think about times that you’ve
been given advice?
1. What’s happened when it’s well received?
2. What’s happening when it’s not well received?
3. Talk to the person next to you to discuss (5 mins)
4. We’ll then have the chance to feedback as a group
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6. Giving Advice
6
What does MI
literature say?

7. 7
How do you give advice in MI?
Use Elicit Provide Elicit (EPE)
Step 1 (E) – Find out what they know already
Step 2 (P) – Ask permission, then provide your advice
Step 3 (E) – Check their understanding
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8. 8
Step 1: Elicit
FIND OUT WHAT DO THEY KNOW ALREADY
“Tell me what you know about… [healthy eating]”
“What’s your understanding of... [alcohol units]”
“What’s your experience of... [depression]”
NEXT: PROVIDE (ASK PERMISSION, GIVE YOUR ADVICE)
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9. 9
Step 2: Provide
ASK PERMISSION, THEN PROVIDE YOUR ADVICE
“May I tell you about… [healthy eating]”
“Can I talk you about... [alcohol units]”
“Could I give you some information on... [depression]”
WAIT FOR “YES” - NEXT: PROVIDE YOUR ADVICE / INFO
(Respectfully and Succinctly whilst Supporting autonomy)
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10. 10
Step 3: Elicit
CHECK THEIR UNDERSTANDING
What do you think about that? (Question)
You look puzzled (Observational reflection)
Tell me in your own words what you think I’ve said (Check)
NEXT: REPEAT (IF MIS-INFORMATION PERSISTS)
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11. Giving Advice
11
MI Skills
PracBse

12. Today’s practise
improves your
practice!
(MI is 10% theory, 90% practise)
12 Send us a Tweet: @MIinlondon

13. 5 minute group practise.
Use Elicit-Provide-Elicit (EPE)
Get into groups of 3:
• Person A – Interviewer
• Person B – Client / Patient / Service User
• Person C – Observer
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14. Two minute conversation
between Interviewer & Client.
Facilitator will time your conversation
Use EPE as per next slide.
.
14

15. 15
Use Elicit Provide Elicit (EPE)
Step 1 (E) – Find out what they know already
What you know about… [Your topic]
Step 2 (P) – Ask permission, then provide your advice
May I tell you about… [Your topic]
Step 3 (E) – Check their understanding
What do you think about that?

16. Debrief
1. One minute debrief by interviewer.
- Ask “Would you mind if I tell you how it felt to do”
2. One minute debrief by client.
- Ask “Would you mind if I told you what it was like
to be on the receiving end of you”
3. One minute debrief by observer.
- “Would you mind if I tell you what I thought?”
16

17. Giving Advice
17
Trainer
DemonstraBon

18. Live Trainer Demo
Can I have a volunteer?
18 Send us a Tweet: @MIinlondon

19. 19
Use Elicit Provide Elicit (EPE)
Step 1 (E) – Find out what they know already
What you know about… [Your topic]
Step 2 (P) – Ask permission, then provide your advice
May I tell you about… [Your topic]
Step 3 (E) – Check their understanding
What do you think about that?
Send us a Tweet: @MIinlondon

20. Giving Advice
20
De-brief +
QuesBons

21. Ques1ons
Q: Is the final elicit about a:tude or understanding or both?
A: I would say both! Finding out where your client is with either a:tude of understanding of your
advice/informa1on will be helpful to you both.
Q: What if someone says ‘no’ they don’t want your advice/informa1on?
A: Comment on it, reflect, empathise, “that’s not something you want to talk about”, or “talking
about this is difficult”, or “you’d rather talk about something else, what is that?”
21 Send us a Tweet: @MIinlondon

22. 22
See you on Tuesday
6th December 2016
Thanks for coming!
Send us an email: miclub@miinlondon.org