Post on 13-Apr-2017
transcript
November 2016 with John Russell
www.miinlondon.org / miclub@miinlondon.org
Follow us on Twitter @miinlondon / Tweet #miinlondon
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Giving Advice in MI Welcome to MI Club
Today
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18:00 Giving Advice: Whats good look like?
18:10 Giving Advice: MI interpretation
18:20 Practise (yay!)
18:40 Trainer Demonstration
18:50 Debrief
A few quick things
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Toilets
Fire Exits
Thank You for taking time out of your day to
come to MI Club.
Giving Advice
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Whatsgoodlooklike?
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Think about times that youve been given advice?
1. Whats happened when its well received? 2. Whats happening when its not well received? 3. Talk to the person next to you to discuss (5 mins) 4. Well then have the chance to feedback as a group
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Giving Advice
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WhatdoesMIliteraturesay?
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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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Step 1: Elicit FIND OUT WHAT DO THEY KNOW ALREADY
Tell me what you know about [healthy eating] Whats your understanding of... [alcohol units] Whats your experience of... [depression]
NEXT: PROVIDE (ASK PERMISSION, GIVE YOUR ADVICE)
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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)
NEXT: PROVIDE (GIVE YOUR INFO / ADVICE)
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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 Ive said (Check)
NEXT: REPEAT (IF MIS-INFORMATION PERSISTS)
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Giving Advice
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MISkillsPracBse
Todays practise improves your
practice!
(MI is 10% theory, 90% practise)
12 Send us a Tweet: @MIinlondon
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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Two minute conversation between Interviewer & Client. Facilitator will time your conversation
Use EPE as per next slide. .
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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?
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?
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Giving Advice
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TrainerDemonstraBon
Live Trainer DemoCan I have a volunteer?
18 Send us a Tweet: @MIinlondon
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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
Giving Advice
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De-brief+QuesBons
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 dont want your advice/informa1on?A: Comment on it, reflect, empathise, thats not something you want to talk about, or talking about this is difficult, or youd rather talk about something else, what is that?
21 Send us a Tweet: @MIinlondon
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See you on Tuesday 6th December 2016
Thanks for coming!
Send us an email: miclub@miinlondon.org