MI for YTPSummer Academy

2013

Rosalie

Dan

Heather

What MI is NOT

A quick fix

A set of tools/techniques to use on students

The magic bullet for every student

Authoritative, prescriptive, or coercive

What MI ISA collaborative communication style

A quiet, searching process about listening

A shift in style and attitude

Coming alongside to gently nudge/guide

Used to evoke their own sense of why & how they might change

What is UP with Youth?

O A time of change in the brain

O Autonomy and social interaction are key

O Social interactions must feel safe or it will feel like a threat

O NO ONE IS UNMOTIVATED

Have you ever felt…….

that the culture in which we work is not always helpfulto our students?

How do we describe a student?

Barriers Strengths

Conversations with a student

Communication Styles

Direct Guide Follow

“You need to get a job”“Yes, but I really like my free time”

“What do you want for your life”“I want to be independent”

GuidingGuiding is suited to helping someone change

The Nature of Ambivalence

“I like to smoke weed” “I am worried about getting caught”

“Yes, but it relaxes me” “I don’t feel like doing anything”

“It’s not that bad” “I must make a change”

SUSTAIN TALKSUSTAIN TALK CHANGE TALKCHANGE TALK

Autonomy ExerciseO Pick a topic you are ambivalent about

O Find a partner

O Talk for 90 seconds about your topic

O Listener argues a “side” 60 seconds

O Switch

O Debrief with the group

Style is EVERYTHINGConfrontational= Sustain Talk

(Denial)

Empathic=Change Talk(Motivation)

Righting Reflex Listening

Advice

Elicit……..Provide………Elicit

You have brains in your headYou have feet in your shoesYou can steer yourself any direction you

chooseOh the places you’ll go!

-DR. SEUSS

Why does MI work?O We are best convinced by our own reasons

O We have inside us the strength to make change happen

O Students start talking themselves into changing by HOW we draw these out

O “Change talk” increases commitment and the likelihood that change will occur

MI MI SPIRITSPIRIT

Absolute WorthAutonomyAccurate EmpathyAffirmation

Adapted from Motivational Interviewing, 3rd Ed., Miller & Rollnick, 2012

Spirit

CollaborationCollaboration (Partnership)“We are going to work together”

AcceptanceAcceptance“I value you and am delighted to talk with you”

CompassionCompassion“I want to understand and respect you and your experience”

EvokingEvoking“I am going to create a space for you to share yourself and your story with me”

Rate my “MI Spirit”0 = not at all 10 = very much

CollaborationAcceptanceCompassionEvoking

How will you know it’s MI?

O You are using an empathetic style

O There is a target for change

O You are evoking the person’s own motivations

Four Processes in MI

PlanningPlanning

EvokingEvoking

FocusingFocusing

EngagingEngaging

AAdapted from Motivational Interviewing, 3rd Ed., Miller & Rollnick, 2012

Something to ponder………