Motivational interviewing interaction techniques oars. It can be briefly integrated into patient encounters and is designed to promote clarity and open communication. Motivational interviewing for health behavior change continued motivational interviewing ver 3. In the spirit of motivational interviewing, you want to use this worksheet to build congruence, and focus on what motivates the client.
Change talk involves statements that indicate the client may be considering. Motivational interviewing and home visitation services. Some of the worksheets displayed are change plan work, getting motivated to change, motivational interviewing and related techniques for, motivational interviewing tools and techniques, decisional balance w ork, sample mi questions and statements, change plan w ork, ccnc. The decisional balance worksheet can be used in numerous scenarios.
Decisional balance exercise page 3 of 3 the most important reasong i want to change is. Theory, practice and applications with children and young people by mcnamara, eddie isbn. Decision balance worksheet ihi institute for healthcare. Showing top 8 worksheets in the category motivational interviewing for teens. Self efficacy decisional balance and the stages of change. Mi was described as a way to tip the balance toward change, adding weight to. Motivational interviewing network of trainers 2020. The book elucidates the four processes of miengaging, focusing, evoking, and planningand vividly demonstrates what they look like in action. An expanded bibliography of motivational interviewing.
Click here to see information on becoming a member of mint. This video teaches people how to use the motivational interviewing decisional balance technique to elicit client change talk and encourage clients own arguments for changing behavior in healthy. There are two videos to highlight motivational interviewing strategies that can be used in staffs daily work. Find some success to acknowledge, give good news, provide information if needed. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion. Motivational interviewing worksheets therapist aid download therapy worksheets to help implement motivational interviewing.
Compatible with social work values and ethics, it is applicable to the wide range of problems and helping situations with which direct practice social workers are involved. It is defined as a collaborative, goaloriented type of communication with particular attention to the language or change. Motivational interviewing motivational interviewing in health care. Motivational interviewing skills series decisional balance. Motivational interviewing for health behavior change. Motivational interviewing mi was introduced as a clinical tool to enhance readiness for change. Everyday low prices and free delivery on eligible orders. Describe an overarching motivational interviewing mi strategy effective in brief intervention. Motivational interviewing interaction techniques the goal of using the oars is to move the person forward by eliciting change talk, or self motivational statements. The four videos demonstrate varying levels of confrontational and motivational interviewing. Motivational interviewing expertcompleted worksheet practice assessing and giving feedback to your residents on their use of motivational interviewing. Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change. Buy motivational interviewing in the treatment of psychological problems, second edition applications of motivational interviewing 2 by arkowitz, hal, miller, william r.
Foster and clayton neighbors please direct all correspondence regarding this manuscript to dawn w. Motivational interviewing for teens worksheets teacher. Enhancing motivation for change 1 introduction this learners manual is designed to accompany training in motivational interviewing and stages of change. To effectively use the motivational interviewing style one must balance the approach of being directive while simultaneously being clientcentered. See more ideas about motivational interviewing, therapy tools and mental health counseling. Aug 19, 2016 motivational interviewing worksheets therapist aid download therapy worksheets to help implement motivational interviewing. Firstly, the evocative stance required by this approach can allow the counselee to find out for him or herself the obstacles to the career plans. Bestseller books online motivational interviewing in health care.
Motivational interviewing and the stages of change theory. Identifying mi strategies to help you deepen your knowledge of the process, spirit, and skills of mi. These empirical findings led us to considerations of the decisional balance model 49,50 and motivational interviewing 51,52, since both provide approaches to addressing ambivalence. Motivational interviewing worksheet effective communication and engagement viewed in this way, it is inappropriate to think of motivationalinterviewing as a technique or set of techniques that are applied to or worse used on people. Using the professional alliance trait list as their worksheet, participants. What it is, how it works, and how to learn it presented by william r. Card marketplace reload your balance amazon currency converter. Ask your client to pinpoint, on a scale of 1 to 10, how motivated they are to end their drug use. The national center on health viewers guidefacilitating. We trust it will help counselors who work with aian people honor their clients history and traditions as they apply the motivational interviewing approach to. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Contrasting procedures for doing so have been clarified through the evolution of mi.
Module one motivational interviewing philosophy and principles. Foster, department of behavioral sciences, university of texas md anderson cancer center, houston, tx 77030. The decisional balance and alcohol literature suggest 1 a relationship exists between decisional balance and motivation to change. Motivational groups for community substance abuse programs 88 decisional balance w orksheet when we think about making changes, most of us dont really consider all sides in a complete way. Explore decisional balance ask the pros and cons of changing and staying the same. Instead, we often do what we think we should do, avoid doing things we dont feel like.
Handouts provided to supplement motivational interviewing in schools strategies for engaging parents, teachers, and students keith c. Motivational interviewing mi is a counseling style for effecting behavior change, and for helping clients to explore and resolve ambivalence by evoking their. In the spirit of motivational interviewing, you want to use this worksheet to build congruence, and focus on. Participants attitudes regarding the advantages and disadvantages of smoking were only assessed at pretreatment and immediately posttreatment using the decisional balance scale for tobacco velicer et al. Motivational interviewing builds a collaborative approach and has the added benefit for in dividuals and organisations of reducing worker stress and the risk of burnout. Motivational interviewing a conversation of empathy and selfhealing. This article describes two conceptually distinct methods for responding to ambivalence. A recommendation in original descriptions of motivational interviewing mi was to explore ambivalence. Motivational interviewing is a personcentered, collaborative method for exploring ambivalence and enhancing motivation to change. Helping patients change behavior applications of motivational interviewing by rollnick, stephen, miller, william r. Decisional balance worksheet motivational interviewing.
Theoretical framework informing mi prochaska and diclemente identified five stages of change your patient can experience. Motivational interviewing and the decisional balance. Contrasting responses to client ambivalence volume 43 issue 2 william r. The one day course further develops practitioner skill and confidence in the practical application of this approach. Jesse jonesberg berg is a member of the mint network and receives guidance and support from several mint coaches. An expanded bibliography of motivational interviewing christopher j. Motivational interviewing expertcompleted worksheet. Because motivational interviewing is so commonly associated with substance use and addictions, they will be the focus of examples for the rest of the guide. Sample practitioner exercises, plus over 80 reproducible worksheets, sample vignettes. Motivational groups for community substance abuse programs. Motivational interviewing is a highly effective approach in helping people make behavioural or attitudinal change, especially with individuals who are apparently reluctant to engage or who have been coerced into changing.
In 2015, the motivational interviewing implementation and practice. A practitioner workbook applications of motivational interviewing by rosengren, david b. Db, which dates back to irving janis and leon mann 1977, is a method for representing the benefits and costs of different choices and has been used to facilitate decisionmaking. Motivational interviewing is not a technique that you do to people, but rather an interpersonal style that is not limited to the formal counselling settings miller and rollnick, 1991. The approach focuses on intrinsic factors for change even when extrinsic factors e.
Introduce the decisional balance worksheet, telling the client you want to. Sep 08, 2017 motivational interviewing skills series decisional balance. When we make decisions we weigh up the pros and cons for the things that we may gain from each possible decision and also the further impact that the decision might have. Tools include a motivation ruler, stages of change, relapse prevention plans, and more. In order to be motivated to reduce drinking, the costs of drinking must outweigh its benefits and the pros of reducing drinking must outweigh its cons. Helping people change, written with stephen rollnick, in 1991. The psychiatrists guide to motivational interviewing. The original article miller, 1983 did not include the term ambivalence but did use the metaphor of a balance between positive and negative motivations for change. Using motivational interviewing strategies to facilitate relationships and growth and handout 2. Similar to carl rogers, millers goal of becoming a pastor was shortlived, with psychology becoming his subsequent area of professional interest.
The book elucidates the four processes of miengaging, focusing, evoking, and. Motivational interviewing trainings and consulting. When we think about making changes, most of us dont. All content included on our site, such as text, images, digital downloads and other, is the property of its content suppliers and protected by us and international laws. Aug 06, 2012 this video teaches people how to use the motivational interviewing decisional balance technique to elicit client change talk and encourage clients own arguments for changing behavior in healthy.
Motivational interviewing mi is a patientcentered counseling approach used during a clinical visit. This worksheet helps clinicians elicit from patients the pros and cons of a given health behavior and utilize motivational interviewing techniques to move toward behavior change. This treatment guide will give an overview of the theory and implementation of motivational interviewing. Motivational interviewing worksheet nottingham city council. Decisional balance w orksheet motivational interviewing. In this case, 1 means not at all motivated and 10 means completely motivated. Motivational interviewing is a patientcentered counseling style based on the. Motivational interviewing mi is a technique developed by psychologists rollnick and miller,1 which can be used to inspire patients who have any level of enthusiasm for change, including the alltoooftenencountered absolutezero enthusiasm, to move toward an important change that could make their lives better. Motivational interviewing mi shifts the balance toward more asking and less telling, more listening and less talking. Christian faith was no longer working for him, and he became an agnostic for a short period of time. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Building motivational interviewing skills a practitioner. Motivational interviewing worksheets therapist aid. Avoiding argumentationavoid trying to convince the student that a problem exists or change is needed because it could cause more resistance.