1

How to Plan in Motivational Interviewing

We are members of The Motivational Interviewing Network of Trainers

- Miller & Rollnick, 2012

2

Ifyoumerelyincreaseaperson'ssenseofurgencyforchangebutnottheirbeliefthatitspossible,youhaven'tdonethemanyfavour.

Planning in MI

3

AimsandObjec3vesfortoday

4

Aims 1. To adopt a learning mind-set

2. To recognise WHEN to plan.

3. To recognise what planning looks like.

4. How to ask good questions in the planning

stage.

5. To watch a trainer demonstration.

Objectives

5

18:00 Discussion: What is planning? And what happens when we try to plan too early?

18:10 What MI says about Planning + examples 18:20 MINT Member Trainer Demonstration

18:30 Debrief and questions 18:40 Skills Practise 18:50 Reflections, questions, finish

6

Whatisplanning?

7

Your Thoughts Talk to the person (or people!) near you. a) What are their challenges with planning? b) What have been their successes? c) What might happen when you plan too soon?

Feedback in 4 minutes!

8

WhatdoesMIsayaboutPlanning?

TIP 1

9

People who have a (specific) plan and hear themselves saying theyll carry it out are more likely to succeed in following it through than those who do not.

(Gollwitzer, 1999)

10

4th MI Process: Planning Planning is a process of negotiation and collaboration drawing on the client's expertise (as well as your own). Miller and Rollnick, 2012

Send us a Tweet: @MIinlondon

TIP 2

11

If you try to develop a change plan before the client is sufficiently ready youll notice it. You may undo any progress you have made through engaging, focusing and evoking.

If you plan too soon, switch back to engaging or evoking.

Planning

12

How do you know when the client is

ready to begin discussing not just the why

of change, but also the how? Its a

judgment call, but basically, your client

will tell you

(Miller and Rollnick, 2012)

TIP 3

13

Signs of readiness to move to plan: Increased Change Talk Less Sustain Talk Resolve (Realisations / Mind shifts) Envisioning (imaging it / The future) Can come as CT or ST.

Questions to you about change

Planning

14

Helping someone to form a change plan is

not necessarily a simple practical transaction,

a matter of advising someone to do this or

do that. If it were that simple, clients would

probably do it for themselves.

(Miller and Rollnick, 2012)

TIP 4

15

To move to planning you could: Test the water Do a recapitulation and ask a key

question (that is non-committal) e.g. What might be the next step? What, if anything do you think youll do? I wonder what you might decide to do? Should we talk about some possibilities?

16

Change Plan A change plan addresses how a person will proceed, and how the change will fit into their life. Warning: Righting Reflex alert! Planning is not something done once. It is an on-going process that may need to be revisited.

Send us a Tweet: @MIinlondon

17

Change Plan (with no clear view of a plan) Idea generation without evaluation of

commitment What are the clients hunches and

preferences for a plan. Emphasise autonomy, if asked what to do

Send us a Tweet: @MIinlondon

Planning in MI

18

TrainerDemonstra3on

19

May I have an assistant please!

Planning in MI

20

GroupPrac3se

21

Lets help plan as a group.

Planning in MI

22

IndividualPrac3se

23

Have a chat to a person near you. If you dont want to have a go, ask to join another group to observe.

Talk to your partner about a change youve been thinking of making but havent yet made. As theyre talking, notice when you think a good time to plan would be.

Ques%ons

Q: Are there any further models of planning/informa%on?

A: Yes, Have a look here!Mo%va%onal Interviewing: moving from why to how with autonomy support. By Ken Resnicow and Fiona McMaster. You can access it here:

hIps://ijbnpa.biomedcentral.com/ar%cles/10.1186/1479-5868-9-19

24 Send us a Tweet: @MIinlondon

25

See you on Tuesday 2nd May 2017

Thanks for coming!

Send us an email: miclub@miinlondon.org