oya motivational interviewing direct care staff

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Motivational InterviewingMotivational Interviewing

Practical Applications for OYA DirectPractical Applications for OYA Direct

Care StaffCare Staff

Dominique Sotelo, M.A. OYA Treatment Services Coordinator


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What is it?What is it?

M.I. Definition:M.I. Definition: M.I. is aM.I. is a collaborativecollaborative,, personpersoncenteredcentered form ofform of guidingguiding toto elicitelicit andand strengthenstrengthenmotivationmotivation forfor changechange..

OYA Mission Statement:OYA Mission Statement:To protect the publicTo protect the publicand reduce crime byholding youth offendersand reduce crime byholding youth offenders

accountable and providing opportunities foraccountable and providing opportunities forreformation in safe environments.reformation in safe environments.

Are these two statements compatible?Are these two statements compatible?


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Who created M.I.?Who created M.I.?

William Miller, Ph.D.William Miller, Ph.D.

Stephen Rollnick, Ph.D.Stephen Rollnick, Ph.D.


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M.I. was developed in the early 1980sM.I. was developed in the early 1980s

M.I. resources utilzied to create this presentation:M.I. resources utilzied to create this presentation:

Motivating Offenders to Change. (2007) US Department of Justice(2007) US Department of Justice

http://nicic.org/Downloads/PDF/Library/022253.pdfhttp://nicic.org/Downloads/PDF/Library/022253.pdf

Ten Things that Motivational Interviewing is Not. (2009)(2009) By Miller & RollnickBy Miller & Rollnick

Motivational Interviewing Training in Criminal Justice: Development

of a Model Plan. (2008)(2008) By Alexander, VanBenschoten, & WaltersBy Alexander, VanBenschoten, & Walters

Motivational Interviewing for Mental Health Disorders. (2009) PESI(2009) PESI By Stephen Rollnick, Ph.d.By Stephen Rollnick, Ph.d.


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Why was M.I. developed?Why was M.I. developed?

Clinicians in the addictions field wanted to addressClinicians in the addictions field wanted to addressthe shortcomings of the traditional techniques ofthe shortcomings of the traditional techniques ofconfrontation and punishment that was prevalent inconfrontation and punishment that was prevalent inmost treatment programs.most treatment programs.

Rollnicks turning pointRollnicks turning point


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What does M.I. have to with Juvenile CorrectionsWhat does M.I. have to with Juvenile Correctionswork?work?

M.I. has proven to be an Evidenced Based PracticeM.I. has proven to be an Evidenced Based Practice

M.I. effectively addresses ResponsivityM.I. effectively addresses Responsivity

Correctional programs that reduce crime implementCorrectional programs that reduce crime implementstrategies that address RISKstrategies that address RISK NEEDNEED RESPONSIVITYRESPONSIVITY

M.I. facilitates ch

ange in offenders by:M.I. facilitates ch

ange in offenders by: Reducing to resistance to changeReducing to resistance to change

Raising DiscrepancyRaising Discrepancy

Eliciting Change TalkEliciting Change Talk


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From the definition M.I.:From the definition M.I.: isis CollaborativeCollaborative: M.I. is a way of being with youth, and not: M.I. is a way of being with youth, and not

something that is done to the youth.something that is done to the youth. isis Person CenteredPerson Centered: M.I. is focused on the expressed: M.I. is focused on the expressed

interests of th

e youth

.interests of th

e youth

. isis GuidingGuiding: M.I. is at all times encouraging change.: M.I. is at all times encouraging change. ElicitsElicits: M.I. techniques are intended to allow the youth: M.I. techniques are intended to allow the youth

discuss matters that are truly important from theirdiscuss matters that are truly important from theirperspective.perspective.

Strengthens:Strengthens: M.I. tech

niquesh

elp youth

believe th

at th

eyM.I. tech

niquesh

elp youth

believe th

at th

eycan be successful in the change process.can be successful in the change process.

Motivates:Motivates: M.I. fuels the change process by using what theM.I. fuels the change process by using what theyouth identifies as their specific reasons for changing.youth identifies as their specific reasons for changing.

isis ChangeChange: M.I. in a phrase is about helping youth achieve: M.I. in a phrase is about helping youth achievelasting changelasting change


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M.I. asserts that change agents are mostM.I. asserts that change agents are most

effective when they assume the role of a guide.effective when they assume the role of a guide.

As a Guide you must know w

hen to Lead andAs a Guide you must know w

hen to Lead andwhen to Followwhen to Follow

GUIDE

Lead Follow


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Four Core M.I. Skill Sets for Direct Care Staff:Four Core M.I. Skill Sets for Direct Care Staff:

ValidatingValidating

Also referred to as EmpathyAlso referred to as Empathy

Resisting the Righting ReflexResisting the Righting Reflex

Also referred to as Rolling with ResistanceAlso referred to as Rolling with Resistance

Developing DiscrepancyDeveloping Discrepancy

Also referred to as Understanding Client MotivationAlso referred to as Understanding Client Motivation

EmpoweringEmpowering

Also referred to as Supporting SelfAlso referred to as Supporting Self--EfficacyEfficacy


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Validation SkillsValidation Skills DBT provides the best training for thisDBT provides the best training for this

Validation does not = approvalValidation does not = approval

Why validate?Why validate? Puts youth at easePuts youth at ease

Lowers defensesLowers defenses

Promotes problem solvingPromotes problem solving

Diffuses power strugglesDiffuses power struggles

Refer to the Levels of Validation handoutRefer to the Levels of Validation handout

Watch a demonstration of ValidationWatch a demonstration of Validation


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Resisting the Righting ReflexResisting the Righting Reflex

When issues are not a matter of immediate safetyWhen issues are not a matter of immediate safetyand security allow a youth to be autonomous.and security allow a youth to be autonomous.

Is it normal for adolescents to learn through aIs it normal for adolescents to learn through aprocess of trial and error?process of trial and error?


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Developing DiscrepancyDeveloping Discrepancy

Recognize Change TalkRecognize Change Talk

Ambivalence towards change can be thought of as aAmbivalence towards change can be thought of as acandle flickering. See the flicker and provide the cover.candle flickering. See the flicker and provide the cover.

I dunno, he made me so mad, I didnt want to hitI dunno, he made me so mad, I didnt want to hithim, but I just lost itifhe had just kept his mouthhim, but I just lost itifhe had just kept his mouth

sh

ut, th

en I wouldnt be in th

is mess now, my momsh

ut, th

en I wouldnt be in th

is mess now, my momis going to be so pissed at meis going to be so pissed at me


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EmpowerEmpower

Supporting SelfSupporting Self--EfficacyEfficacy

Youth need to know that they are capableYouth need to know that they are capable

Youth need to believe that they can be successfulYouth need to believe that they can be successful


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oya motivational interviewing direct care staff

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