Florida Alcohol and Drug Abuse Association 12/12/2018 1 MOTIVATIONAL INTERVIEWING: HANDS ON PRACTICE DECEMBER 2018 This training is supported by Florida Department of Children and Families Office of Substance Abuse and Mental Health James Kowalsky, BA E-mail: [email protected]Twitter: @James_Kowalsky Website: HarmReductionJames.com 1 2
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MOTIVATIONAL INTERVIEWING: HANDS ON …...EVOCATION MI Spirit •Strengths-focused approach •People have motivation and resources inside themselves •Draw out their wisdom •Strengthen
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Florida Alcohol and Drug Abuse Association 12/12/2018
1
MOTIVATIONAL INTERVIEWING: HANDS ON PRACTICE
DECEMBER 2018
This training is supported by Florida Department of Children and FamiliesOffice of Substance Abuse and Mental Health
This exercise is designed to give you practice using double-sided reflections. Read the client’s statement and fill in the blanks for the counselor’s response to form a double-sided reflection. Smoking Client: My wife keeps telling me that I need to stop smoking, but I don’t want to do that. It’s something that I like doing. It helps me relax when I’m feeling stressed out at work. When I tried quitting altogether in the past, I was just really on edge. I want to take care of my health, but quitting seems like it’s just out of reach for me. Counselor: On the one hand ______________________________________________________________, (reflect one aspect of sustain talk that they client stated) and on the other hand, __________________________________________________________. (reflect one aspect of change talk that they client stated) Alcohol Use Client: I’m still using alcohol even though the doctor tells me I need to quit altogether. I do think I’ve been doing better though. I keep an eye on how much I drink throughout the week and there’s some nights where I don’t drink anything at all. I switched from drinking liquor to wine and that got me to drink less, but I just don’t want to stop drinking yet. I just love having a few drinks with my friend when we’re together. Counselor: So, part of you feels like _________________________________________________________, (reflect one aspect of sustain talk that they client stated) and another part of you __________________________________________________________. (reflect one aspect of change talk that they client stated)
Managing Depression Client: It’s so hard for me to get up out of bed during the day. Going to see the psychiatrist just seems like one more thing to do and I already have more than I can handle right now. I wish things were easier for me, but it takes all my strength to just keep food in the house. At the end of the day, I end up crying myself to sleep and hoping I can get through the next day without leaving my apartment. Counselor: On the one hand ______________________________________________________________, (reflect one aspect of sustain talk that they client stated) and on the other hand, __________________________________________________________. (reflect one aspect of change talk that they client stated) Changing Jobs Client: I am really fed up with my job, but I don’t want to go through all the stress of relearning a whole new job. I have another opportunity available to me and I’m thinking about applying for it. I would hate to give up the relationships I’ve built up in my current role, but I really feel like this new program is a better fit for me. Counselor: So, there’s a part of you that ______________________________________________________, (reflect one aspect of sustain talk that they client stated) and yet you ___________________________________________________________________. (reflect one aspect of change talk that they client stated)
Adapted from Motivational Interviewing Network of Trainers. (2015). Motivational Interviewing: Resources for Trainers. Available online at:
Identify a change that you are considering, something you are thinking about changing in your life, but have not definitely decided on. Tell the listener about the change you are considering. After making this statement, respond to the Listener’s questions. LISTENER:
After the Speaker tells you what they want to change, follow the script. Move on to the next number after the Speaker responds to your question or statement for each number. 1. Why are you considering making this change? 2. If you did decide to make this change, how might you go about it in order to succeed? 3. What are the three best reasons for you to do it? 4. How important would you say it is for you to make this change, on a scale of 0-10, where 0 is not at all important and 10 is extremely important?
Follow up: And why would you say you are at a (use the number they said) rather than a (lower number)?
5. Provide a short summary of what you heard, including some of the change talk you heard, then ask, “So, what do you think you will do?”
Adapted from Motivational Interviewing Network of Trainers. (2015). Motivational Interviewing: Resources for Trainers. Available online at:
Identify a change that you are considering, something you are thinking about changing in your life, but have not definitely decided on. Tell the listener about the change you are considering. After making this statement, respond to the Listener’s questions. LISTENER:
After the Speaker tells you what they want to change, follow the script. Move on to the next number after the Speaker responds to your question or statement for each number. 1. Why are you considering making this change? 2. If you did decide to make this change, how might you go about it in order to succeed? 3. What are the three best reasons for you to do it? 4. How important would you say it is for you to make this change, on a scale of 0-10, where 0 is not at all important and 10 is extremely important?
Follow up: And why would you say you are at a (use the number they said) rather than a (lower number)?
5. Provide a short summary of what you heard, including some of the change talk you heard, then ask, “So, what do you think you will do?”
Adapted from Motivational Interviewing Network of Trainers. (2015). Motivational Interviewing: Resources for Trainers. Available online at: