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Jan 9, 2024

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1 Case Study Megan R Shields Indiana Wesleyan University HMSR-220-01E May 13, 2023

2 What is Motivational Interviewing, and How is it Relevant in Human Service Work Motivational interviewing is a technique that has been successfully utilized by therapists and social workers as a tool whose purpose is to provide clients with driven impulses for change. This technique is defined as a short-term, goal-oriented therapy that helps clients change their behavior and their willingness to change. This technique has shown higher success rates in children with child welfare issues, and it is used by social workers. This treatment is client- centered and assists in changing the client's behavior as well as creating client's willingness to change. “Motivational interviewing is applicable to all aspects of human service work, as it seeks to assist clients with lives, well-being, and what they are going through while demonstrating compassion, empathy, and understanding.” (Hohman, 1998). Motivational interviewing is applicable to human service work, as it seeks to assist clients and acquire information about their lives, well-being, and what they are going through while demonstrating compassion, empathy, and understanding. Describe at least three skills used in motivational interviewing from the case study in the article or video vignette The first skill used during motivational interviewing is the ability to provide empathy. This ability was employed since the social worker never evaluated her client's choices. The social worker didn't criticize her or try to make her feel guilty about the situation that she and her daughter were in. I believe the social worker thought her client was not speaking the truth completely. She indicated to the third client that she was listening and did not want to identify her client, nor did she want the client to define herself. This, I believe, helped the client open up,

3 which led to her being able to come clean. She was still doing speed and drinking from time to time. I feel the client felt comfortable enough with the social worker to give this information. The social worker showed concern and a desire to learn about her situation. It all begins with demonstrating empathy. The second skill I noticed being used was recognizing the learning gap between clients and providing assistance to those in need of help. The client was unable to distinguish the differences between the positive and negative aspects of her drug and alcohol issue. The social worker might still detect addictive behaviors and their consequences. I feel the client was in denial about her addictive habits because she kept claiming, "but I don't use it much." It wasn't until the social worker said, "If you're drinking and drug use continues in the same way, what concerns do you have for your future, and for Sarah's?" That was about the time the atmosphere changed and things became serious. She assisted her client in opening up about her addicted tendencies by asking inquiries about her client's background and attempting to piece together the puzzle. The third skill I observed was avoiding the discussion and just go with the opposing views. I believe this skill was applied since the social worker never battled with her client; she even told her client that if she became offended or defensive, she did not want to label her. She was also not comparing herself to her mother. If she noticed her client becoming irritated, she would rephrase her queries to make the client less uncomfortable. The social worker gave the client as much time as she needed to confess she had a problem. Even if the social worker disagreed, she did not compel her or go against what her client stated.

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