Motivational Interview

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

The idea of motivational interviewing builds on Rogers' theories about people having freedom of choice and changing through the process of self-actualisation (Davidson, 1994). Miller and Rollnik (1991) describe it as a technique in which the heath practitioner becomes a helper in the change process while expressing acceptance of their client. A central goal of motivational interviewing, says Geldard & Geldard (2012), is to help resolve the ambivalence which prevents clients from realising their personal goals and to facilitate positive change. Motivational interviewing is mostly utilised to counsel those troubled by addiction (not just substance, but also behaviours).

The discussion of the video below is in accordance with the Motivational Interviewing Reflection Tool (MIRT).

Motivational interviewing is a practice wherein conveying acceptance of your client, you become an aid in the process of change. Motivational interviewing fosters Carl Rogers ' optimistic and humanistic theories; around ones competences for employing free choice and shifting through a course of self-actualization. The therapeutic relationship for both Motivational Interviewers and Rogerians’ is a democratic partnership. The concept of Motivational Interviewing (MI) progressed from the experience of treating problem drinkers. Motivational Interviewing was first described by William R. Miller, Ph.D., in 1983.

Miller W. & Rollnick S. (2002) Motivational Interviewing. 2nd edn. The Guilford Press, New York.

An interview utilizing motivational interviewing techniques was conducted by a nurse practitioner student and a consenting patient. The patient is a 55-year-old, male, with occupation as a heating, ventilation, and air conditioner technician that the nurse practitioner student identified on physical examination to have mild hearing loss. Hearing protection is admittedly not worn consistently at the jobsite during the history taking portion of the exam. This paper will discuss the behavioral health problem of noncompliance with hearing protection, the evidence supporting motivational interviewing strategies to support behavior change, and a discussion of the techniques used during the interview.

Motivational interviewing includes opening strategies to allow the process of eliciting readiness, providing feedback or information to the patient, and then eliciting the patient 's interpretation of the information to flow

(Rollinick et al. 2010). This technique isn’t considered to be a form of psychotherapy but rather a formalized therapeutic relationship that engages the assessment and intervention steps of the nursing process (Moller & Potter 2016b). Motivational interviewing is focused on activating the client’s capability to make a beneficial change regarding one’s health (Easton, Swan & Sinha 2000).

ANSWER: The type of information that is gathered is marital status and/or living arrangemet, current employment, occupational history, any use of drugs, alcohol and/or tobacco, level of education, and sexual history. These questions are relevant just incase the lifestyle the patient is living has contributing factors of the patients illness. This will provide more information and can assist in the diagnosis.

There are many types of data collected, such as, Demographic, financial, socioeconomic, and clinical data are collected from patients so that the healthcare providers of services to the patient are able to assess the history of whatever disease the patients is suffering from and how is to be treated. Data collection in the facility is well organized in a way that promotes shared assessment, treatment and communication. Nurses and front row staffs collects raw data’s from the patient, and. The Heath Information Manager and team are the facility are responsible in analyzing and presenting the data collected in a meaning and easily understandable way to served the specific purposes for which it was collected. Examples of such data are, patient’s name, height, weight, gender, allergies, and third party

Motivational interviewing is an approach, focusing on the patient, to change a behavior. It was started in the realm of addiction, but has been steadily moving in to the mainstream of healthcare for the past few years. Motivational interviewing (MI) uses different techniques to build a rapport between the provider and the client. Techniques used include empathy, collaboration, and encouragement of autonomy. The concept of motivational interviewing allows the provider to be seen more as a person and less as an authority figure.

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

To me, motivational interviewing is a solution focused counselling approach that engages intrinsic motivation to change behavior that allows patients to brainstorm solutions for themselves. Motivational interviewing is, in my view, an excellent skill to successfully counter excuses, non-compliance and resistance. An example of using motivational interviewing in a physiotherapy setting is asking probing questions that allow the client to brainstorm reasons to complete exercises themselves. The fact that they have thought of the reasons to change their behavior themselves, not just listening to me telling them to do something for their own good, is likely to result in their behavior changing. Additionally, if the client is motivated to change behavior then compliance is

Motivational interviewing was first described in the 1980’s and has since become increasingly popular. It was originally defined as a “directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.” Currently, motivational interviewing is a commonly utilized, scientifically tested and validated method that is used in various counseling practices and health care settings. Rubak and colleagues conducted a meta-analysis of empirical literature on the topic of motivational interviewing. With the goal of evaluating the degree to which motivational interviewing is applicable and efficacious, they reviewed 72 Randomized-Control Trials.

Due to lack of full access of the patients recorded some information weren’t able to reaches.