Motivational Interviewing Skills

This can lead to: lack of concentration, interview lasting longer or be terminated, which can result in unreliable answers. To possibly avoid these I could: go in a quiet room, allow extra time and avoid sensitive questions. I will be doing interviews with teachers that teach visually impaired children rather than the child because the child may feel uncomfortable talking one-to-one with an unknown adult and yet I can still get the answers needed through the

This closely simulated a patient interaction with candid answers and the presence of other family members. It was most challenging to calculate the responsive statement to use while maintaining the direction of the interview. Motivational interviewing techniques employed in this interaction include the use of open ended questions to encourage change talk from the patient, affirmation of the patient’s honesty and accountability, reflective statements to show active listening and to illicit further change talk from the patient, and the use of summarization to communicate the patient’s identified growth (Miller & Rollnick, 2013). Transcending these techniques was the spirit of motivational interviewing that communicated acceptance to the patient, guiding versus directing communication, and the support of self-efficacy (Miller & Rollnick, 2013). This was done by first asking permission to discuss the topic and was then carried through the

Changing is something that someone has to want to do, if there is no motivation things will stay the same. The first step to change is knowing and accepting the wrong that has been done and trying to figure out a way to change. There are numerous of practices that are used to help an offender bring their mistake to the light. These types of methods are called Evidence Based Practices and are used to help both the offender and probation officer learn to communicate on a different level. Evidence based practices are cognitive behavioral training, vocational education and training programs and treatment oriented intensive supervision program. They are used to reintegrate offender s back into the community successfully. The type of evidence based practice that I am going to talk about is motivational interviewing, the pro and cons and if it helps the offenders learn from their mistakes and if it is going to help in the future.

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

Although I feel that I am great at using motivational interviewing approach, there are still things that I need to work on to enhance my practice. As any great future therapist, I must know where I struggle and ways to progress in the areas I struggle. Enlisting change talk, and assessing readiness is something that I can further develop by being open to discuss my challenges with my supervisor, colleagues, staff and practice these skills with my supervisor during supervision. I can research all the different therapeutic approaches and read about recent findings and changes to all the approaches used in therapy. I also think that it is important to read up on the different approaches that are used for different problems that clients face. Lastly,

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the

The spirit of motivational interviewing (MI), which entails collaboration, evocation and autonomy, is the fundamental approach to elicit intrinsic motivations (1, 2). Throughout the video, the therapist appears to have applied the MI spirit in accordance with Miller and Rollnick (2). The therapist firstly created an encouraging atmosphere for change by monitoring and accommodating the client’s aspirations (collaboration). The therapist then evoked the client’s motivation through their perceptions, goals and values (evocation) and also informed about the right for self-direction leading to commitment to change (Autonomy). However, to sustain the MI spirit, a breakdown of the requirements will be discussed below.

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.

During the forming process, there is a testing period which assists in the identification of boundaries and establishes a relationship which sets the bar for what is acceptable behavior within the group (Marquis & Huston, 2015). During the forming process of the motivational interviewing group relationships between the nurse manager, chief operating executives, and triage nurse line staff were established. Examples of telephone communication between triage nurse line members and real patients were listened to by the entire group in an attempt to identify gaps during the motivational interviewing process when taking live calls.

Motivational interviewing is based on the premise that change is sometimes hard and people can get stuck due to ambivalence. There are several reasons people may not successfully change. People can be ready and motivated but lack information or more often it is a motivational issue (Matulich, 2013). For example, in the session above, the client appears to not have the motivation to change as he states over and over again.

Solution-Focused Interviewing, The Transtheoretical Model, and Motivational Interviewing are three approaches used by practitioners to assist and guide people in changing their behavior. Each approach has its own format and process and this paper will compare and contrast some similarities and differences between these three approaches. This will be done by looking at five client scenarios and comparing and contrasting them with the approaches. The five client scenarios are; the client who wants something and sees themselves as part of the solution, the client who says someone else needs to change, the client who seems uninterested or resistant to changing, the client who wants what is not good for them and finally the client who does not seem to want anything.

Jen greets the client politely and confirms the client's established account and the username we have on file.

Counseling clients with ineffective social functioning can cause issues for the client and the clinician. If a client is struggling with appropriate behaviors it can be a barrier to gaining employment, obtaining housing, and social functioning. The behaviors can vary from having excess anger, inappropriate boundaries, and lack of appropriate social cues. Client may experience anger in public settings that are inappropriate. Learning how to develop skills in social settings can make the difference that could increase a client’s quality of life. Clients avoid social situations because they are worried how other people perceive them. If they are working to develop social skills this means gaining the tools necessary to interact in activities

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

Health coaching is a new phenomenon in health care field. However, it has been applied in insurance industry, banking and other business ventures. In health care, the coaching is designed to help patients participate in their own health management. They participate in gaining skills, knowledge, confidence and tools that can help them cope well with the illness. When conducting the health care coaching, the instructor should ask questions that enable the participants to answer and express themselves in an easier way. Such are normally straight forward and simple. This essay addresses some of the sample questions that can be asked during health coaching.