COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
The Four General Principles of
Motivational Interviewing
(Miller & Rollnick, 2002)
1. EXPRESS EMPATHY
– Acceptance (vs. debate)
facilitates change
• Appreciate the person’s
dilemma
• Understand that ambivalence
is normal
• Reflect back their position
The Four General Principles of
Motivational Interviewing
(Miller & Rollnick, 2002)
2. DEVELOP DISCREPANCY
– The person rather than staff should
present the arguments for change
• Help the individual minimize or
counterbalance the incentives for
continuing current behavior by
helping them identify positive
incentives for alternate behaviors
The Four General Principles of
Motivational Interviewing
(Miller & Rollnick, 2002)
3. ROLL WITH RESISTANCE
- Resistance is increased by
confrontational strategies
• Avoid arguing for change
• Invite new perspectives rather than
impose them
• See the individual as the primary source
of answers and solutions
• See resistance as a signal to respond
differently.
The Four General Principles of
Motivational Interviewing
(Miller & Rollnick, 2002)
4. SUPPORT SELF- EFFICACY
- A person’s belief in their ability to
change is an important motivator
• The individual, not staff, is responsible
for choosing and carrying out the
change
• The staff’s own belief in the individual’s
ability to change becomes a selffulfilling
prophecy
Fundamental MI Techniques
1. O –Ask Open-ended
questions;
2. A – Affirm the person
through non-verbal and
verbal behaviors;
3. R –Use Reflective listening
skills throughout;
4. S – Occasionally Summarize
the conversation.
***Avoid Traps
Adaptations for Individuals with
Co-Occurring Disorders
(Bellack & DiClemente, 1999)
Four modules:
1. Social skills and problem solving training
2. Education about reasons and dangers of
substance use
3. Motivational interviewing, goal setting for
decreased substance use
4. Behavioral skills for coping with urges
and high risk situations
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