COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... 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 4
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Traps to Avoid • Question/Answer Trap • Confrontation/Denial Trap • Expert Trap • Labeling Trap • Premature Focus Trap • Blaming Trap Resources for Additional Skill Building • William R. Miller & Stephen Rollnick.(1998). Motivational Interviewing: Professional Training Series (video). • Public Training Courses, Behavioral Healthcare Education, Drexel University College of Medicine • Bellack, A. & DiClemente, C. “Treating Substance Abuse Among Patients with Schizophrenia.” Psychiatric Services 50:75-80, 1999 • www.motivationalinterview.org Short Bibliography • Amador, X. & Johanson, A. (2000). I Am Not Sick, I Don’t Need Help!; Helping the seriously mentally ill accept treatment. Peconic, NY: Vida Press • Bellack, A. & DiClemente, C. “Treating Substance Abuse Among Patients with Schizophrenia.” Psychiatric Services 50:75-80, 1999 • Miller, W.R., & Rollnick, S. (Eds.). (1991). Motivational interviewing: Preparing people to change addictive behavior. NY:Guilford Press. • Miller, W. (1998). Toward a motivational definition and understanding of addiction. [On-line]. Available: http://motivational.interview.org/mint/Mint5_3.PDF . • Miller, W. (1999). Toward a theory of motivational interviewing. [On-line]. Available: http://motivationalinterview.org/clinical/theory.html . • Miller, W. R., & Rollnick, S. (Eds.). (2002). Motivational interviewing: Preparing people for change (2nd .Ed). NY: Guilford Press. • Miller, W.R. (2003). Motivational Interviewing: Training for new trainers (2ndE.d.) Resource book given to participants in the Training for Trainers workshop (not available to the public domain). University of New Mexico, Department of Psychology. • Prab, K.J. (1998). Alternative diagram of the stages of change. In K.J. Drab, Brief interventions with substance use disorders. [On-line]. Available: http://users.erols.com/kjdrab/PNH . • Rollnick, S. & Miller, W.R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325-334. 5
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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />
Traps to Avoid<br />
• Question/Answer Trap<br />
• Confrontation/Denial<br />
Trap<br />
• Expert Trap<br />
• Labeling Trap<br />
• Premature Focus Trap<br />
• Blaming Trap<br />
Resources for Additional Skill<br />
Building<br />
• William R. Miller & Stephen Rollnick.(1998).<br />
Motivational Interviewing: Professional Training<br />
Series (video).<br />
• Public Training Courses, Behavioral Healthcare<br />
Education, <strong>Drexel</strong> <strong>University</strong> <strong>College</strong> of Medicine<br />
• Bellack, A. & DiClemente, C. “Treating<br />
Substance Abuse Among Patients with<br />
Schizophrenia.” Psychiatric Services 50:75-80,<br />
1999<br />
• www.motivationalinterview.org<br />
Short Bibliography<br />
• Amador, X. & Johanson, A. (2000). I Am Not Sick, I Don’t Need Help!; Helping the<br />
seriously mentally ill accept treatment. Peconic, NY: Vida Press<br />
• Bellack, A. & DiClemente, C. “Treating Substance Abuse Among Patients with<br />
Schizophrenia.” Psychiatric Services 50:75-80, 1999<br />
• Miller, W.R., & Rollnick, S. (Eds.). (1991). Motivational interviewing: Preparing people<br />
to change addictive behavior. NY:Guilford Press.<br />
• Miller, W. (1998). Toward a motivational definition and understanding of addiction.<br />
[On-line]. Available: http://motivational.interview.org/mint/Mint5_3.PDF .<br />
• Miller, W. (1999). Toward a theory of motivational interviewing. [On-line]. Available:<br />
http://motivationalinterview.org/clinical/theory.html .<br />
• Miller, W. R., & Rollnick, S. (Eds.). (2002). Motivational interviewing: Preparing<br />
people for change (2nd .Ed). NY: Guilford Press.<br />
• Miller, W.R. (2003). Motivational Interviewing: Training for new trainers (2ndE.d.)<br />
Resource book given to participants in the Training for Trainers workshop (not<br />
available to the public domain). <strong>University</strong> of New Mexico, Department of Psychology.<br />
• Prab, K.J. (1998). Alternative diagram of the stages of change. In K.J. Drab, Brief<br />
interventions with substance use disorders. [On-line]. Available:<br />
http://users.erols.com/kjdrab/PNH .<br />
• Rollnick, S. & Miller, W.R. (1995). What is motivational interviewing? Behavioural and<br />
Cognitive Psychotherapy, 23, 325-334.<br />
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