8. I can control my behavior. I know
my triggers and how to handle
them.
I am making changes. I avoid
people, places, and things.
I want to change. I can…
Yeah, I have a problem; but it’s too hard
to change or I don’t want to change.
I don’t have a problem.
I can stop if I want to.
9. Principles of Motivational Interviewing
• Express Empathy
– “Put yourself in my shoes.”
• Support Self Efficacy
– Previous successes not failures
• Roll with Resistance
– “dancing, rather than wrestling”
• Develop Discrepancy
– Current Behavior and Values
– Current Circumstances and Future Goals
10. Spirit of Motivational Interviewing
• Collaboration
• Not hierarchy
• Evocation
• Not imposing or externally driven
• Client Autonomy
• Not authority or coercion
11. MI: Progression through the
Stages of Change
Open ended questions
Affirmations
Reflections
Summaries
12. Role of Motivational Interviewing
Increase Change Talk & Readiness to Change
Increase Client Exp. Of Discrepancy
Increase Client Engagement
Decrease Resistance
Improve Retention, Motivation,
and Outcomes
13. Role of Primary Care Physicians
Motivational interviewing is an effective substance abuse
intervention when used by clinicians such as primary care
physicians who are non-specialists in substance abuse
treatment; it can enhance entry to and engagement in more
intensive substance abuse treatments. (Dunn et al, 2001)
Form a Therapeutic Alliance
Adhere to the spirit of MI
Begin a discussion of change
14. References
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Miller, W. & Rollnick, W. (2010). What’s new since MI-2? Retrieved from
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