1 It was the Best Plan that Didn’t Happen ADRC Motivational Interviewing Strategies ADRC Conference September 22, 2009

2 Presenters Today  Brian Binder-BS, CIRS, Information and Assistance Specialist, ADRC of Brown County  Devon Christianson-MS, CIRS-A Assistant Director, ADRC of Brown County  Maurine Strickland-MA, CIRS-A Office of Resource Center Development, DHS

3 Its All About Questions?  National Public Radio  When music saved your life  We are NOT experts  We are here to give you a taste  A few tools  Wet your appetite  Let us know if you want more

4 Tell Us About A Time  The “Zone”  The plan that didn’t happen  The crisis that changed everything

5 Motivational Interviewing History  Treatment Based Approach  Non-clinicians  25 years in the making  Often used in AODA, Diabetes, smoking  Therapeutic Techniques  Evidenced based  Can be used quick/short calls and sessions or over a long period of time

6 Why Are We Thinking About This?  ADRC experience  The “Fixer”  The “Righter”  The “Expert Advisors”  The “Educators”  Try to work smarter NOT harder

7 Who Is This For?  Resistant, but competent individuals  Individuals who need to make a change but are not sure how or if they will  Individuals in a cognitive/emotional spot where they can participate in an exchange.

8 Who Is This NOT For?  Individuals with memory loss  Individuals who are actively psychotic  Individuals who are prepared and want concrete information –options counseling would be a better choice  Large groups of people who are all on different pages

9 Basic Principles  Consumer Centered and empowering  Highlight ambiguity  Walk beside the consumer-don’t pull ahead or push from behind  Consumer decides, I & A guides not directs  Roll with Resistance  Change is a process  Look for the “aha” moment  Ask Permission  Find the “why” and find the “way”

10 Reviewing The Skills  Empathy  Reflective Listening  Summarizing  Questioning  Trust Building/Rapport Building  Self-efficacy  Highlight ambiguity  Tip Decisional Balance  Assess Commitment to Change  Explore potential action plan

11 Tools

12 Learning The Language Stages of Change: An ADRC Perspective on Motivational Interviewing (handout)  Pre-contemplation  Contemplation  Preparation  Action  Maintenance  Relapse

13 I & A Conversation Guide  Flow chart of steps and strategies to use during a normal I & A contact  Quick reminder of skills to use during your conversation  This may flow back and fourth  This is a “dance” and the consumer is leading- ask, don’t tell  Show confidence in the consumers ability to do it.

14 Tools

15 Lets Watch  What does this really look like?

16 Lets Try Role Play- everybody yell Hooray ”

17 How Will This Help?  Move challenging situations toward change  Helps I & A know when to act and when to step back  Takes the I & A worker out of the perpetual “fix” mode  Work smarter, not harder  Helps remove some of the resentment that can develop with consumers who “never take our advice”.

18 Tools We Brought  Stages of Change: an ADRC Perspective on Motivational Interviewing  Motivational Interviewing: ADRC Flow Chart/Scripts  Readiness Ruler  Stages of Change  ADRC Documentation Guide

19 Questions?