Key Motivational Interviewing Techniques

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Presentation transcript:

Key Motivational Interviewing Techniques Low-risk drinking limits One standard drink Drinks per week per day Men 14 4 Women 7 3 All ages >65 Pregnancy IV Severe: 5% III Harmful: 8% II Risky: 9% I Low risk or Abstain: 78% Readiness for change ruler 1 2 3 4 5 6 7 8 9 10 Key Motivational Interviewing Techniques OARS: Open ended questions Affirmations Reflections Summaries REDS: Roll with Resistance Express Empathy Develop Discrepancy Support Self Efficacy www.SBIRT.cumc.columbia.edu Raise the subject “Can you tell me more about your drinking or drug use? Do you smoke? What does a typical week look like?” Provide feedback “Many patients who score into this zone have difficulty just cutting back and need to abstain from drinking alcohol.” Enhance motivation “What do you like and what are you concerned about when it comes to your alcohol/drug use?” “On a scale of 0-10, how ready are you to cut back/seek specialized treatment? Why not a lower number? Negotiate plan Summarize conversation. Then: “What steps do you think you can take to reach your goal of cutting back/seeking specialized treatment?”