“We’ve presented more MI training in Minnesota than any other place on earth!”

Minnesota: Some Facts “The North Star State” “Land of 10,000 Lakes” Origin of name: Lakota Indian word for “sky tinted water”

Minnesota: other stuff Population: 5.1 M (21 st most populous) Area: 87,943 Sq. miles (12 largest state) Largest City: Minneapolis Industries: Farming, Health care

Training Delivered since 2006 Participants Trained: over 6500 Introductory Sessions: over 350 “Coaching Circles”: over 150 groups Program/Agencies: over 275

Cultural Representation of Participants Native American (Reservations) S.E. Asian: Hmong Cambodian Vietnamese African: Ethiopian Somalian Eastern European: Russian Romanian And Others

Training Projects Department of Human Services Chemical Dependency Mental Health Co-occurring (COSIG) MFIP (welfare to work) Department of Corrections Goodwill Easter Seals Vocational Rehabilitation Services Department of Health, Hospitals & Clinics University Courses

Target Areas Employment Chemical Dependency Mental & Behavioral Health Corrections Parenting Primary Care

Curriculum Content (Curriculum was targeted to each target group) Definition Spirit Principles “OARS” Resistance Change Talk Commitment Lots of Practice Exercises Based upon “8 Stages of Learning MI” (Miller & Moyers, 2006)

Curriculum Delivery Introductory Workshops (2 or 3 days) “Coaching Circles” (5-8 sessions) 1-day refreshers Agency Champions Coding of Tapes

Preparation of Trainers MINTies lead Training by Terri Moyers Application & Selection Tapes of Competence Objective Exam Training Demonstration Evaluation of Training

Estimated Costs??? Trainers: $800,000 to $945,000 ($ per session) Participants: $1.2M $200/participant) Plus travel, materials, advertising, etc.

Outcomes to Celebrate Participant Testimonials We passed the “Waitress Test” (Moyers) They wanted more Consistently excellent evaluations MINTies grew from 5-15 MN MINT formed (2008)

Some Lessons Learned Participant Management 2-day sessions do NOT develop skills, Coaching Circles help Participant preparation matters Participant buy-in to the spirit can be challenging Agency buy-in is crucial to training success

If we had it to do over again Implementation takes more of everything Collaboration is not easy Neither is sustainability Development of internal agency capacity, not just training, should be the goal Space & Equipment which works matters…