1. Motivational Interviewing 24seven
Tobias Sandberg
MI-trainer
Member of: Motivational Interviewing Network of Trainers

2. Motivational Interviewing
Developed by William R. Miller and Stephen Rollnick
Evidence-based method
Focus on motivation and change
Person-centered
Humanistic psychology

3. Motivational Interviewing
Motivational interviewing is a collaborative conversational style for strengthening a person’s own motivation and commitment to change.

4. A way of being
Structured conversation
Influencing time
(24seven)

5. A Continuum of Communication styles
Directing Guiding Following
Command
Decide
Lead
Rule
Take charge
Tell
Elicit
Collaborate
Motivate
Support
Assist
Inspire
Allow
Go along with
Permit
Listen
Attend
Stick to

6. A Continuum of styles

7. MI is like dancing

8. X Spirit of MI Collaborativ Rule Evoking Listen to me!
Autonomy support
Empathy
Rule
Listen to me!
I decide
Antipathy X

9. What we know

10. ”Roadblocks”/Righting reflex
We have to avoid…
”Roadblocks”/Righting reflex
Ordering, or commanding
Warning, or threatening
Giving advice
Telling people what to do
Shaming, ridiculing
Judging

11. Show Empathy How to do… Active listening
Try to understand the person’s dilemma
Show Empathy

12. Empathy Treatment provider who shows a high degree
of empathy in meeting with clients
increases the likelihood that:
"Resistance" is reduced.
Reduces relapse.
Reduction of interruptions in treatment.
Increases the change tendency.
Does not damage or worse treatment.

13. MI’s Communication skills
Open questions
Affirmations
Reflections
Summaries

14. When Worlds Collide
Resistance/Discord

15. You are always nagging and complaining!
I hate this place!
I don’t know if I want to!
I will always smoke weed!

16. We can choose to try to reduce the resistance or cause it to increase
Increases Resistance
Argue
Ignore
Raise our voice
Warn
Reduce
Feelings
Anger
Sadnes
Powerlessness
Frustration
Loneliness
Misunderstood
Reduce Resistance
Listen
Give choices
Confirm
Show empathy
Be present
We can choose to try to reduce the resistance or cause it to increase

17. Some examples that can reduce resistance
You are always nagging and complaining!
You think I demand too much of you…
I will always smoke weed!
You think you’re going to smoke weed when you are forty…
- I don’t know if I want to!
You feel unsure about what you want…
I hate this place!
How do you think I can help you to feel a little better?

18. We try Consistent and inconsistent with MI
What do you think you need to do?
You have really exerted yourself.
You are the one who know yourself best.
If I'm able to help you, you must do as I say.
I'm warning you!
I really appreciate you taking the time for this.
Now you listen to me!
How do you see it?

19. We use the MI-spirit and MI’s
Communication skills to show Empathy and elicit the Clients dilemma.

20. Change Talk Desire Ability Reasons Need Commitment Activation
Taking Steps
“I want”, “I wish”
“I could do it”, “I am able to”
“I want to live with my parents”
“I must”, “I need to”
“I've decided to ...”,
“I am ready to…”
“I went to the meeting this week”

21. ………but……… Change Talk Change Talk and Sustain Talk
It would feel good to practice, but I love to watch TV
Change Talk and Sustain Talk
“Other Side of the Coin”

22. It would be good for me to take my medicine, but I ignore it.
I want to stop drinking, but not now!
I need help, but this is no help.

23. We try I actually have time to exercise
If I work out, I will be more alert
It's no fun to run in the rain
I'm too old to go to the gym.
I'll take the bike to work.
On Thursday I'll go out and run.
I will never find the strength to work out.
I know I can.
I've decided to start training

24. Perhaps one of the most important encounter at the institution.
The first meeting
Perhaps one of the most important encounter at the institution.
We have to:
Remind us of the MI spirit
Be active listeners and show empathy by using the OARS.
Make use of an MI strategy, Meny/Agenda

25. Meny/Agenda 4. Call home 1. 3. What happens next 2. Smoke 5. Råby
Most important for you 4. 1.
What happens next 3.
Smoke 2.
Råby 5.

26. Spirit of MI
Collaborativ
Evoking
Autonomy support
Empathy

27. The essens of MI The MI-Spirit Avoid confrontation and
The righting reflex
Elicit and respond
Change talk

28. MI is simpel but not easy
We need to train and assist each other in MI

29. Summary of ”how to do” The importance of MI-Spirit:
Collaborative, Evoking, Autonomy support, Empathy
MI is like dancing, you need to be controlling and following at the same time.
Most of the time use a guiding style
When we listen, we use active listening and try to show empathy
The first meeting is important
We can reduce resistance by our way of being
We listen and respond to change talk
We know that the more a person expresses change talk the more likely it is that she makes a change

30. Member of: Motivational Interviewing Network of Trainers
Thank you very much!
Tobias Sandberg
MI-trainer
Member of: Motivational Interviewing Network of Trainers