1. An Evidence-based Approach to Encouraging Healthy Behaviors John Friend, Ph.D.

3. Acceptance & Commitment Therapy (ACT) Understand patterns of behavior through ACT point of view using “The Matrix.” Motivational Interviewing (MI) Become familiar with the fundamental spirit and principles of MI. Become familiar with the four basic skills of MI. Objectives

4. What is Acceptance & Commitment Therapy (ACT)?

5. Psychological Flexibility The ability to notice what is going on inside and outside of us while we move through the world. Psychological Flexibility

6. 5 Senses Experiencing Mental Experiencing TowardAway Behaviors: that move you toward the things that are important to you. Values: Who or what is important to you? Behaviors: that you engage in after unwanted internal experiences appear Internal Experiences: Unwanted thoughts, feelings, emotions, urges, memories, and sensations. Me Noticing

7. How do we effectively have a conversation about behavioral change?

8. Stages of Change Model

9. A continuum of conversation styles DirectingGuidingFollowing

10. The Righting Reflex

11. Normal Human Reactions to the Righting Reflex ResistantDisrespectedUncomfortable Not respectedArguingDisengaged Not understoodDiscountingDisliking Not heardDefensiveInattentive AngryOppositionalPassive AshamedDenyingAvoid/Leave

12. Ambivalence

13. Making people feel bad doesn’t help them to change

15. a collaborative conversation style for strengthening a person’s own motivation and commitment to change. What is Motivational Interviewing?

16. The Underlying Spirit of MI Partnership Evocation Acceptance Compassion

17. The Basic Principles of Motivational Interviewing Discuss the Discrepancy Roll with Resistance Support Self-Efficacy

18. Develop a Discrepancy The Basic Principles of Motivational Interviewing DisadvantagesAdvantages No Change Change

19. Roll with Resistance The Basic Principles of Motivational Interviewing

20. Support Self Efficacy The Basic Principles of Motivational Interviewing

22. O pen-ended Questions A ffirmations R eflective Listening S ummaries O.A.R.S. The Core Interviewing Skills of Motivational Interviewing

23. O pen-ended Questions The Core Interviewing Skills of Motivational Interviewing

24. Affirmations The Core Interviewing Skills of Motivational Interviewing

25. Reflective Listening The Core Interviewing Skills of Motivational Interviewing

26. The Process of Communication (what you think the person means may not be what he or she really means) The words the The words the speaker says listener hears What the speaker What the listener really means thinks the speaker means

27. Three Places a Communication Can go Wrong The words the The words the speaker says listener hears What the speaker What the listener really means thinks the speaker means 2 31 SpeakerListener

28. The Function of Reflection The words the The words speaker says listener hears What the speaker What the listener really means thinks the speaker means 2 31 SpeakerListener Reflection

29. Summaries The Core Interviewing Skills of Motivational Interviewing

30. Why do people change?

31. On a scale of 1 to 10…….. How important is it to you to make this change? (1= Not confident at all; 10 = Extremely confident) How confident are you that you can make this change? (1= Not confident at all; 10 = Extremely confident) How ready are you to make this change? (1= Not confident at all; 10 = Extremely confident)

32. Practice : A Taste of MI

33. Something about yourself that you –want to change –need to change –should change –have been thinking about changing But you haven’t changed yet i.e. – something you’re ambivalent about Speaker: same topic

34. Listen carefully with a goal of understanding the dilemma; Give no advice Ask these open questions and listen: –Why would you want to make this change? –How might you go about it, in order to succeed? –What are the three best reasons for you to do it? –On a scale from 0 to 10, how important would you say that it is for you to make this change? Follow-up: And why are you at __ and not zero? Give a short summary/reflection of the speaker’s motivations for change Then ask: “So what do you think you’ll do?” and just listen with interest Listener

35. Questions?