1. CREATING AN MI CULTURE The “Nuts and Bolts” Experience D. Michael Davis, Program Manager, Clinical Supervisor, Trainer ChangePoint Inc.

2. WHAT WORKS IN THE TRENCHES?  The Challenges  The Supports  The Strategies  The Outcomes

3. THE CHALLENGES  MI is not a simple, easy or quickly learned skill.  Most Counselors and Agencies who say they are doing MI are not.  MI cannot be learned with training only.  Most supervisors do more administrative than clinical supervision.  Good clinical supervision is expensive.  Staff turnover and varying skill levels impact the culture.

4. THE SUPPORTS  Long-term support by owner with: 1. Philosophy of Excellence 2. Belief in Evidence Based Practices 3. Commitment to Research 4. Money for training and supervision 5. Allotment of supervisor time  Long-term Involvement in CTN  Long-term Involvement in other EBP’s  Long-term Commitment of Upper Management

5. THE STRATEGIES  Training and practice for both Administrative and Clinical Staff  MI style supervision – (admin & clinical)  Program Design and Management focused on creating an MI culture  Expectation of Excellence

6. Training and Practice  Admin staff group training with practice  Admin Staff training focused on “first contact”, MI spirit in customer service, and staff proposed issues with clients  Regularly scheduled Group supervision/ training for clinical staff  Beginning and Advanced MI groups  Continual monitoring, observation, rating, feedback and PRACTICE

7. MI Style Supervision  Staff experience the benefits of MI as a “client”  Group and individual supervision  Collaborative MI training/practice  Collaborative performance review

8. Program Design & Management  Hiring for Excellence, Observation as part of the Interview process  DV program design  Group Counseling design and skills  Client Orientation  Assessment - MI sandwich  Client Assignments – Self Assessment  Treatment Plan – collaborative development of paperwork

9. Expectation of Excellence  “We want to offer the best treatment possible.”  It is possible!  Research makes it possible.  MI style supervision makes it possible.  Practice, practice, practice makes it possible.

10. THE OUTCOMES  Increased client engagement and retention  Increased staff engagement and retention  Increased satisfaction for referral sources  Increased career satisfaction for admin staff, counselors and supervisors  Increased Confidence  Increased Excellence

11. IT TAKES LONG-TERM COLLABORATIVE COMMITMENT, INVOLVEMENT, SUPERVISION AND PRACTICE

12. CREATING AN MI CULTURE? Using MI – not as a technique added to a bag of tricks – but as an attitude and way of doing things that permeates all levels of operation