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Motivational Interviewing: Advanced Skills "Sustaining Change Through Intrinsic Motivation" Date: TBD or Delivered at your location ** Limited to Class Size of Up to 25 Participants Program Details  With significant focus on practice, Advanced
Motivational Interviewing would ideally follow about a month after the
basic course. This allows some experience using the method which
reveals successes and challenges as well as the recognition that
despite its design the method is actually difficult to
master. Focus is more on the study of
techniques for their strategic purpose in evoking change talk,
commitment and implementation of behavior change. A heavy focus
is on understanding the need of the practitioner to shift from expert
advisor to expert in evocation. It involves more Practice
Breakouts with coaching from the instructor. Day 1 Discussion Use of MI by participants since basic skills training • What works • What are challenges/barriers Participants Desire for Advanced Training Review of Basic Skills Course • Spirit • Principles • Techniques • Phase I • Phase II • Four Categories of Change Talk • 10 Evocative Strategies Factors that Effect Change Deficit Based Approaches (Old Muscle) Strength Based Approaches in Correctional and Clinical Programs (New Muscle) • Interpersonal Styles • External Factors • Intrapersonal Motivation Classroom Exercise – To increase knowledge of “Evocation” as a strategy that is more productive in fostering intrapersonal motivation for change over “Advice, instruction, dosing with reality, bargaining”. • Volunteer with change issue they are willing to describe is chosen • Volunteer leaves the room • In the class-room the instructor facilitates a brainstorming exercise in which the participants list every piece of advice they can think of that would help the volunteer • Instructor writes them down on Flip-chart paper • The list is removed or turned over and the volunteer is invited back into the room • The instructor helps make a list of everything the volunteer knows that would be a way to resolve their change issue • The two lists are compared In this way all participants are able to see that people already know most, if not all of the advice a counselor could give. Counselors using MI work to evoke what the person knows instead of telling them. Evocation is a strength based strategy and people are more apt to use their strengths rather than someone else’s advice or instruction. Breakout Exercise • Groups of three • Each member selects a targeted change issue of their own that they are comfortable talking about • Each member takes a turn of about 5 minutes in the roles of speaker, counselor, and coder. • The counselors role is to o Find out what the targeted issue is •
The coder will use the OARS Coding Sheet to count the number of
techniques (O-A-R-S) and give feedback to the counselor after the
summary.o Find out what the person thinks will help resolve the issue o Provide a summary of the issue and the things the person thinks will help • After the exercise is complete the full group reconvenes and the instructor will facilitate a discussion in which participants will process their experiences for learning in the exercise. Strength-based, Stage-wise, assistive and collaborative relationships Dealing with the counselor versus dealing with the issue o Probation officer bad o Probation officer good o Discussion of reasons why counselors, probation officers, doctors, etc. use techniques that evoke resistance so quickly and automatically and find it hard to use evocative techniques that are strength based, stage-wise and assistive. Sharpening Techniques Open Ended Questions o Intention of open ended questions compared to intention of closed questions o Effect of closed ended questions on intrapersonal motivation o Effect of open ended questions on intrapersonal motivation o Responses to open ended o Responses to closed o Open ended questions as a person centered approach o Closed questions as a counselor centered approach Breakout exercise o Each table (3 to 5 people per group) will get a list of 25 closed questions o Each table to convert the list of 25 closed questions to open ended o The group will reconvene and the instructor will facilitate a process discussion in which each table will share their conversions with the entire class. Affirmations o What they are and what they are not o Compliments versus Affirmations o Reflection of an applied strength o Look back/ahead o Discussion of ways to use strengths Reflections o Simple o Complex o Video - Raymond o Exercise – Virginia Wheel (simple to complex) Summary o Uses o Demonstrate Listening o Capture Change Talk o Keeping direction o Transitioning Video – Smoker Exercise o Triad o Each participant takes turn as speaker, counselor, coder o Counselors Find out targeted issue, determine speaker’s experience with issue, o Summarize both sides of ambivalence End Day 1 Day 2 Discussion Review of Day 1 Three things participants learned from Day 1 Principles Rolling with Resistance o Come Alongside o Deflection o Reflecting the resistance o Amplified Reflection o Naive Empathy Instructor will facilitate a brainstorming session in which participants will: o Step 1- make a list of resistant behaviors they experience with adolescents and their parents o Step 2- make a list of reasons why children, adolescents and their parents exhibit the resistant behaviors they listed in step-1 o Step 3- make a list of feelings that are evoked in them when they encounter the resistant behaviors in Step 1. o Step 4- make a list of behaviors they exhibit when they have the feelings they described in Step 3 o Step 5-make a list of things that would make it worse and a list of things that would help Exercise-Rolling with Resistance-Dodge Ball o Instructor picks two participants to be team captains o Team captains choose team members from participants o Teams line up facing each other on opposite sides of the room o Teams alternate between dodgers and throwers o Throwers make derisive and resistant statements that they hurl at the dodgers o Dodgers decide on a reply that would demonstrate rolling (avoiding argument) Express Empathy o Rogers – Accurate Empathy o Skill = Expression of accurate understanding of speaker’s world o Effect on relationship o Effect on motivation Develop Discrepancy o Person Centered versus Professional Centered Discrepancy o Decisional Balance Exercise o Pros and Cons o Blending Pros and Cons with Decisional Balance and look ahead o Values Card Sort Support Self Efficacy o Four categories of change talk o Listen for evidence of strengths o Identify change talk o Strengthening change talk o Support Change Talk o Affirm and Strengthen Change Talk o Use of reframes to identify and affirm change talk o Commitment talk o Video Exercise – participants identify strengths Transitioning and Blending o Phase I o Joining and engaging o Forming an assistive and collaborative relationship o Using the assistive and collaborative relationship to increase motivation and increase change talk o Strengthening change talk o Phase II o Key Question o Probation officer good video example o Readiness Ruler o Identifying incremental steps for plan o Strengthening commitment o Adjusting the plan Video Assessment of Simulated Encounters End Day 2 – Certificate of Completion MI Advanced Skills Training Register now>> Who should attend:
Supervisors, Managers and professionals at human services agencies PROGRAM FACULTY - Designated Joyfields Institute MINT Instructor Mark Lowis, LMSW, Motivational Interviewing Network of Trainers (MINT), President, MML Consulting Mark Lowis began his career as a Law
Enforcement and Corrections Specialist in the United States Air
Force. During his 10 years of service Mr. Lowis performed as a
Law Enforcement Supervisor and later as a Master Instructor in the Air
Force Police Academy. He
is a Licensed Social Worker in the state of Michigan and a member of
the International Motivational Interviewing Network of Trainers, and
carries advanced credentials in other evidence based practices.
In
28 years of practice Mr. Lowis has worked in various mental health and
substance abuse treatment programs in both the public and private
sector. His experience includes case management, treatment,
supervision, staff development, and management of adult and juvenile
justice programs including a very specialized program for Parolee-Sex
Offender Alcoholics and Addicts. Mr.
Lowis has been a leader in the state of Michigan for the integration of
treatment for persons with co-occurring mental health and substance use
disorders. He is a professional consultant to the Wayne State
University School of Medicine - Michigan Fidelity Assessment Support
Team (MIFAST), and the Michigan Integrated Treatment Committee
(ITC). As
a management consultant Mr. Lowis has provided solid assistance to
various public and private mental health and substance abuse
agencies. As a consultant Mr. Lowis helps design and develop
programs, train and develop staff, as well as assist in maintaining
audit readiness for credentialing and licensing bodies. Speakers subject to change without notice HOST
FACILITY, REGISTRATION Embassy Suites Hotel Atlanta-Buckhead How to Reserve your room
Call Ms. Raytaunda Vaughn directly at the hotel at 1-404.266.4805. You must speak with Ms. Raytaunda Vaughn to receive the special guest room rate of $139 per night. Click here to tour hotel facilities online>> If you need further assistance,
please contact our office at +1(770)409-8780 or send email to yvette@joyfields.org.
Thank you.
** If you are an International participant, Joyfields offers special
assistance to ease travel to the USA from abroad. Our package includes
assistance securing accommodation, visas, and transportation. Send email
to international@joyfields.org or call +1(678)720-2772 to let us know how we can
assist you in anyway. Make sure to provide details. Tell us in your email
exactly how we can assist. Include a telephone number and email address in
all correspondence so we can contact you if necessary. Includes all training sessions, training
materials, continuing
education hours (JI is approved education provider recognized
by various national
bodies), site visits where applicable, continental breakfast and refreshment breaks
are also included. Participants
are responsible for all other expenses including charges for
accommodations, airfare, dinners and all personal expenses.
** Members & Alumni To get this discount, download and complete registration form, enter promo code, then fax to +1(678)605-0271 to be
processed.
For assistance, call +1(770)409-8780. Program
agenda, dates, fees, faculty and various other aspects of the event are
subject to change without notice. Thank you. |
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