Trainings on Motivational Interviewing

 

Helping People Change

SESSION I ABSTRACT

Motivational Interviewing is a directive, client-centered counseling style that enhances motivation for change by helping the client clarify and resolve ambivalence about behavior change.

The goal is to create and amplify discrepancy between present behavior and broader goals. This approach has been shown to be effective with different client populations but especially with clients that are in pre-contemplative and contemplative stages of change. Session I of this training (6 hours) introduces participants to the trans-theoretical model of Stages of Change (Prochaska and DiClemente, 1982) and the theory and research of Motivational Interviewing (Miller and Rollnick, 1986). This theory about change, Stages of Change, is separate from the theory and research about Motivational Interviewing. This is one reason to offer this session on both as they are related but different.

PROGRAM DESCRIPTION

Session 1 is offered for participants who are in direct contact with clients trying to make difficult behavioral changes. It will focus on a theory of change and how to apply this to client care. It will also introduce participants to Motivational Interviewing. Didactic materials, video presentations, and group exercises will be utilized to meet the following objectives. A bibliography of current resources is provided for all participants.

LEARNING OBJECTIVES

There are three (3) learning objectives for this presentation:

1. Increase knowledge regarding the Stages of Change theory
   
   
2. Increase knowledge regarding the theory and practice of Motivational Interviewing
   
   
3. Discuss application of this approach to current practice.

Motivational Interviewing:

Clinical Skills

SESSION II ABSTRACT

Session II of this training (12 hours) builds on the material learned in Session I. Participants will practice the skills needed to engage clients and reduce resistance, using the approaches from Phase I of Motivational Interviewing (OARS) and will begin to learn the skills for Phase II, facilitating change.

PROGRAM DESCRIPTION

Session II is offered for clinical staff providing treatment to clients making difficult behavioral changes, such as alcohol problems, medication issues and other health concerns. It will focus on knowledge and skills development for Phase I of Motivational Interviewing (OARS) with an introduction to Phase II, facilitating change. Group exercises, role plays with feedback, and video demonstrations will be utilized to meet the following objectives. Participants are encouraged to read either Miller and Rollnick’s Motivational Interviewing (2 nd edition) or CSAT’s Treatment Improvement Protocol #35 Enhancing Motivation for Change prior to this training.

 

LEARNING OBJECTIVES

There are four (4) learning objectives for this presentation:

1. Develop skills to engage clients and reduce resistance (OARS) Open questions, affirmations, reflective listening, summary
   
   
2. Increase confidence in the practice of Motivational Interviewing.
   
   
3. Introduction to Phase II of Motivational Interviewing, facilitating change.
   
   
4. Discuss application of these skills to current practice.

Motivational Interviewing:

Facilitating Change

SESSION III ABSTRACT

Session III of this training (6 hours) builds on the material learned in Session I and Session II. Participants will practice the skills needed to facilitate change in clients. Participants will also review progress made in their own practice with implementation of Motivational Interviewing and case consultations will be provided.

PROGRAM DESCRIPTION

Session III is offered for clinical staff who have participated in Session II. It will focus on knowledge and skills development for Phase II of Motivational Interviewing, facilitating change. Case consultations will also be provided for participants who have been using Phase I with clients. Group exercises, role plays with feedback, and video demonstrations will be utilized to meet the following objectives. It is recommended that this training take place 3 – 6 months following Session II.

LEARNING OBJECTIVES

There are two (2) learning objectives for this presenta­tion:

1. Review cases where Phase I of MI is being practiced
   
   
2. Develop knowledge and skills for Phase II, facilitating change

Follow-up Consultation/Training

The literature on implementation of evidence-based practices indicates that “drift” is one of the barriers to implementation. This is the practice of moving further away from the skills learned in the new method and returning to previous and more familiar ways of practicing. In order to prevent drift, it is recommended that ongoing consultation, consistent supervision and booster trainings be provided.

Consultation can consist of developing methods within the agency to prevent drift so that an outside trainer/consultant is not always needed. Objectives and design of consultations or booster trainings are based on the need of the participants. For example, the agency may want the consultant to review program design or observe treatment delivery to make recommendations about implementation. Another example may be monthly phone calls with the supervisory team to review issues or mentoring someone within the agency to become a trainer.

Recent MI trainings:

• Motivational Interviewing with Clients with Co-Occurring Disorders, June, 2008, Virginia Summer Institute for Addiction Studies; April, 2008, Northern Virginia Mental Health Institute.
• MET/CBT 5 protocol, January, 2008, Piedmont Community Services Board; February, 2008, Richmond Behavioral Health Authority; August, 2008, Rappahannock/Rapidan Community Services Board.
• Clinical Skills in Motivational Interviewing, February, 2008, Fairfax Community Services Board; May, 2008, Danville/Pittslyvania Community Services Board; February, March , May, October and November, 2008, Blue Ridge Community Services Board; September, 2008 Colonial Community Services Board.
• Virginia Summer Institute for Addiction Studies (VSIAS), July, 2007
• Oakland County Department of Social Services, May-June, 2007
• September – December, 2006 Virginia Co-Occurring Disorders Grant trainings at 5 Community Services Boards
• July 2006 Virginia Summer Institute In Addiction Studies
• April, 2006 – March, 2007 Virginia Department of Rehabilitation Services Contract

References:

Carmen Greiner, MS, LPC, MAC
Lighthouse Counseling
420 Hudgins Road, Suite 201
Fredericksburg, VA 22408
lighthousecounseling@verizon.net

Marilyn Schmal, LPC
Program Manager, Dual Diagnosis Services
Arlington Community Services Board
MSchmal@arlingtonva.us
703-228-4855

Training Logistics

Fees include planning time, master handout, and travel days. Training equipment, travel expenses and lodging are not included.

Keynote presentation: 1.5 - 3 hours	$500.00
Introductory trainings: 6 hours (Limited to 40 participants)	$850.00
Clinical Skills trainings: 6 hours (Limited to 20 participants)	$850.00
A three day event discount (Session I and II)	$2200.00

Follow up consultation/trainings to be negotiated based on need.

Once we have agreed on dates, location and goals, I will send a written contract that includes all of this information.

For additional information on Motivational Interviewing www.motivationalinterview.org