Motivational Interviewing for Mental Health Clinicians: A Toolkit for Skills Enhancement

Description

Conversations about change can be challenging. In this motivational interviewing (MI) toolkit, you will find a variety of tools and strategies designed to help you apply the spirit of MI so you can more effectively evoke people’s own interests, experiences, and good ideas for change. Designed for mental health clinicians who want to deepen their learning and proficiency, this toolkit provides: -Examples of how to use MI to support people experiencing a variety of mental health issues -Activities to help you more deeply explore the fundamental concepts, spirit, and tools of MI -Sample conversation scripts that demonstrate the MI skills in practice -Exercises to assess your progress and gain confidence in your skills -Tools to help you integrate MI more fully into your practice Most importantly, this toolkit offers a variety of flexible opportunities for you to actively practice the core skills of MI: Use them on your own, with a partner, with a team of colleagues, or within an MI learning community. Cover Copyright About the Authors Dedication Acknowledgments Table of Contents Foreword Preface Introduction Learning Experiences in the Toolkit Maximizing Your Learning 1. MI with People Experiencing Mental Health Issues The Value of MI in Mental Health Settings Depression Anxiety Bipolar Symptoms Substance Use Issues Thought Disorders 2. Strengthening the Spirit of Motivational Interviewing Components of MI Spirit Turning “What’s Wrong” into “What’s Strong” Strengthening MI Spirit and Avoiding Burnout with Mindful Practices Monitoring Your MI Spirit Over Time 3. Conversations About Change Constructive Conversations About Change Interpersonal Communication Styles and Conversations About Change Ambivalence About Change Components of an Effective Motivational Conversation 1: MI-Consistent Behaviors, MI-Inconsistent Behaviors, Evocative Behaviors Components of an Effective Motivational Conversation 2: Relational and Technical Components Brief Conversations About Change Introducing MI Processes and Core Skills 4. The Core Skills of MI Listening Core Skill: Open Questions Core Skill: Affirmations Core Skill: Reflections Core Skill: Summaries Offering MI-Consistent Information and Advice The Core Skills and the Spirit of MI 5. Engaging: The Relational Foundation The Importance of Engaging Engaging and the Initial MI Conversation Our Strengths in Engaging Challenges of Engaging MI-Consistent Ways to Gather Assessment Information Engaging with Open Questions, Affirmations, and Reflections Engaging by Exploring Values and Priorities Preparing for Engaging Conversations Ongoing Assessment of Our Ability to Engage The Dance of MI: Introduction to a Framework The Dance of MI: Moving from Engaging to Focusing 6. Focusing: The Strategic Direction Straightforward Focusing Shared Agenda Focusing Sorting Multiple Potential Change Focuses Focusing When the Focus Is Unclear Tools to Help Identify and Prioritize Focuses The Dance of MI: Moving from Focusing to Evoking 7. Evoking: Preparation for Change Language About Change Types of Change Talk Evoking and Responding to Change Talk Strengthening Acceptance and Developing Discrepancy Evoking Importance and Confidence Softening/Decreasing Sustain Talk Equipoise: Evoking Change Talk with Neutrality Tools to Aid Evoking A Bridge for Change The Dance of MI: From Evoking to Planning 8. Planning: The Bridge to Change Testing the Water for Planning Sample Initial Planning Conversation Strengthening Commitment for Making a Change Moving from “Why” to “How”: Action Planning Resolving Ambivalence While Creating a Plan Tools to Enhance Following Through and Sustaining Change The Dance of MI: From Planning to Preventing a Recurrence 9. Conversations About Suicide and the MI Four Processes MI with People Experiencing Suicidal Thoughts and Intentions The Four Processes: Engaging The Four Processes: Focusing The Four Processes: Evoking The Four Processes: Planning Following Up 10. Next Steps: Continuing Your MI Journey Coaching and Coding Communities of Practice Self-Assessment and Peer Feedback Finally… References Appendix: Suicidal Risk Resources Screening Suicide Risk Assessment and Treatment Intervention Information