Motivation News: Cultural Sensitivity, A Conversation
Motivation News
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers, Inc.
Bulletin
There is an unauthorized MI book being marketing by amazon.com. I am including the link. Please read the comments of Drs. Miller and Rollnick in the review section before you make a decision on purchase. This book will not provide you with the depth of MI teaching available in the MI texts that are published by Guilford Press. Here is the link: http://www.amazon.com/Outlines-Highlights-Motivational-Interviewing-9781572305632/dp/1428885285/ref=sr116?ie=UTF8&s=books&qid=1264688636&sr=8-16
March 2010
http://www.cathycoletraining.com (MI training since 1995)
We sit together~
My thoughts you reflect
And hope springs forth Cole, 2007
Newsletter Feature Article
Cultural Sensitivity, A Conversation
Onsite Training Opportunities
Training Schedule for 2010: all trainings are now open for registration; please visit the Workshops section of the web site: http://www.cathycoletraining.com
Make your plans to attend one of these trainings. All trainings take place in Carrboro, NC, a charming town adjacent to Chapel Hill, NC. The closest airport is Raleigh Durham. Workshop fees are $595.
Introduction to Motivational interviewing: limited to 15
July 31-August 2, 2010
Advanced MI Training: all practice, limited to 6
April 24- 26, 2010 Two places available
November 6-8, 2010
CathyColeTraining, inc. provider # 1177, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CathyColeTraining ,inc maintains responsibility for the program.
Social workers participating in this course will receive clinical social work continuing education clock hours. Other professionals need to check with appropriate boards to determine acceptance of ASWB approved CE.
For more information on trainings, please see Workshops at http://www.cathycoletraining.com
About My Workshops: I have provided MI training since 1995, following my training with Drs. Miller and Rollnick. My teaching approach is very pragmatic, focusing on the core concepts of MI and allowing the learning to progress from direct practice.
I have elected to limit the size of my workshops in order to maximize the opportunity to provide learning that can both address the concepts and practice of Motivational Interviewing while at the same time assist in the application of MI to each participant's work setting.
Range of Services A full range of training services as well as training dvds are available from the associates of cathycoletraining,inc. Please visit http://www.cathycoletraining.com for full information
Newsletter
This letter may be forwarded to anyone you feel could benefit as long as it is forwarded in its entirety. Past newsletters available via web site http://www.cathycoletraining.com
Welcome to Motivation News, a newsletter devoted to clinical information on the use of a Motivational Interviewing (MI) approach to change. The authors of this approach, William Miller, PhD and Stephen Rollnick, PhD define MI as a 'client centered, directive method for enhancing an intrinsic motivation for change by exploring and resolving ambivalence". This collaborative approach to working with clients has wide application in mental health, the justice system, addictions, health care and health education. Information in this newsletter is taken from various source material from the Motivational Interviewing Network of Trainers and specifically from the book Motivational Interviewing, Preparing People for Change; Miller and Rollnick, 2nd edition, 2002, Guilford Press. Additional source material: Motivational Interviewing in the Treatment of Psychological Problems, ed. Arkowitz, Westra, Miller, and Rollnick, Guilford 2007; Motivational Interviewing In Health Care, Rollnick, Miller, and Butler, Guilford, 2007.
Cultural Sensitivity
Motivational Interviewing has been shown to be effective with groups in the cultural minority. This is likely due to MI Spirit which is the basis of all client interactions. Spirit involves partnering, eliciting, and autonomy. In the February MI News, I expanded on these concepts. This month I am offering a sample conversation demonstrating cultural sensitivity.
The context: a clinic following pregnant women at risk for gestational diabetes. (C) is for client; (I) is for interviewer. The three parts of spirit are here for a reminder.
Partnering: as a beginning place, partnering has to address the issue of importance.
Eliciting: the basis of learning about importance and also determining possible barriers for making changes.
Autonomy: noting that when the client system leaves the office, they will make the final decisions.
I: Hi Joan. I'm glad you could make the appointment. I know transportation is hard for you. (Affirmation) I looked at your weight check in and I am concerned that you gained weight since the last visit. What do you recall about our worries with your pregnancy weight?
C: I remember you said I could get diabetes and that would be bad for me and my baby. But, you know my mom and aunt live with me and they do the cooking. When I told them what you said about what I should eat and not eat, they both just laughed and said 'What does she know! We have had 10 babies between us and we ate this way!' I just gave up.
I: It's hard to go against these two important women.
C: Yes, they love me so much and will be there to help take care of my baby; they would think I didn't love them, was disrespectful if I wanted them to cook different foods or if I didn't eat as much as they think I should.
I: So you know this is important and at the same time you are not sure how to handle this with your mom and aunt.
C: I don't think they understand about the diabetes thing, how dangerous that could be for me and my baby! I get scared thinking about it.
I: You need a way to help them understand. What are your thoughts about what might help?
C: Well, I took those sheets you gave me home but you know, neither of them reads very well and those words are so big. I know they both want me and the baby to be healthy.
I: You want to help them understand and I am here to help you with that, with whatever ideas you have.
C: Ummm, could I bring them next week to the visit? Maybe you could talk to them and not use big words. They understand about having the 'sugar' since grandma died from it. But they think it just happens to old people who eat too much sugar.
I: I would be pleased to meet them and try to help them understand. I would want you to be there and make sure I am using words they understand, that you help me talk to them. What do you think about that?
C: That is a good idea; I don't know if it will change their minds but it can't hurt.
In using MI to address matters of cultural sensitivity, we are likely to increase the partnering with the clients and increase the possibility of change.
Keep Practicing!
Cathy
(919) 967-9653 — 
cathy@cathycoletraining.com© 2009 Cathy Cole Training, Inc.