Enhancing Confidence-June Motivational Interviewing Newsletter
MOTIVATION NEWS
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers June 2005 http://www.cathycoletrainging.com \"What People Need is a Good Listening To\" Mary Lou Casey
MOTIVATION NEWS MAIN FEATURE ENHANCING CONFIDENCE--STILL A MATTER OF AMBIVALENCE
IT'S NOT TOO EARLY TO PLAN FOR YOUR FALL MI TRAINING!!!! WHAT YOU NEED TO KNOW IS JUST BELOW.
IF YOU DO NOT SEE TRAINING THAT WILL FIT YOUR NEEDS, PLEASE EMAIL ME AT cathy@cathycoletraining.com IN ORDER TO DISCUSS HOW I CAN PROVIDE TRAINING TAILORED TO YOUR NEEDS.
ABOUT MY WORKSHOPS; 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 participants work setting.
I offer all participants the opportunity to submit a 15 minute audio-tape of an interview using the MI approach before and after each workshop. This will allow for you to have feedback on your progress in learning.
Onsite training is limited to 15 participants, both in Advanced and Introductory MI; Distance Learning classes are limited to 10.
ONSITE TRAINING OPPORTUNITIES
Advanced Training in Motivational Interviewing--October 2005 A two day workshop at the Friday Center, Chapel Hill, NC Monday and Tuesday October 10-11, 2005; limited to 15 participants $580, 13 hours CE; CE Provider * 886383517 For details, visit http://www.cathycoletraining.com under Onsite Training
Introduction to Motivational Interviewing--November 2005 A 2 1/2 day workshop at the Friday Center, Chapel Hill, NC Monday, Tuesday and am Wednesday, November 15-16, 2005 Limited to 15 participants $580, 16 hours CE; CE Provider * 886383517 For details, visit http://www.cathycoletraining.com under Onsite Training
DISTANCE LEARNING TRAINING
Fall/Winter Teleclass Schedule
Join me and fellow classmates for the ease and convenience
of learning via telephone bridge line...no special equipment needed.
There are eight one hour sessions for this Basic MI training.
Class begins September 12 and concludes December 12, 2005
Teleclass Schedule
Introduction to MI: 8 one hour teleclasses
Mondays 3-4pm Eastern Time on these Mondays:
9-12, 9-19, 10-3, 10-17, 10-31, 11-7, 11-28, 12-12, 2005
Fee: $400 by 8-17; $450 after 8-17-05
CE approval via the National Association of Social Workers
CE Provider * 886383517
For full course description and registration click Distance Learning on my web site http://www.cathycoletraining.com or write to me at cathy@cathycoletraining.com
MI COACHING For individuals and agencies with previous MI training either with me or another MI trainer, I offer ongoing coaching/supervision in the application of MI. Please email me at cathy@cathycoletrainiing for more information.
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 coaching, mental health, 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.
ENHANCING CONFIDENCE--STILL A MATTER OF AMBIVALENCE
'Motivational Interviewing (MI) is a directive, person-centered clinical method for helping clients resolve ambivalence and move ahead with change. It can be applied as a preparation for treatment, a freestanding brief intervention, an enduring clinical style, or a fall- back approach when motivational obstacles are encountered.' Miller and Rollnick, Journal of Cognitive Psychotherapy: An International Quarterly, Vl 18, *4, 2004
The above excerpt is from the article 'Talking Oneself Into Change: Motivational Interviewing, Stages of Change, and Therapeutic Process.'
Rarely do any of us make a decision about a change without some ongoing mixed feelings about it and conversely, most of us don't feel totally incapable. Using an MI style, we can continue to elicit reasons for change and strengthen them. Continuing to use methods for eliciting change talk, brainstorming ideas, reviewing past successes, and giving information and advice are among the ways to elicit and strengthen change talk.
But, a warning, there are some things for the interviewer to avoid: taking responsibility and providing a prescription (the opposite of eliciting/ collaboration) Not taking the issue of confidence seriously enough and missing key elements of self-efficacy And on the other side, continuing to be optimistic about change
Let's return to Jane Doe from last month's MI News.
Jane Doe has been discussing her overall health concerns with the health educator at her medical clinic. She began by talking about upset she is about her weight gain of 20 pounds over the last year.
We'll assume that the interview has progressed. The following summary was provided with the first idea of moving to a change plan, but strengthening confidence comes first. I is for interviewer; J is for Jane.
I; 'So let's see where you stand, from what we have discussed: You really want to get this weight off and keep it off this time (strong Desire). When you look at whether you have what it takes (Ability), you realize you have been finding ways to exercise at least 30 minutes 3-4 times a week and if you can to that, you can lose weight also. Reasons you have cited are better health status, look better, role model for your family, increased energy. You know you Need to do this because of your new diabetic status and your mild difficulty with hypertension. So, where does that leave you?
J: 'I am still committed to doing this but I am still a little doubtful that I can.'
I: 'Okay, that makes sense; you have been successful at an exercise routine; how did you manage that?' (exploring successes)
J: 'Hmm, how did I do that? Well, I decided what was a reasonable goal, looked at my schedule and found the time I could do it. And come to think of it, I made sure I had a way to do exercise at another time or in another way if the first plan would not work.'
I: 'You made a specific plan with flexibility' (simple reflection) And, what else?
J: 'I also made a commitment to others, in that I told them my plan and asked one friend to be my support coach.'
I: 'You are accountable to more than just yourself; you upped the ante so to speak' (complex reflection). How can you use that success to help you with this one?'
J: 'I need to first make sure I have a clear plan for how I am going to eat, with a way I can have treats, not feel deprived.'
I: 'Tell me your ideas thus far; we can brainstorm what will work best for you.'
And so the dialogue continues to a change plan and solidifying commitment. To learn more on Enhancing Confidence, read Chapter 9 of Motivational Interviewing, Preparing People for Change; Miller and Rollnick, 2nd edition, 2002, Guilford Press.
For more information on MI training and Cathy Cole visit http://www.cathycoletraining.com
Additional Educational/Coaching Offerings: Use of the MITI (Motivational Interviewing Treatment Integrity Code) for feedback on taped interviews.
Onsite workshops: one to three day training in MI for agencies or educational consortiums
Onsite consultation: Preparing your agency for MI. Combining this with specific training for agency staff increases the effectiveness of implementing MI.
Additional Advanced MI training: 8 one hour teleclasses for active case supervision and focus on MI skills or on site training for staff groups already trained in MI; feedback on tapes using the MITI.
MI Coaching: assessment of a taped client session with phone supervisory consultation; feedback on tapes using the MITI.
For information on any of these MI trainings, send email to cathy@cathycoletraining.com
Cathy Cole, MSSW, LCSW is an educator and clinician.
She received her Masters of Science in Social Work from
the University of Tennessee and has maintained a varied clinical and
education practice throughout her career. Since her training in
Motivational Interviewing in 1995, she has provided extensive training.
For more information on Cathy visit http://www.cathycoletraining.com
To contact Cathy, use cathy@cathycoletraining.com
cathycoletraining Mission: to provide excellent education and coaching with a specific focus on the use of Motivational Interviewing for exploring and resolving the natural ambivalence for change. Training in the use of Motivational Interviewing is offered on site or via teleconference. Contact Cathy at cathy@cathycoletraining.com for more information or visit http://www.cathycoletraining.com
For more information on Motivational Interviewing, visit the web site http://www.motivationalinterview.org
(919) 967-9653 — 
cathy@cathycoletraining.com© 2009 Cathy Cole Training, Inc.