Setting a clear agenda MI news Feb 07
MOTIVATION NEWS
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers
February 2007 http://www.cathycoletraining.com (MI training since 1995) We sit together~ My thoughts you do recapture And bring out the hope Cole, 2007
NEWSLETTER FEATURE ARTICLE IS MI APPROPRIATE? SETTING A CLEAR AGENDA
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. I FREQUENTLY TRAVEL TO AGENCIES OR CONFERENCES TO PROVIDE MI TRAINING.
ONSITE TRAINING OPPORTUNITIES
ONSITE TRAINING DATES 2007 LOCATION: CHAPEL HILL, NORTH CAROLINA
Select the dates and training that works for you. Email me at cathy@cathycoletraining.com to reserve a spot and then complete the registration from the web site Payment is either by check or credit card
INTRODUCTION TO MOTIVATIONAL INTERVIEWING March 19-21, 2007 October 8-10. 2007 A Three day workshop covering the basics with ample opportunity for coached practice A 3 day workshop at the Friday Center, Chapel Hill, NC Limited to 15 participants $650, 19 hours CE; NASW CE Provider * 886383517 Please email cathy@cathycoletraining.com to reserve a spot
For details, visit http://www.cathycoletraining.com under Onsite Training
ADVANCED MI TRAINING April 31-May 2, 2007 November 5-7, 2007 A 2 1/2 day workshop with an emphasis on coached practice Friday Center, Chapel Hill, NC Limited to 15 participants $650, 15 hours CE; NASW CE Provider * 886383517 Please email cathy@cathycoletraining.com to reserve a spot
For details, visit http://www.cathycoletraining.com under Onsite Training
DISTANCE LEARNING TRAINING
FALL 07 TELECLASS--An 8 hour distance learning course as an Introduction to MI; lecture, demonstration and active practice. 8 hours of CE. NASW CE Provider * 886383517' Course if limited to 10 participants Course will meet Mondays from 5-6 PM ET Course dates: September 24 through November 12, 2007 $440 early registration; $460 after September 3, 2007 Please email cathy@cathycoletraining.com to reserve space
For details, visit http://www.cathycoletraining.com under Distance Learning Training
MI COACHING--TAKE ADVANTAGE OF ONGOING SUPERVISION OF YOUR MI PROGRESS VIA 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. Generally, this coaching takes place by phone. You can arrange for individual or group coaching. Please email me at cathy@cathycoletraining for more information.
COMING THIS YEAR! As all of you know, taking action is proof of resolving ambivalence. Making a public declaration of what this action will be is a further commitment step. So, it that spirit, I am announcing that I am taking the initial steps to create a series of MI demonstration DVDs and a MI book/ digest/practice guide. Both of these are intended to supplement the already existing excellent MI text and training videos. I'll let you know when these are ready!
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.
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.
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.
FEBRUARY MAIN FEATURE
IS MI APPROPRIATE? Setting the Agenda
Consider the following interaction: I is for interviewer; C is for client
C: 'I am so angry at my doctor; he won't give me the pain medication I know I need!' I: 'You are certainly upset!' (reflection) C: 'Of course I am; how am I supposed to cope with this pain if he won't give me the medication?' I: 'You are not certain how you can handle this.' (reflection) C: 'I can't handle it; I am in pain and he just tells me that my hip pain will always be there and that he can't give me any more medication! I can't take this.' I: 'You don't know what to do at this point. How have you coped with other hard things in the past?' (reflection, open question) C: 'I don’t want to cope; I just want my medication.' I: 'And in the past you have likely had tough things to deal with and were able to cope.' (reassuring)
Let's stop at this point. Is this interview starting to go in a circle, have an unclear sense of direction? What is happening?
There is a client with a pressing issue and a well meaning interviewer. But where is this interview going? Are the client and the interviewer on the same wavelength on the agenda?
This is an example of a well intended use of the strategies of MI but with no clear understanding of the ambivalence and the client's thoughts on how talking to the interviewer might be useful. If we look at this from traps to avoid in MI, we might consider the issue of premature focus….the interviewer has started to focus on the first thing the client has said. Or perhaps the righting reflex is occuring….the interviewer has decided that helping the client cope is the solution.
Early out in our interaction with a client, we need to set an agenda together, determining what the client sees as important. From there we can proceed in our conversation.
Let's go back to the interview and look at a different way to proceed.
C: 'I am so angry at my doctor; he won't give me the pain medication I know I need!' I: 'You are certainly upset!' (reflection) C: 'Of course I am; how am I supposed to cope with this pain if he won't give me the medication?' I: 'This is clearly distressing to you. In what way can I be of help? What are you hoping will come out of our time together?'
At this point the interviewer is directly relating to what the client is saying is upsetting. The interviewer is avoiding minimizing, solving, reassuring or making any assumptions about what the client wants. The interview might continue in any number of ways; here are two possibilities.
C: 'Oh, I just needed to get that off my chest; I'll cool down and try to go back and let him know how things have changed with me. I just got so mad at first because I am in more pain….and he was in the middle of talking to someone else and I just barged in. I really need to talk to you about how hard it is for me to make a decision about whether to put my mother in a nursing home or not.' I: 'You have a lot going on. Tell me more about the situation with your mother.'
Now the client and interviewer are on the same path and the client has set the agenda. There is a matter of ambivalence and MI is appropriate.
Or another possibility:
C: 'I am so angry at my doctor; he won't give me the pain
medication I know I need!'
I: 'You are certainly upset!' (reflection)
C: 'Of course I am; how am I supposed to cope with this pain
if he won't give me the medication?'
I: 'This is clearly distressing to you. In what way can I be of
help? What are you hoping will come out of our time together?'
(reflection and open clarifying questions)
C: 'I want you to call that doctor and tell him to give me the
pills!'
I: 'You would love me to solve this for you and that is not
something I can do. Outside of that, what else might be
helpful?' (clarifying information and open question)
C: 'Well, when they sent me to you because I told the doctor
I am upset about my mother, whether to put her in a home.
But I figured since you work with the doctor, you could tell
him I need these pills. If you can't do that, what can you do?'
I: 'How we work together and on what will always be something
we negotiate together, but I can give you some idea of how this
works. (a little rolling with resistance
Once again, the client and interviewer are on the same path. The interviewer has appropriately provided information. The client has set the agenda. There is a matter of ambivalence and MI is appropriate. . Keep practicing!
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: Telephone conferencing 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, inc Cathy Cole, President 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.