Focusing on Past Success at Change 11/7 MI News
MOTIVATION NEWS
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers
November 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
ELICITING AND SUPPORTING CHANGE BASED ON PAST SUCCESS
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
2008 ONSITE TRAINING DATES: INTRODUCTION TO MOTIVATIONAL INTERVIEWING: March 4-6, 2008 August 18-20, 2008 November 17-19, 2008 Three day workshops covering the basics with ample opportunity for coached practice Century Center, Carrboro, NC Carrboro is adjacent to Chapel Hill, NC Limited to 15 participants $550, 18 hours CE; ASWB continuing education pending Please email cathy@cathycoletraining.com to reserve a spot Payment accepted beginning January 2008
ADVANCED MI TRAINING April 14-16, 2008 October 13-15, 2008 Three day workshops with an emphasis on coached practice Century Center, Carrboro, NC Carrboro is adjacent to Chapel Hill, NC Limited to 15 participants $550, 15 hours CE; ASWB continuing education pending Please email cathy@cathycoletraining.com to reserve a spot Payment accepted beginning January 2008
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.
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.
NOVEMBER MAIN FEATURE
Before the main feature, I want to call your attention to the most recent text for Motivational Interviewing: Motivational Interviewing in the Treatment of Psychological Problems, editors Arkowitz, Westra, Miller, and Rollnick, Guilford 2008. The book features the application of MI in 12 areas of mental health focus. Coming in December from Guilford will be Motivational Interviewing in Health Behavior, Miller and Rollnick.
ELICITING AND SUPPORTING CHANGE BASED ON PAST SUCCESS
It is not unusual for clients to address and make successful changes and then fall away from maintaining these changes for any number of reasons. Often a client feels discouraged and not hopeful about reinstituting change. If we have knowledge or can successfully elicit how there were able to change in this area in the past, this can help the client readdress and move toward a change plan. Here is an example from a recent experience of mine. All of the conversation and dialogue is not represented, just a sample of using past success. C is for Client I is for interviewer
I: 'It's good to see you again, Mrs. Jones; what would you like to talk about today?'
C: 'I am being mean to my husband, treating him bad; he doesn't deserve that.'
I: 'You are feeling bad about this.'
C: 'Yes, I was doing so good and now I just can't seem to help myself; once it starts I just keep making it worse.'
I: 'So you were doing okay with this. What has happened that got you off track?'
C: 'Well, when my husband was sick, he said things that hurt my feelings; I know he did not mean them but I got angry and just wanted to hurt him back; now he is better and I just keep doing it.'
I: "You lashed out in defense and now you regret it and want to stop, do better.'
C: 'I need a kick in the pants!'
I: 'Hmmm, well you know I can't kick you in the pants! (said with levity as I know this person fairly well); I'm wondering how you might find a way to kick yourself in the pants, so to speak?'
C: (Laughs) 'I don't know what to do.'
I: 'If I recall, we talked about this in the past and you were successful at making a change. I also recall this was happening when you and your husband were not doing much, mostly sitting home. What is going on now?'
C: 'That is what we are doing now; just sitting around. I end up not feeling very useful, neglecting my house, not going out to the senior group.'
I: 'So when you are just idle this is worse. How did you stop lashing out at him before, what helped?'
C: 'I had a plan for doing things each day at my house and I would also say I was going to the senior center and he would come along.'
I: 'So that worked for you then; since you really want to change, what do you think you could do now?'
C: 'I could start doing things and he might do things too; at any rate I'd feel better and then I don't get mad at him the same way.'
I: 'Okay, having a routine for yourself is a place to start and it's what helped before. What would that look like for you? What kind of routine do you want to start?'
Client goes on to make a specific plan, makes a commitment to the plan and sets a follow up appointment.
In this example, the focus was on behavior change based on my knowledge of this client's vulnerability from her past history. She had done well expanding her knowledge about how her history adds to her difficulties but had responded to a more behavioral approach to making change. With another client, exploring how the client might want to proceed regarding a goal of increased insight, focus on behavior change or a combination could be pursued.
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 919-382-8102
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.