Agenda/Referral MI News 12/7
MOTIVATION NEWS
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers
December 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
AGENDA SETTING WITH A NEED FOR A REFERRAL
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:
*****NEW WORKSHOP.....REGISTER NOW*********** MOTIVATIONAL INTERVIEWING IN SUPERVISION January 31-February 1, 2008 Century Center, Carrboro, NC Carrboro is adjacent to Chapel Hill, NC Limited to 15 participants
Purpose of workshop: to provide a format for either self assessment, supervision or peer consultation for determining level of and improvement of MI consistent skills.
Format: use on the MIA STEP process to rate recorded interviews
Participants should be knowledgeable of Motivational Interviewing with the ability to demonstrate and recognize skills that are consistent with the practice of MI. This is not a workshop to train the use of MI skills but participants already practicing MI can expect an increased awareness of MI consistent practice and be able to compare their level of practice to the standards.
To register: 1. Email Cathy Cole at cathy@cathycoletraining.com to reserve a spot. 2. Send a check to Cathy Cole for $440 POB 17271 Chapel Hill, NC 27516- 7271 3. Pay by credit card at http://www.cathycoletraining.com/paypal_payments.php Using the distance learning fee schedule 4. Indicate payment from what institution:
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.
ADOPTING THE MI PRINCIPLES ON AN AGENCY LEVEL
The fullest implementation of MI is achieved when staff are trained in the use
of
MI and all of the operation of the agency is consistent with MI principles. I
offer
consultation that will assess all levels of function in the agency, from how the
phones are answered, clients greeted, intake achieved and provide guidance
in making changes to incorporate MI into the full process of work. At a
recent
workshop, a staff member, responding to a crisis. remarked that he was able
to
handle the situation more effectively by using MI as an approach. A
receptionist
remarked that she now would use MI in her client interactions.
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. 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.
NOVEMBER MAIN FEATURE
Before the main feature, I want to call your attention to the most recent texts for Motivational Interviewing: Motivational Interviewing in the Treatment of Psychological Problems, editors Arkowitz, Westra, Miller, and Rollnick, and Motivational Interviewing in Health Behavior, Miller, Rollnick and Butler, Guilford 2007.
AGENDA SETTING WITH A NEED FOR A REFERRAL
Here's the situation: you are a health information specialist in a county health department where your job is to attend to well child care with whatever parent comes in for the appointment. On this day, you are seeing a young woman you have known since the birth of her child and today is the time you would plan to focus on well child care for her sons' first year. However, in this consultation you need to attend, as always, to what is important to your client as well. The conversation might go like this: I is for interviewer and C is for client.
I: 'Good afternoon Joan; it's good to see you again! How are you doing today? ' (greeting and opening question)
C: 'I'm not doing so good today but I know you don't have much time and you want to talk about Jimmy, not me.'
I: 'I want to attend to what you need; tell me what is going on with you.'
(letting
client define what is important)
C: 'My mom died since I saw you last, 3 months ago, and I haven't had a moment's peace since then.'
I: 'It's been really rough for you.' (following by reflecting)
C: 'Yeah, it's hard enough that I lost my mom; I knew it was coming since she had more cancer after she was treated for breast cancer but it is still a shock when it happens. So on top of really missing her, particularly when she was not there for Jimmy's first birthday, my family is fighting all the time about who gets what and they want me to be the one handling all of that and the things like insurance, banks, all that stuff that is there after someone dies. I don't think I can handle all of this.'
I: 'Grieving and family fights, all at the same time; it's taking a toll on you.' (following by reflecting)
C: 'I guess I'll get through it; some days I just don't know.'
I: 'What do you think you need the most right now? In what way can I help the most?' (open question, letting client set the direction)
C: 'I sure don't want to neglect Jimmy, so I want us to do his well child talk; I think he's doing great but I want to hear from you and also talk about how to get him to eat new foods. But, I know you have social workers here also; I think I met him one day in the lobby. Do you think he has some time for me, not today but later in the week? I need someone to help me sort this stuff out.'
I: 'Of course we can get that arranged; let me call the receptionist right now and get that appointment for me then we can get back to Jimmy. How does that sound?'
And so the appointment continues. If the health information specialist had not attended first to this client's more pressing concern, the interview would likely have been very ineffective in meeting this client's needs on any level. The interaction that resulted in the referral likely took less than five minutes. The quality of the listening went much farther than that in solidifying the relationship.
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
© 2009 Cathy Cole Training, Inc.
