Responding to Resistance 1-09 MI News
MOTIVATION NEWS
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers
January 2009 Happy New Year! http://www.cathycoletraining.com (MI training since 1995) We sit together~ My thoughts you reflect And hope springs forth Cole, 2007
NEWSLETTER FEATURE ARTICLE
FOCUSING ON CHANGE TALK
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
Cathy Cole Training, 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. Cathy Cole Training 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 email me at cathy@cathycoletraining.com or go to www.cathycoletraining.com
2009 Training Dates: INTRODUCTION TO MOTIVATIONAL INTERVIEWING February 17-19, 2009 http://www.cathycoletraining.com/2009- introduction-february.php July 20-22, 2009 http://www.cathycoletraining.com/2009-introduction- july.php November 10-12, 2009 http://www.cathycoletraining.com/2009- introduction-november.php Century Center, Carrboro, NC Carrboro is adjacent to Chapel Hill, NC Limited to 15 participants $595, 15.5 hours CE; ASWB approved provider Please email cathy@cathycoletraining.com to reserve a spot
ADVANCED MI TRAINING May 11-13,2009 http://www.cathycoletraining.com/2009-advanced- may.php September 14-16, 2009 http://www.cathycoletraining.com/2009-advanced- september.php Century Center, Carrboro, NC Carrboro is adjacent to Chapel Hill, NC Limited to 6 participants $595, 15.5 hours CE; ASWB approved provider Please email cathy@cathycoletraining.com to reserve a spot
PROVIDING SUPERVISION March 30-April 1, 2009 http://www.cathycoletraining.com/2009- supervising.php I now offer a 3 day workshop focused on coding of interviews using the MITI and providing supervision via the use of an adaptation of the MIA STEP supervisory format. In this workshop, the principles of providing supervision in an MI consistent format are discussed, interviews are scored from the supervisory and supervisee perspective, as well as the MITI, and practice sessions are conducted in providing supervision. Century Center, Carrboro, NC Carrboro is adjacent to Chapel Hill, NC Limited to 15 participants $595, 15.5hours CE; ASWB approved provider Please email cathy@cathycoletraining.com to reserve a spot
DISTANCE LEARNING
SOLIDIFY YOUR SKILLS
The research shows that without ongoing consultation, skills learned in an
introductory MI training return to baseline after 4 months. This hourly
consultation time will take place via bridge line for 8 hours of consultation.
Each week will focus on an area of MI beginning with The Spirit of MI.
Participants will be given assignments that will focus on application in their
work settings.
Dates: Wednesdays, February 4, 11,18,25 and March 11,18, 25 and April 1
Time: 7pm-8pm, Eastern Time
Cost: $440, plus cost of accessing the bridge line (participant paid)
Size: limited to 6
8 hours CE: ASWB approved provider
For more information or to register contact cathy@cathycoletraining.com or
access information at www.cathycoletraining.com under distance learning
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.
THE PATH FOR BECOMING A TRAINER FOR MOTIVATIONAL INTERVIEWING If you are considering becoming a trainer in MI, you will be expected to demonstrate proficiency in MI. Applications are reviewed for indication of both introductory and advanced MI training as well as supervision of MI fidelity. I am able to assist you in all of these areas.
THREE LEVELS OF DEVELOPING MI SKILLS IN AN AGENCY in order for your agency staff to learn MI and then continue in developing proficiency, I offer a 3 level training package: Level one: 3 day introductory training for up to 30 staff Level two: 3 day advanced training for up to 10 staff Level three: 3 day training for up to 10 staff who will provide leadership for ongoing training and development of peer consultation teams. For more information, please contact me at cathy@cathycoletraining.com
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 and
proposal tailored to your agency.
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.
Onsite training is limited to 15 participants for Supervising MI, Advanced and Introductory MI.
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.
JANUARY MAIN FEATURE
RESPONDING TO RESISTANCE
Rolling with resistance can certainly be challenging for all of us! In MI we
think of resistance as occurring in the context of the relationship and
therefore behavior that can be increased or decreased based on how we
interact. Reading Box 5.1 on page 48 in the 2nd edition of Mi is a good
refresher in the various ways resistance can present. For this issue, I will
provide a few examples from this list and then provide a response that would
raise resistance and then the response that could help to lower resistance.
C is for client; I is for interviewer
Challenging
C: 'You are just pushing that medication because the drug company buys
all of the staff lunch all the time.'
I: raising resistance: 'I wouldn't do a thing like that! This is a good
medication for you.'
I: rolling with resistance: 'You are worried if I am thinking about what is
in your best interest.' (complex reflection)
Discounting C: 'How can you help me? You don't have my problem.' I: raising resistance: 'This is about you, not me.' I: rolling with resistance: 'Trusting that I can help you is something that you think about a lot.' (complex reflection)
Blaming C: 'I bet the cop stopped me because it was the end of the month and he needed to make his quota.' I: raising resistance: 'You have to admit that going 80 in a 40 mile zone is a problem!' I: rolling: 'Getting stopped has really created a mess for you, is requiring that you do some things you don't want to do.'
Reluctance C: 'I don't know if I can do all those things for my diabetes; I guess I'll just get more and more sick from it.' I: raising: 'Oh sure, you can do it!" (reassuring) I: rolling: 'You feel discouraged and need to find a way to be successful.'
So, you are likely saying that all of these might just result in a one word answer from the client and that is possible. However, remember that the goal of rolling with resistance is to allow the conversation to continue. Let's take one example and see how it might proceed.
C: 'How can you help me;? You don't have my problem.'
I: 'Trusting that I can help you is something that you think about a lot.'
C: 'Yes, I am so worried about having multiple sclerosis and being told to
take that medication that I don't if it will help and it makes me feel bad.' I: 'What would be the most helpful thing from me as your doctor?'
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.
Use of a structured supervisory feedback form for targeting competence and places for improvement in MI practice based on the MIA STEP materials.
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. 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.