Expanding on Autonomy 2-09 MI News

MOTIVATION NEWS

Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers

February 2009
http://www.cathycoletraining.com (MI training since 1995) We sit together~ My thoughts you reflect And hope springs forth Cole, 2007

NEWSLETTER FEATURE ARTICLE

EXPANDING ON AUTONOMY

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

CathyColeTraining, inc. 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. CathyColeTraining ,inc 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

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 AM STILL ACCEPTING REGISTRATION FOR A FEW REMAINING SPOTS FOR THE FEBRUARY 17-19 TRAINING. REGISTRATION AND METHOD OF PAYMENT MUST BE RECEIVED BY TUESDAY, FEBRUARY 10

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.
TO BE DETERMINED BASED ON CLASS ENROLLMENT OF AT LEAST 4 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 disregarding current dates

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.

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.

FEBRUARY MAIN FEATURE

EXPANDING ON AUTONOMY

The Spirit of Motivational Interviewing is focused on three concepts: Partnering/collaborating Eliciting/llearning from the client Autonomy/personal choice and control

Often we think of Autonomy in a simple way that involves recognizing that truly only the client can decide. This idea, in my thinking, also forms the basis for the rolling with resistance response where we emphasize personal choice and control, often saying 'it's true only you can decide'.

In the MITI 3.0 (Motivational Interviewing Treatment Integrity, Moyers, Martin, Manuel, Miller and Ernst: see www.motivationalinterviewing.org under Training), autonomy is discussed more fully, noting that interviewers high in autonomy/support demonstrate in client contact the belief that the client is in fact in charge of his/her life and that the client has the capacity to make good choices for behavior change. The interviewer helps the client think about and recognize possible choices for change, while allowing for full client decision making.

If we look at autonomy/support in this way, we can easily see how this connects to the principle of supporting self efficacy and ties directly to 'belief in the intrinsic motivation for change'.

Here are several examples: C is for client; I is for interviewer.

C: 'I just keep getting pressure to make these changes and I am not certain I want to do that.' I: 'It's true that only you can decide and should decide; what thoughts do you have about why you are getting pressure?'

C: 'Everyone else seems to think they know what is best for me with my diabetes, like how I should eat, how to exercise, manage my stress. Almost makes me want to do the opposite! I am smart and have not been doing all that bad.' I: 'You want support for your efforts and not someone dictating to you. You seem to have your best interests at heart and I'd be curious about how you do manage these areas.'

C: 'You know I have been a mom to 2 children already and now that I have to get some assistance,I guess I just have to go along with other's ideas.' I: 'Let's talk more about feeling like you have no control, what would be more supportive to you and make use of your experience as a mom.'

I: 'Jane, I am wondering what it is like for you to be here in the treatment program with all of our ideas about how to make changes with alcohol use? Some folks feel like we are telling them they have no choices, can't decide what is best for them.'

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