2-Day Motivational Interviewing Experiential Conference: Mastering the Language of Change in Critical Client Conversations – William Matulich

• Learn by doing! Practice MI skills and add them to your clinical toolbox
• Improve treatment outcomes by inspiring client’s own motivation to change
• Combine MI with other treatment modalities
• Apply MI skills in any situation requiring change!

Motivational Interviewing founder Drs. Bill Miller and Stephen Rollnick will speak at the conference. Join William Matulich, a member of the International Motivational Interviewing Network of Trainers, to learn how to integrate MI skills into your practice.

It is proven that MI is effective for many common clinical problems such as addiction, anxiety, depression, dual diagnosis (substance abuse), externalizing problems in adults, disruptive behavior disorders in youth, and unhealthy lifestyle choices.

MI gives responsibility back to the client for change, so you don’t have to worry about it. If your clients commit to change, you will be able to provide support and improve treatment outcomes.

You will learn how to make MI more accessible and useful during the conference.

Dr. Matulich will use demonstrations, case examples, role-plays and more to teach you the essential MI skills that your clinical practice is missing to help your clients change.

1. Summarize the history of Motivational Interviewing (MI).
2. Describe the evidence base for the use of MI for behavioral change.
3. Explain the “Spirit” of MI.
4. Discuss what motivates people to change.
5. Identify and practice how to assess client motivation.
6. Practice specific techniques to increase client motivation.
7. Describe the 6 stages of change.
8. Utilize the 4 core skills of MI in conversation.
9. Employ several techniques to generate “change talk” and soften “sustain talk”.
10. Utilize strategies to explore and resolve ambivalence to change.
11. Demonstrate the ability to recognize and reinforce “change talk.”
12. Employ several techniques to reduce the likelihood of client resistance and discord.
13. Describe how MI can be integrated into current forms of treatment.

Get 2-Day Motivational Interviewing Experiential Conference: Mastering the Language of Change in Critical Client Conversations of author William Matulich

MI Defined

• A conversation about change
• Person-centered approach
• Goal-oriented approach
• Honors client autonomy
• Research behind effectiveness of MI

The model of change is transtheoretical.

• Six stages of change
• Assessing client stage of change

There are theories of motivation.

• Needs theory
• Self-determination theory
• Reactance and Self-perception theory
• Myths
• Extrinsic vs. intrinsic motivation

Avoid directing if you want to put it into practice.

• Being the expert
• Direct the client

The righting reflexes.

• Counterproductive for MI
• A natural counselor response/reflex

Put it into practice.

• Seven questions to generate motivation

The spirit of MI.

• Partnership
• Acceptance
• Compassion
• Evocation

There is an importance of empathy.

• Required for engagement

There are four processes of MI.

• Engage
• Focus
• Evoke
• Plan

Critical skill building can be done using OARS.

• Open questions
• Affirmations
• Reflections
• Summarizations
• Put it into practice: Forming reflections/ feedback and reflective listening

The reflections are complex.

• Double-sided reflections
• Reflecting Feeling
• Using metaphor
• Put it into practice: Complex reflections

Questions can be open.

• Cannot be answered with “yes” or “no”
• Opens the conversation
• Empowers the client
• Put it into practice: Change closed to open questions

Affirmations.

• Reflect something positive
• Builds a sense of self-efficacy

Summaries

• Long reflections of client statements
• Strategic use of summaries

A demonstration of skills.

• Code example using OARS observer sheet
• Discussion/Questions

Talk about change.

• Client speech that favors motivation
• Types of Change Talk: Desire, ability, reason, need, commitment, activation, taking steps (DARN-CAT)
• Put it into practice: Recognizing and responding to change talk

Strategies to create a movement.

• Open questions that generate change talk
• Readiness rulers and follow-up questions
• When to use the Decisional Balance
• Exploring values and goals

Resistance and Discord.

• Social interaction theory of resistance
• Ways to handle discord or “resistant” clients

Information and/or advice can be given.

• With permission
• Elicit-Provide-Elicit
• Menu of options
• Put it into practice: Agenda setting and prioritizing

Consolidate your commitment.

• Recapitulation summary
• Key question
• SMART goal setting

Other treatment methods should be incorporated with them.

• CBT and more

Put all the skills together.

• Demonstration
• Participant coding
• Strategic planning
• Skills practice with observer feedback

Get 2-Day Motivational Interviewing Experiential Conference: Mastering the Language of Change in Critical Client Conversations of author William Matulich