Motivational interviewing new horizons 4 4 13

A Tool for Teaching & Advising

Laura Daniel, Ph.D. Dave Keel, Ph.D. DCC RCC

New HorizonsApril 4, 2013

Motivational Interviewing:

History

• Developed by Miller and Rollnick, 1991

• Started by examining what worked with substance abuse clients

• Represented a different approach from past models

• Has broad utility beyond substance abuse counseling

Background

• MI has client-centered elements but departs from a pure Rogerian approach.

• It is non-judgemental, non-confrontational, and non-adversarial.

• It is semi-directive

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Four Principles of MI

• Express empathy

• Develop discrepancy

• Roll with resistance

• Support self-efficacy

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Four Principles of MI

• Express empathy– It sounds like you are very frustrated by your BIO

141 class.

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Four Principles of MI

• Develop discrepancy– On one hand you want to just drop BIO 141, but

you know that you need it to get into the ADN program.

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Four Principles of MI

• Roll with resistance– You don’t think that talking to your professor

about your difficulty in BIO 141 would make any difference.

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Four Principles of MI

• Support self-efficacy– It sounds like you have skills that have been

helpful in other classes that may help you succeed in BIO 141 despite the challenges.

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Four Key Strategies

• Open-Ended Questions

• Affirm

• Reflective Listening

• Summarize

• This can be remembered by using the pneumonic “OARS.”

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Four Key Strategies

• Open-Ended Questions– Examples:

– So what do you think you’ll do?

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Four Key Strategies

• Affirm– It sounds like your education is very important to

you, but you need help figuring out the process of enrolling in college.

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Four Key Strategies

• Reflective Listening– It sounds like you aren’t ready to pick a program

of study yet.

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Four Key Strategies

• Summarize– So if I am hearing you correctly, after last

semester you think you may not be in the right major.

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Four Key Strategies

• This can be remembered by using the pneumonic “OARS.”– Open-ended questions

– Affirming statements

– Reflective Listening

– Summarize the conversation

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Applications

Covers a range of areas, including:

• Alcohol and drug use

• Smoking

• Diabetes

• Diet and exercise

• Academic Setting

http://www.motivationalinterview.org/quick_links/multimedia.html

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Applications

Using MI in Higher Education

• Advising

• Admissions Counseling

• ADA Advising

• Parent Interactions

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Demonstration

• A student comes to the counselor to discuss their class schedule for their first semester at a community college. They express interest in a STEM related Associates Degree, but they say they hate math, and really feel they shouldn’t have to take developmental math. Their placement test score shows they need to take MTT 4.

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• Break into groups to practice what we have discussed.

Group Scenarios