Brief action planning to facilitate behavior change and. Sep 01, 2012 this is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful approach to facilitating change. Chapter 3motivational interviewing as a counseling style. Tnt manual 2014 d10 20150205 motivational interviewing. Motivational interviewing has become widely adopted as a counseling style for facilitating behavior change. Motivational interviewing for busy clinicians video. Motivational extra step that would facilitate client involvement, active participation, increase motivation, and provide coaching to achieve desirable, measurable behavioral change. Brief action planning was developed by steven cole, damara gutnick, kathy reims and connie davis. Pdf brief action planning to facilitate behavior change and support. Motivational interviewing, third edition book depository. Gutnick is a founding member and director of quality and research at the non. Bap is an innovative, evidencebased, efficient and effective selfmanagement support tool and.
Motivational interviewing in the treatment of psychological. Requires more of a response than a simple yes or no encourages student to do most of the talking helps us avoid premature judgments. I mean i love to read a book to the end, and id love to know which way you are going to go from. You may think you are drawing attention to the resistance when you want to minimize it. The trainers come from diverse backgrounds and apply mi in a variety of settings. Empowering adults with chronic spinal cord injury to. Having evolved originally from clinical experience inthe treatmentof problemdrinking, motivational interviewing was first described by miller 1983. Gem is a clusterrandomized controlled trial of a 12month weight management intervention for primary care patients who have obesity. This document overviews the key learnings ive gathered along the way specific to the process of teaching mi in group settings. Mint motivational interviewing network of trainers motivational interviewing. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion. Psychiatryonline subscription options offer access to the dsm5 library, books, journals, cme, and patient resources.
Around seven years ago i read a wonderful book called motivational interviewing in health care. Damara gutnick, md is the medical director of the montefiore hudson valley collaborative mhvc where she is responsible for guiding systems and practice transformation efforts to support the transition to valuebased payment across. Damara gutnick, md medical director montefiore hudson. How and why it works for people with diabetes jan kavookjian, phd, mba associate professor of health outcomes research and policy harrison school of pharmacy auburn university marc steinberg, md, faap motivational interviewing trainer thegroup4qualitycare. A wealth of vignettes and interview examples illustrate.
Preparing people to change health behaviors tips sheet five general principles of motivational interviewing. Damara gutnick, md, kathy reims, md, connie davis, mn, arnp. The video is geared toward patients and providers and closely aligns with dsrip patient engagement goals. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Workshop1website handouts only motivational interviewing. Apr 12, 2002 since the initial publication of this breakthrough work, motivational interviewing mi has been used by countless clinicians. Integrating mi skills into mindfulness based third wave. A movement built on the spirit of motivational interviewing short share rik bes implementing mi in the middle east ralf demmel verena zimmer motivational interviewing in the treatment of personality disorders moria golan live demonstration of supervision using mi and a reflecting team.
Deconstructing connecting with patients november 2018 christopher lillis, md facp uc davis health. Integrating motivational interviewing into a basic counseling. Support selfefficacy responses that are not reflective listening. Damaragutnick motivational interviewing network of. Since 2011, motivational interviewing mi has been a key focus within ccnc. On a scale of 0 to 10, with 10 being very interested, how interested are you in changing targeted behavior. Mi practice includes an indispensable humanistic spirit that contains four components. Communicate interest and understanding of an individuals.
Debartolo, susan edgmanlevitan, lindsay gainer, damara gutnick. One approach many experts encourage physicians to use is motivational interviewing mi, a series of techniques to get at the root of patient concerns and help encourage them to make healthy behavior changes. See the complete profile on linkedin and discover damaras. Brief action planning bap 1, the foundational eight core competencies of comprehensive motivational interventions cmi, was developed by steven cole, with contributions from mary cole, connie davis, damara gutnick, and kathy reims. Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change. The brief action planning guide a selfmanagement support. Gutnick is a founding member and director of quality and research at the nonprofit centre of comprehensive. Motivational interviewing resources for trainers from the motivational interviewing network of trainers updated. Focus on whats important to the patient regarding behavior, health, and welfare.
Brief action planning cmi comprehensive motivational. When this happens, it is easy for any of us to try to persuade or even argue with clients. Motivational interviewing is a participantcentered approach that intentionally directs participants to examine, explore, and resolve the. Interviewing to promote healthy weight see page 32.
In collaboration with ccmi and several other organizations dr. The spirit of motivational interviewing the spirit of motivational interviewing underlies brief action planning. Helping people change, 3rd edition applications of motivational interviewing 9781609182274 by william r. The motivational interviewing network of trainers mint is an international organization of trainers in motivational interviewing, incorporated as a 501 c 3 taxexempt nonprofit charitable organization in the state of virginia, usa. Protocol for a clusterrandomized controlled trial of a. These processes help practitioners use oars skills in a strategic and purposeful way to have a conversation about change in a way that creates. Stephen rollnick and a great selection of similar new, used and collectible books available now at great prices. The operational assumption in motivational interviewing is that ambivalence or lack of resolve is the principal obstacle to be overcome in triggering change.
Rolling with resistance and skillfully working to elicit the clients own motivation to change are more effective. Miller later teamed up with stephen rollnick to write a book on the subject, which. See the complete profile on linkedin and discover damara. Motivational interviewing mi is a counseling approach developed in part by clinical psychologists william r. Motivational interviewing mi is a therapeutic strategy for facilitating behaviour change.
Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. It is a directive, clientcentered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. However rolling with resistance techniques reduce the likelihood that the client will continue in a resistant stance. Motivational interviewing, third edition by william r. Helping people change, written with stephen rollnick, in 1991.
Bap is an innovative, evidencebased, efficient and effective selfmanagement support tool and technique based on the principles and practice of. Theory and methods have evolved apace, reflecting new knowledge on the process of behavior change, a growing body of outcome research, and the development of new applications within and beyond the addictions field. Motivational interviewing treatment fidelity in thailand. However, damara and gutnick, who are both members of the motivational interviewing network of trainers, advise that these modalities are best used as an introduction, and that ongoing training is a. Template for corporate and internal documents it manual, board. Bap is an innovative, evidencebased, efficient and effective selfmanagement support tool and technique based on the principles and practice of motivational interviewing mi 2. Bap is founded in the concepts of motivational interviewing with particular emphasis on the spirit of mi and is easily implemented in primary care settings. The art of teaching motivational interviewing a resource for mi trainers a 20year retrospective of key learnings for the past two decades ive been guiding the learning of motivational interviewing mi. Damara gutnick mike clark e cloyhcta ken kraybill jeremy evenden debra myers keri oetzel pam smithstan kathylynn northrupsnyder and many others who have led the way. In this concise book, the author teaches you the mindset and methodologies of motivational interviewing and how to use the simple but powerful techniques to elicit clients own motivation for change. Effectiveness of motivational interviewing in a wic clinic. This treatment guide will give an overview of the theory and implementation of motivational interviewing.
Strategies of motivational interviewing oars strategies description examples openended questions elicits descriptive information tell me about or describe. Creating a culture of sustainability allison mcguire, mph executive director damara gutnick, md medical director. Motivational interviewing involves no training of clients in behavioral coping skills, although the two approaches not incompatible. Gutnick stressed, is a skill that takes a lot of practice and related coaching to do well. Motivational interviewing techniques that help physicians. Motivational interviewing mi is an alternative approach for raising problem awareness and facilitating change exploration with individuals who may be reluctant, stuck, or not yet ready to make behavioral changes. Peer health coaches also use the motivational interviewing concept of change talk to. Highlight both sides of an individuals ambivalence about change. A presentation discussing the basics of motivational interviewing. She is the medical director for the montefiore hudson valley collaborative mhvc and a member of team, dr.
Chapter 3motivational interviewing as a counseling style motivational interviewing is a way of being with a client, not just a set of techniques for doing counseling. Motivating tobacco users to become and stay tobacco free patricia bax, rn, ms, tts, cc. We feel that mi may offer some useful resources for busy cf clinicians. This is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful approach to facilitating change. There are many ways physicians can familiarize themselves with motivational interviewing skills, including articles, online modules, and workshops. Being person centered about things that matter the right person the right question at the right time patient satisfaction. Empowering adults with chronic spinal cord injury to prevent. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence.
Anyone who works with people, including doctors, psychologists, counselors of all kinds, addiction specialists, nurses, life coaches, dietitians. Health it in the patient centered medical home samhsahrsa. Damaragutnick motivational interviewing network of trainers mint. By march, 12 trainers will complete motivational interviewing. Quality improvement technical assistance initiative. Sometimes we feel responsible for our clients and the outcome and react by trying to ix the problem. The ethnogeriatrics steering committee o f the a merican geriatrics so ciety. Gutnick contributed to the development of the included video on selfmanagement support. Motivational interviewing mi rolling with resistance what. Gutnick et al conclude through their research that bap is a useful self management support technique for busy medical practices to. Miller and rollnick, 1991 motivational interviewing is a technique in which you become a helper in the change process and express acceptance of your client. Bap is a useful selfmanagement support technique for busy medical practices to promote health behavior change and build patient selfefficacy for improved longterm clinical outcomes in chronic. Motivational interviewing began from applications in the addiction and substance abuse fields.
Motivational interviewing is a theorybased communication skills set with an established evidence base for its potential to affect patient outcomes in comprehensive disease management, even during brief encounters. Ccnc motivational interviewing mi resource guide community. The va new york harbor healthcare system manhattan campus and four montefiore medical group. Consider following spirit and using principles of motivational interviewing andor brief action planning uspstf, ann intern med. The unexpected challenge of motivational interviewing. John baer dave rosengren jennifer hettema bill miller terri moyers vaughn keller jacque elder dub wright. Bap functions as a short form of mi and is appropriate to use for initial motivational work with all individuals, regardless of readiness for change. Best practices to support selfmanagement damara gutnick, md medical director, montefiore hudson valley collaborative 10. Caring about what is important to another person and feeling moved to help. Motivational interviewing tools to try tools to try. The book elucidates the four processes of mi engaging, focusing, evoking, and planning and vividly demonstrates what they look like in action. Pdf motivational interviewing and the stages of change.
Shift the direction of conversations that have become stuck. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. The book elucidates the four processes of miengaging, focusing, evoking, and planningand vividly demonstrates what they look like in action. Osteoarthritis prevention and management in primary care. To describe brief action planning bap, a structured,steppedcareselfmanagementsupport techniquefor chronicillnesscare and diseaseprevention.
Mi is a collaborative, personcentered counseling style intended to elicit and explore clients personal. Because motivational interviewing is so commonly associated with substance use and addictions, they will be the focus of examples for the rest of the guide. Set a day to check in, so theres a sense of accountability, she advised, and celebrate any positive steps. This book of expert contributions coedited by william miller, the originator of motivational interviewing, is a very welcome textthe chapters are structured in a very readable fashion, providing a basic introduction and rationale to how and why motivational interviewing might be used in combination with existing approaches.
View damara gutnick, mds profile on linkedin, the worlds largest professional community. Miller, 9781609182274, available at book depository with free delivery worldwide. Damara gutnick, md,c diana pernigotti, msg,a,d judi zazula, ms. It is grounded in the principles and practice of motivational interviewing and evidencebased constructs. Motivational interviewing is a style of therapy that helps people achieve deeper clarity about the pros and cons of behavior change and illuminates where people are and are not ready to focus. Peer health coaches also use the motivational interviewing concept of change talk to gauge a consumers readiness to make a healthrelated action plan. Motivational interviewing summaries summaries can be used for multiple purposes. Dont give up on patient selfmanagement acp internist. Health it in the patient centered medical home october 2010.
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