The Top 10 Reasons a Health Coach Should Learn Motivational Interviewing

Why Health Coaches should learn Motivational InterviewingIf you don’t know already, Motivational Interviewing (MI) is an evidence-based approach that was founded in the early 80’s by Dr. Bill Miller, a psychologist working with problem drinkers. Since that time, MI has grown in popularity as more and more helping professionals utilize the approach (as opposed to treatment as usual) and find that they feel much more prepared for working with their clients on behavior change issues.

In particular, health coaches have begun to rely on MI as a foundational skill. Katie Slack, the owner and Lead Trainer for MI Training Today, is a member of the Advisory Board for the National Society of Health Coaches, a wonderful organization that offers an excellent health coach certification program based on Motivational Interviewing’s main principles and techniques.

Still need a little more convincing? When Motivational Interviewing (MI) was compared to treatment as usual patients receiving MI were more likely to:

  1. Enter, stay in & complete treatment.
  2. Attend follow-up visits.
  3. Adhere to glucose monitoring.
  4. Increase fruit & vegetable intake.
  5. Reduce stress.
  6. Reduce sodium intake.
  7. Keep food diaries.
  8. Reduce unprotected sex & needle sharing.
  9. Improve medication adherence.

(Rollnick, Miller, & Butler, 2007)

If you would like to see any of these 9 outcomes for your patients, then learning MI is the next step for you. And if these 9 reasons are still not enough, there’s more!

  1. The 4 Guiding Principles of MI: RULE provide a clear cut & effective way to work with your clients:

                 R = Resist the Righting Reflex

                 U = Understand Patient’s Motivations

                 L = Listen to the Patient

                 E = Empower the Patient

Motivational Interviewing can seem both familiar, and at the same time difficult to integrate without sufficient training or support (Rollnick et al., 2007). Get the help you need to utilize this highly effective approach with your clients. Sign up for a training or purchase a webinar from the Health Coaches Webinar Series today.

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Co-Active Life Coaching & Motivational Interviewing

I had an interesting article passed along to me recently: “Assessing Motivational Interviewing through Co-Active Life Coaching Tools as a Smoking Cessation Intervention: A Demonstration Study.” The titles are never short are they? :> I had never heard of Co-Active Life Coaching (CALC) before, so I looked into it. It turns out the Coaches Training Institute out of San Rafael, CA offers training in the approach.

This is how they describe the Program:
Co-active® Coaching integrates three foundational principles that together serve to enhance the quality and results experienced in the coaching client’s life and work.
• Fulfillment – deriving deep meaning and satisfaction from life
• Balance – viewing the world from an empowered stance making powerful choices and taking effective action
• Process – fully experiencing the richness of any given moment of life or work

Coaching creates a powerful dynamic relationship between two Motivational Interviewing Coachingpeople. However, rather than instruct, advise or problem solve, the job of the coach is to ask questions, listen and empower. Co-active coaches believe their clients are already great and it’s their job to provide support to enhance the skills, resources and creativity the client already has to achieve extraordinary results.

For those of you practicing Motivational Interviewing, this may sound pretty familiar. As the articles describes CALC, it says “its’ strategies actually and effectively do put Motivational Interviewing principles into action.” Interesting… What I like about it is that there have been times over the past few years, as I have used and trained Motivational Interviewing that I wished there were even more Motivational Interviewing techniques that I could use and train other practitioners to use. So this may be exactly that, a Program based on Motivational Interviewing that offers a rich and comprehensive way of working with people. The study in the article had good things to report, saying that CALC proved “valuable for reducing smoking, and for providing smokers’ with insights about their behaviors, their triggers, and what they need to be and stay smoke-free.” It strikes me as a way to take things to the next level, so if you are drawn to Motivational Interviewing and are practicing at an intermediate or advanced level and want more, I thought this was a program you may find interesting as well. Let me know what you think.

Posted in Counseling Technique, Motivational Interviewing, MOTIVATIONAL INTERVIEWING PROFICIENCY COACHING | 3 Comments

Motivational Interviewing and Self-Care

First of all, I figure practice what you preach, so I am writing this blog, on a Friday morning, from bed. It feels pretty nice. But there is another part of me struggling with questions like: “Is this ok? Should I be doing something differently? Is it ok to take it a little bit easy?” So, how does taking care of ourselves play into the therapeutic work we do with others?

Motivational Interviewing (MI) asks that we be empathic, collaborative and at the same time gently challenging as we work with our clients on making changes. Our presence and attentiveness are also key, as we try to understand the person’s worldview. It feels great, in my opinion, to use MI and be of service to someone in this way, but it’s not always easy. What’s the saying, “if your cup isn’t full…” hopefully you know the rest. Basically, I think the more we take care of ourselves, the more we are able to truly be of service to someone else. If we are frazzled and worn out, it is more difficult for us to be available and present for another. Not that we won’t try and not that our culture and jobs don’t lend themselves to this dynamic, to give and give until you have nothing left.

Thankfully, as it turns out, MI may in fact lend itself to a healthier dynamic, making this process of give and take a little bit easier. Therapists have discussed it for years, although it has yet to be conclusively studied, the idea that utilizing MI in one’s practice may decrease burnout. How about this for the title of an article: “The Unbearable Fatigue of Compassion: Notes from a Substance Abuse Counselor Who Dreams of Working at a Starbucks.” Annie Fahy (2007) writes “In the 90’s we called it ‘burnout’ and we wore it like a badge because it meant we were working hard and we really cared… At night we came home bone tired and zombified watching television or drinking while our families clamored around us.”

She then goes on to mention MI as a therapeutic approach that “holds great potential” for impacting not only the client in a helpful way, but also the practitioner. She quotes a Substance Abuse professional:

“I had to change in my work so I wouldn’t go crazy. I thought… I couldn’t work in treatment anymore…Then I learned Motivational Interviewing… I really felt born again in my work. I didn’t have to control for the outcome anymore. I had to change some other things too… like get a life and live it. There was no guide for this.”

So maybe, those of us that practice MI are more poised to seek and actually achieve a healthier stance in our work and in our lives. MI reminds us that no matter what we give, the client is accountable for the change; we couldn’t do it for them- even if we wanted to. The challenge is to continually remind ourselves of the MI principles and try to operate from them, and then, as the quote mentions- to get a life and live it.

Below, please feel free to share ways that you have sought balance in your own work and life.

My Best,
Katie Slack

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On Change and Compassion

They always say time changes things, but you actually have to change them yourself.
-Andy Warhol

That’s the toughest thing about change isn’t it? That in fact it does not show up on our door step one morning all wrapped up with a pretty bow. We actually have to work, and work, and work, until maybe one day we catch ourselves going, oh yeah, I have made strides in this area of my life, or I did accomplish that goal. Our clients/patients are no different. We all struggle and we all suffer.

The amazing thing is that you are actually in the position to ease another’s suffering. I think we forget this sometimes. We think we should be pushing them, or doing more, or that they should be making more progress. When that happens, if I may make a suggestion, take five minutes and consider your own track record in regards to major life changes. Change is often a non-linear, illogical process. Sometimes we don’t know what the magic bullet will be that will actually catapult us to that next step, or towards long-term change. But I will say this; never underestimate the power of standing with someone in their suffering.

It comes down to the question, will we choose to be judgmental and take a harsh stance with our clients about their lack of progress towards change, as we have all done at one time or another. Or will we stand with them- where they are in the moment- and have compassion for their struggles, while still gently challenging them with the question “What do you want to do now?”

Compassion is the fourth element that Miller and Rollnick will add to the “Spirit” of Motivational Interviewing (MI) in the third edition of the main MI text, coming out soon. Compassion, means to suffer together with and it is more vigorous than empathy; an active desire to alleviate another’s suffering (Wikipedia). Maybe take a day or a week and experiment with this concept, move through your day with as much compassion for yourself and others as you can, and then just see what happens, see how you feel, see how your clients respond, see where you get snagged and are tempted to move away from compassion. As Bill Miller said recently; “The clients we get are the clients we create” (MINT Forum, San Diego 2010). See what kind of client you can create with a hefty dose of compassion. Not a bad challenge for any of us as we move into the new year…

My Best,
Katie Slack

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Use It or Lose It! How to Get the Most Out of Your Motivational Interviewing Training

A recently published systematic review on training in Motivational Interviewing (MI) over the past ten years (Madson, Loignon, & Lane, 2008) concludes with the old adage “use it or lose it”. Would you agree?

One of the studies reviewed demonstrates that although communication skills were enhanced after training, the effect on actual clinical practice was minor. It seems that without some support and coaching after initial training, the benefits slowly disappear, and the skills become limited. Does this sound familiar to you?

Well, old sayings don’t stick around unless for some reason they still ring true. But, I digress, this blog is not about old sayings; it is just another way for us to keep you, our readers, informed about the latest Motivational Interviewing news.

This sounds like bad news, you might say; you go to a two-day training, invest your time and money, and then, two months later – you are back to your old repertoire of skills? Not necessarily! The fact is that MI Training Today is committed to providing the highest-quality Motivational Interviewing trainings, and making sure that there is continued support available to you after you complete your introductory level training.

At MI Training Today we take your investment and scientific research very seriously. We offer you a continuum of learning tools: 2-Day Intensives, Advanced Training Courses in 2011, Individual Coaching Services, In-House Agency Trainings, and a soon to be announced Refresher Webinar Series.

We hope this information on what is needed to learn Motivational Interviewing will empower you. And we are here to assist you; please do not hesitate to contact us regarding any training needs you may have.

My Best,
Katie Slack

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What is Motivational Interviewing and Why Is Everyone Talking About It?

What’s all the buzz about? Motivational Interviewing (MI) is definitely being talked about more and more by providers and administrators of social service, criminal justice, and health care programs. Why all the interest?

What I hear from training participants…they are tired of doing the same old thing, and the same old thing doesn’t seem to be working. They are relieved to find something new. At the beginning of the 1st day of a 2-day training (the standard for an introductory level training in MI) it usually goes something like this… “Yeah, it’s (MI) great, I’m doing a lot of this already.”

At the end of the 1st day… “Wow, this is harder than it looks, and I am so glad to have some new concrete techniques to try out with my clients.” Most people are doing things already that are very much in line with Motivational Interviewing and going through a 2-day training they are able to see how their practice already reflects the MI “spirit” as well as walk away with a bevy of new techniques and strategies to assist their clients in the daunting task of behavior change.

So, what is it?
MI is a directive, client-centered counseling approach focused on enhancing intrinsic motivation for change by helping clients explore and (hopefully) resolve ambivalence (Miller & Rollnick, 2002). Motivational Interviewing evolved out of Dr. William Miller’s work treating problem drinkers in the early 1980s and was further developed several years later with the assistance of Dr. Stephen Rollnick. MI is an evidence-based practice, with over 300 studies showing its effectiveness- another reason for all the interest!
Click here to find out more about Motivational Interviewing.

Sign up for our Motivational Interviewing 2-Day Intensive!

My Best,
Katie Slack

Posted in Bill Miller, Counseling Technique, MINT, Motivational Interviewing, Motivational Interviewing 2-Day Intensive, Motivational Interviewing Training | Tagged , , , | 2 Comments

Motivational Interviewing Takes Its Place On the World Stage…

* The MI community is celebrating… Motivational Interviewing has just taken its place on the World stage! Mike Clark, MI Trainer & MINT (Motivational Interviewing Network of Trainers) Member, was invited by the United Nations to speak at the Twelfth United Nations Congress on Crime Prevention and Criminal Justice which met in Brazil in April. He was asked to address the potential that Motivational Interviewing holds as a strengths-based and evidence-based approach for use within the criminal justice system. We are excited to share the news that global interest is building for the approach!

* ICMI 2010…
Did you know there is an International Conference on Motivational Interviewing?
The 2nd International Conference on Motivational Interviewing is slated to begin shortly; it is taking place this June 7th-9th, 2010 in Stockholm, Sweden. The conference offers an interactive, stimulating meeting place for researchers, health care providers, policymakers and practicing professionals with an interest in behavior change. The conference offers an excellent venue for learning and sharing knowledge about Motivational Interviewing. It is fully booked for this year of course, but if this peaks your interest, you could begin planning to attend next year!

* NEW ARTICLE: Meta-Analysis of the past 25 Years of MI research!
Many of you may be interested in reading this article which reviews MI research over the last quarter of a century…
“A Meta-Analysis of Motivational Interviewing: Twenty-Five Years of Empirical Studies”
Lundahl, Kunz, Brownell, Tollefson, & Burke, published in Research on Social Work Practice 2010; 20; 137

It will be exciting to see how the practice of Motivational Interviewing evolves over the NEXT 25 years, especially considering a heightening global presence! I am excited to be part of the dissemination of an approach that is respectful, collaborative and most importantly empowering for the people with which we work.

* COMING SOON—MI TRAINING TODAY training dates for the rest of 2010 will be announced soon, check back for more info.!

My Best,
Katie Slack

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National Teen Dating Violence Awareness & Prevention Month!

*Did you know February was Teen Dating Violence Awareness & Prevention Month? If not, you are not alone…

Congress just passed legislation dedicating the entire month to the cause (as opposed to the week it has been). I just attended the San Diego Domestic Violence Council Mtg. last week- great group of people by the way, if you’re ever interested in checking it out- and their Teen Relationship Violence Prevention Committee presented on some great things happening in the community, they talked about how local high schools are getting involved & gave out info. on
SOME GREAT WEBSITES:
www.loveisrespect.org
www.thatsnotcool.com
www.athinline.org
www.mystrength.org

There are a lot of great things happening now to help youth learn more about healthy relationships… and there will be more happening for Domestic Violence Awareness Month in OCTOBER, all culminating in a new event called “HOPE in the Park” which will be held in Balboa Park!!

HOW CAN MOTIVATIONAL INTERVIEWING HELP?

MI is a promising intervention for work with youth!

Miller and Rollnick, the co-creators of MI, describe Motivational Interviewing as a promising clinical style for working with adolescents because it is respectful, acknowledges ambivalence and personal choice, and does not increase resistance.

Research shows using MI with adolescents may also help to increase treatment engagement & retention, motivation for change, and goal setting!
——————————————————————–
QUICK TIP- USE THIS MI TECHNIQUE WITH YOUR EXPLORE/PROVIDE/EXPLORE Technique
Works well for emphasizing personal control and empowerment

EXPLORE: Tell me what you know about (ex: healthy relationships)
Reflect what they tell you

PROVIDE: I have some information on (ex: healthy relationships), is it ok if I tell you what I know?
Provide them with info.

EXPLORE: Ask them what they think of the info. you provided
Examples:
What do you make of that?
How does that fit for you?
How does that fit with your experience?
———————————————————————

In February, I trained the staff of 2 local non-profits who work with youth to use MI with their clients. It was a great experience training with them. They were enthusiastic learners and it was exciting to hear their ideas about where they could use MI and their plans to integrate MI into their work. My hope is MI will help them work with their clients in new, empowering, & productive ways.

Looking forward to what March brings… write me if there’s a particular MI topic you’d like to hear about.

My Best,
Katie Slack

Posted in Bill Miller, Domestic Violence, Healthy Relationships, Motivational Interviewing, Teen Dating Violence | Tagged , , , , , , | Comments Off

Introduction…

Hi Readers,

Welcome to my blog! What I hope to offer you here is some information about what is going on in the MI Training community: the latest trends, new research, topics of debate, etc.

Motivational Interviewing is a wonderful tool for working with so many different populations. MI started in the 80′s in the Alcohol & Drug Addictions Field and as I write these words, is only picking up speed. The use of MI has spread into the medical world, criminal justice system, and more recently into the domestic violence field, just to name a few.

I believe the reason for this is because as Bill Miller (co-creator of MI) said, people recognize something in MI; it feels familiar to them. Many helping professionals, as they learn about the spirit and techniques of MI, are drawn to it. The major principles of MI (respect, empathy, etc.) are things they have always tried to convey to their clients, and now with MI they have concrete tools and skills with which to do so. The result for most after an Introductory MI Training is they want to know more and they want to use MI with their clients. I had this experience as a new clinician being trained in MI and it is why I became a trainer.

So as we begin this little on-line community, please let me know your thoughts, ideas, experiences in regards to Motivational Interviewing- or any questions you may have. I would be happy to be of service & be a resource for you. Please feel free to post your comments or you can always e-mail me at katieslack@mitrainingtoday.com

***Look for My Upcoming Post on Using MI with Adolescents***

My Best,
Katie Slack

Posted in Counseling Technique, MINT, Motivational Interviewing, Motivational Interviewing 2-Day Intensive, MOTIVATIONAL INTERVIEWING PROFICIENCY COACHING | Tagged , , , , , | Comments Off