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- 2. Week #6 - Agenda • Review Homework from Week 5 • Deeper Dive into MI Concepts: • Preparatory Change Talk • Change Talk • Introduce Darn CATS • Discuss Next Assignment
- 3. Let’s talk about last week’s Homework !
- 4. Why is Change Talk so important ?
- 5. With Intention, How and When do We Evoke Change Talk ? The Seeds of Change •Cultivating •Growing •Harvesting
- 6. Desire - “I want a better life” Ability - “At this point in my life, I feel I can do this now” Reason - “I don’t want to lose my job“ Need - “I have to quit or I will lose my kids” With Intention , how do we work with theseWith Intention , how do we work with these statements to strategically build motivation ?statements to strategically build motivation ? The Darn C’s …..Opportunities for Movement
- 7. 1.1. Ask evocative questions (DARN CAT)Ask evocative questions (DARN CAT) 2.2. Explore decisional balance PRO’s & CON’sExplore decisional balance PRO’s & CON’s 3.3. Ask for elaboration WHAT ELSE?Ask for elaboration WHAT ELSE? 4.4. Ask for examples TYPICAL DAYAsk for examples TYPICAL DAY 5.5. Look back IN THE PAST.....Look back IN THE PAST..... 6.6. Look forward LOOKING TO THE FUTURELook forward LOOKING TO THE FUTURE 7.7. Query extremes WORST/BEST CASEQuery extremes WORST/BEST CASE 8.8. Use change rulers 1 - 10Use change rulers 1 - 10 9.9. Explore goals and values CLARIFICATIONExplore goals and values CLARIFICATION 10.10. Come alongside PARTNERSHIPCome alongside PARTNERSHIP
- 8. Listening for Change Talk Statements The Fine Art of Listening for change talk statements and intentionally anchoring into , or weaving these statements back into the conversation at a later date in order to explore and reinforce (EARS) .
- 9. Responding to Change Talk: Using EARS! Elaborating: In what way … ?; Tell me more …; What else? Affirming: That took a lot of courage; You’re a person who can make changes when you need to … Reflecting: That’s really important to you …; You realize it’s become a problem … Summarizing: There are a number of things I’m hearing about your situation. First, you’re concerned about … Also, you feel …, and you are thinking …
- 10. Week 6 Learning Activity Assignments •Listen to recording of “Rehab”, by Amy Winehouse •Identify Change Talk in song -Pick 3 examples •What type of CT you are hearing- using DARN CATS as guide •Use EARS to respond to each CT statement identified •Develop intentional summary of Change Talk •Record your summary and submit recording for review and group processing of responses See the YouTube LINK on the TOOLBOX document –RECOGNIZING AND RESPONDING TO CHANGE TALK. LEARNING ACTIVITY
Notas do Editor
- Review the homework regarding : (10 MIN) HOMEWORK: Give 2nd scenario as homework (this is about evoking Sustain Talk and Creating Discord) – Craft the strategy and skills for this scenario – they then need to propose how this could be changed – how would you arrive at a change goal. Rewrite the dialogue to engage the client and evoke Change Talk. Discuss Homework – With Intention: Processing 2nd Scenario and Dialogue Identifying Sustain Talk/Creating Discord Crafting New Responses – Engaging Client and Evoking Change talk
- Begin Heart of this week’s presentation with this question. Have students look at their own thoughts on this and then weave in the importance of identifying and evoking change talk before moving to planning. Also key importance of strengthening and reinforcing evoked change talk with intention , again setting stage for planning . This is one where research or research articles may be helpful to solidify points and “buy in” by students . Jenny has stock slides on this research per her report
- The planting begins with OARS and working with ambivalence. The cultivating is when we are listening for change talk and/or evoking change talk. The growing are strategies of strengthening and reinforcing CT via use of OARS - Based on The DARN C”s ……..Then the “harvesting” part of MI -talk about the DARN CAT – change that added commitment , activation, taking steps.
- Process the importance of picking up cues from client that involve the DARN C’s including desire, ability, reason, and need to change. Also talk about the importance of reinforcing through reflecting statements these cues. Desire- Client expresses desire to change “ I am tired of being tired “ Ability- Client expresses ability to change “ I feel as if I am finally ready to quit “ Reason – Client expresses reason to change “ I want a different life “ Need – Client expresses need to change “ I am going to lose my marriage if don’t quit Also how to effectively listen for cues and bookmark these internally while remembering to later at more therapeutic weave them back into conversation .
- How to use EARS effectively when responding to emergent CT