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Advancing Learner Skills in MI: Coaching to the Finer Points Developed by EckMaahs & Associates, LLC For the MINT Forum, Fort Wayne, Indiana September 12-14, 2012 Presented by Sue EckMaahs, Fran Lesicko and Susan Littrell. Additional thanks to Jane Nakken for assistance with presentation and materials development.

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Agenda Audiotape coaching within the broader MI coaching spectrum Learning from our mistakes!: Preparing learners for coaching with tapes Common Pitfalls in Learning MI Listening for coaching points Audio Exercise The ABCs of audiotape based coaching Practice!

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Where does audiotape coaching fit in the coaching spectrum? MI workshop(s) with individualized coaching and feedback during training exercises Small group skill practice/coaching sessions Individual coaching sessions using discussion and role-play or real-play (face-to-face or telephonic) Follow up individual coaching sessions using audiotape samples of MI work with clients/patients

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Preparing the Learner for the Session Communicate Length of tape or MI segment desired What you are looking for (MI spirit and core skills) Clear target & reasons to guide in the direction of change (avoid neutral/equipoise situations) How to use the technologydigital tapes work best with hands-on demo around use of recorder and uploading to computer Not a test done in the spirit of support and learning. The messier the MI, the more you learn!

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Common Pitfalls in Learning MI 1. Ramping up the Hopelessness Sustaining the Sustain Talk The Mis-Placed Decisional Balance Barrier Question Fever 2. Stuck in the Past Psychotherapy Alley The Social History Buff

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3. Missing or Moving Target Skipping from Target to Target The classic Check-In Non-directive, client-centered listening without a focus 4. The Cheerleader The Dog after a Bone Skimming the Surface Lost in the Forest Racing to the Finishline E-P-E without the E

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5. The Dog after a Bone Evoking with the purpose of proving a point Change Talk Pouncing 6. Skimming the Surface Touch n Go Responses to Change Talk No depth in planning

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7. Lost in the Forest Going Nowhere Going in Circles 8. Racing to the Finish Line Exploring the how to change and missing the Why

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9. E-P-E without the Es The nice expert No exploring of the clients own ideas/knowledge before asking permission to give advice.

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What do you hear? Listening for Strengths and Potential Coaching Points

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Audiotape Coaching ProcessOne way to do it: Before meeting the learner, code the tape (if using a coding instrument); note strengths and potential coaching points. If first session, go over what the two of you will be listening for (i.e., spirit, direction/guiding, OARS, change talk, flow, etc.). Ask them to ID the target behavior and evoke learners perceptions of strengths. If not first tape, review goals from last session and evoke progress/thoughts.

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Coaching Process (cont): Explain that you will listen together and either party may stop the tape periodically to discuss. While listening, be sure and reinforce/affirm the strengths and look for learning opportunities to use E-P-E for discovery and practice. Before ending the session, ask the learner to set 1-3 goals for further practice. Schedule next tape.

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Practice makes PRRRRRfect!

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EckMaahs & Associates, LLC 1424 Victoria St. North Saint Paul, Minnesota 55117 Phone: 651-489-1122 www.eckmaahs.comseckmaahs@eckmaahs.com EckMaahs & Associates, LLC 1424 Victoria St. North Saint Paul, Minnesota 55117 Phone: 651-489-1122 www.eckmaahs.comseckmaahs@eckmaahs.com Thank You for Attending!