motivational interviewing club - giving advice -

November 2016 with John Russell

www.miinlondon.org / [email protected]

Follow us on Twitter @miinlondon / Tweet #miinlondon

1

Giving Advice in MI Welcome to MI Club

Today

2

18:00 Giving Advice: Whats good look like?

18:10 Giving Advice: MI interpretation

18:20 Practise (yay!)

18:40 Trainer Demonstration

18:50 Debrief

A few quick things

3

Toilets

Fire Exits

Thank You for taking time out of your day to

come to MI Club.

Giving Advice

4

Whatsgoodlooklike?

5

Think about times that youve been given advice?

1. Whats happened when its well received? 2. Whats happening when its not well received? 3. Talk to the person next to you to discuss (5 mins) 4. Well then have the chance to feedback as a group

Send us a Tweet: @MIinlondon

Giving Advice

6

WhatdoesMIliteraturesay?

7

How do you give advice in MI? Use Elicit Provide Elicit (EPE)

Step 1 (E) Find out what they know already Step 2 (P) Ask permission, then provide your advice Step 3 (E) Check their understanding


8

Step 1: Elicit FIND OUT WHAT DO THEY KNOW ALREADY

Tell me what you know about [healthy eating] Whats your understanding of... [alcohol units] Whats your experience of... [depression]

NEXT: PROVIDE (ASK PERMISSION, GIVE YOUR ADVICE)


9

Step 2: Provide ASK PERMISSION, THEN PROVIDE YOUR ADVICE

May I tell you about [healthy eating] Can I talk you about... [alcohol units] Could I give you some information on... [depression]

WAIT FOR YES - NEXT: PROVIDE YOUR ADVICE / INFO (Respectfully and Succinctly whilst Supporting autonomy)

NEXT: PROVIDE (GIVE YOUR INFO / ADVICE)


10

Step 3: Elicit CHECK THEIR UNDERSTANDING

What do you think about that? (Question) You look puzzled (Observational reflection) Tell me in your own words what you think Ive said (Check)

NEXT: REPEAT (IF MIS-INFORMATION PERSISTS)


Giving Advice

11

MISkillsPracBse

Todays practise improves your

practice!

(MI is 10% theory, 90% practise)

12 Send us a Tweet: @MIinlondon

5 minute group practise. Use Elicit-Provide-Elicit (EPE)

Get into groups of 3:

Person A Interviewer Person B Client / Patient / Service User Person C Observer

13

Two minute conversation between Interviewer & Client. Facilitator will time your conversation

Use EPE as per next slide. .

14

15

Use Elicit Provide Elicit (EPE)

Step 1 (E) Find out what they know already What you know about [Your topic]

Step 2 (P) Ask permission, then provide your advice May I tell you about [Your topic]

Step 3 (E) Check their understanding What do you think about that?

Debrief

1. One minute debrief by interviewer. - Ask Would you mind if I tell you how it felt to do

2. One minute debrief by client. - Ask Would you mind if I told you what it was like to be on the receiving end of you

3. One minute debrief by observer. - Would you mind if I tell you what I thought?

16

Giving Advice

17

TrainerDemonstraBon

Live Trainer DemoCan I have a volunteer?


19

Use Elicit Provide Elicit (EPE)

Step 1 (E) Find out what they know already What you know about [Your topic]

Step 2 (P) Ask permission, then provide your advice May I tell you about [Your topic]

Step 3 (E) Check their understanding What do you think about that?


Giving Advice

20

De-brief+QuesBons

Ques1ons

Q: Is the final elicit about a:tude or understanding or both?A: I would say both! Finding out where your client is with either a:tude of understanding of your advice/informa1on will be helpful to you both.

Q: What if someone says no they dont want your advice/informa1on?A: Comment on it, reflect, empathise, thats not something you want to talk about, or talking about this is difficult, or youd rather talk about something else, what is that?


22

See you on Tuesday 6th December 2016

Thanks for coming!

Send us an email: [email protected]

motivational interviewing club - giving advice -

Presentations & Public Speaking