MIInstitute.com: MI: 25 Years Later

At-a-Glance Dates

WORKSHOPS: (BOSTON)

MI & Health Behavior Change
Mon 12/1/08, 9:00-4:00

MI Brief Interventions in Health Care
Fri 2/13/09, 8:30-3:30

MI & Kids: Introduction
Fri 4/10/09, 8:30-3:30

MI for Dietary Behavior Change
Fri 5/1/09, 9:00-3:30 &
Sat 5/2/09, 9:00-12:00

WEBINARS: (EST)

What is MI?
Wed 1/7/09,12:00-1:30

MI: Brief Interventions
Mon 11/17/08,1:00-2:30 Mon 12/15/08,1:00-2:30 Mon 1/5/09,1:00-2:30

MI: Kids & Parents
Mon 11/10/08,1:00-2:30
Mon 12/8/08,1:00-2:30

MI & the "Non-Diet" Approach
Wed 11/5/08,1:30-3:00
Thu 12/11/08,12:00-1:30
Tue 1/7/09,12:00-1:30 Tue 2/24/09, 12:00-1:30
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Register

Visit our Website:
www.miinstitute.com

Institute for Motivation and Change

229 Billerica Road

Chelmsford, MA 01824

Tel: 978-866-0059

Ellen Glovsky, Ph.D., RD, LDN

Gary Rose, Ph.D.

Motivational Interviewing is a powerful, evidence-based consultation style with applications to the many sub-fields of health behavior change, including addictions treatment, chronic disease management, diet and nutrition, diabetes education, cardiac rehabilitation, and many other health-care challenges. Learn how MI techniques can improve your patients' outcomes and enhance your practice.

We now offer custom tutorials!
Call to schedule your own one-hour, individualized tutorial.

Tutorial in Motivational Interviewing - $150
Train the MI Trainer - $175

Scroll down for more information.

MI: 25 Years Later
Gary Rose, Ph.D.

What did the first description of MI look like, and what are the leading edges of this evidence-based approach to behavior change?

This year marks the 25th anniversary of the first publication on Motivational Interviewing by Dr. William R. Miller. Dr. Miller's paper followed from a conference in Norway during which a group of psychologists asked Bill to describe his technique of working with problem drinkers. Bill's original propositions suggested that:

Behavior change counseling was not a "treatment" but rather a process of interpersonal influence; as such, the communication style of the practitioner was critically important.

Individuals were often fraught with ambivalence about change, even when the target behavior was clearly detrimental to their health.

The use of direct persuasion as a communication style often made matters worse.

Selective reflection was a more effective communication style, as it allowed each client/patient to articulate for himself an argument for change.

Twenty-five years later, the MI field of study continues to grow in several key dimensions.

1. Relational/Technical Components: Bill's original observations about the interpersonal nature of behavior change counseling have evolved into a sophisticated understanding of the two-sided nature of Motivational Interviewing. The relational component of the model includes all that we have learned about the "spirit" of the MI guiding style: Avoid the righting reflex, roll with resistance, and support autonomy. The technical component of MI refers to the skillful identification, elicitation, and reinforcement of change talk. Both components work together to create an effective MI conversation; neither is sufficient in itself.

2. Ambivalence: Bill's simple observations about ambivalence have been merged with Self-Determination Theory, a sophisticated explication of the continuum of levels of motivation to change. We now understand that ambivalence increases as a function of the nature of the targeted change. Ambivalence is greatest when the change involves giving up a highly valued behavior. This is especially true when persistence of change requires rearranging daily life and success entails the cooperation of others. Examples include complex behaviors such as diet, exercise, and modification of alcohol use.

3. Common Language Approach: MI has always valued the words that people use. We now know that much power resides in this common language approach, which has a long tradition within social psychology. What does this imply about health behavior change? One need not look too far beyond the words that people use to understand the "true" meaning of what they say. True meanings and motivations are not lodged deep in their inner psyche. But, one must listen carefully to what people say and what they don't say. Intentions are communicated with words, and words uttered reinforce intentions.

Where do we go next?

1. Effective training: We are moving toward comprehensive, cost-effective individualized MI training. It starts with an introductory workshop and continues with direct observation and individualized feedback as the principal means for developing competence.

2. Credentialing: Within six months, the first MI practitioner credentialing process will be up and running, with further credentialing efforts to follow.

3. Research: Exciting research programs abound, particularly in the study of the connection between practitioner utterances and patient change talk responses.

Resources:

Bill's 1983 paper has been reproduced in the current MINT Bulletin http://motivationalinterview.org/mint/MINT14.2.1.pdf
Self Determination Theory: http://www.psych.rochester.edu/SDT/
MI Credentialing: http://mi-campus.com/

We hope you will be able to attend one of our workshops or webinars to hear more about these ideas and begin using them in your own practice!

WORKSHOPS
Join us at Northeastern University for hands-on training.

MI & Health Behavior Change - 1 Day, $190
MI: Brief Interventions in Health Care - 1 Day, $200
MI & Kids: An Introduction - 1 Day, $200
MI for Dietary Behavior Change - 1.5 Days, $325

Motivational Interviewing & Health Behavior Change
Ellen Glovsky, Ph.D., RD, LDN.

MI is a person-centered, directive style of consultation that uses empathy, empowerment, and the skillful use of directive listening to guide the client toward change. This workshop will provide a basic introduction to Motivational Interviewing. We will introduce the philosophy of MI, the microskills necessary for bringing this “spirit” into the consultation room, and various techniques that can be integrated into everyday professional practice.

The workshop is well-suited to the needs of practitioners whose daily work entails conversations with patients and clients about health behavior change. Open to all professionals in health care, social services, and criminal justice settings, the workshop will be beneficial both to those with no prior MI experience as well as to those who wish to renew their understanding of MI.

This 1-day workshop meets from 9:00am-4:00pm (6 contact hours) on Monday, December 1, 2008, and includes morning coffee, tea and a light breakfast. The workshop is limited to 25 participants. Click here for information on CEUS.

Motivational Interviewing: Brief Interventions in Health Care
Gary Rose, Ph.D.

Motivational Interviewing (MI) is an effective, evidence based consultation style for practitioners working with clients and patients regarding health behavior change. The challenges of this work are numerous, from initial engagement through treatment planning and maintenance of change. Direct persuasion and other traditional methods of health education are often ineffective. This is particularly true when the opportunities to talk with patients about change are limited to a few brief moments of opportunistic conversation.

This workshop will address the applications of MI to health behavior change, with particular focus on briefer conversations about change. Building on the basics of MI, we will discuss and practice more advanced MI skills and techniques, including strategies for collaborative health education and treatment negotiation. There will be also be opportunities to design brief interventions pertinent to your adult or pediatric clinical practice. Although we will focus on health behavior change in general, we will also address in particular issues related to working with patients and their families regarding weight management, diabetes, smoking, and the management of chronic diseases.

Open to all practitioners in healthcare settings who have completed a basic introductory workshop and are interested in continuing to develop their skillfulness in MI. This 1-day workshop is limited to 24 participants. The workshop will meet on Friday, 2/13/09 from 8:30am-3:30pm (6 contact hours).

MI and Kids: An Introduction
Gary Rose, Ph.D.

During the last ten years, there has also been marked interest in the applications of the MI consultation style to work with adolescents, children, and their families. MI for kids and adolescents has addressed a variety of problems and concerns, including adolescent smoking and substance misuse, school noncompliance, childhood obesity, unsafe sexual practices, and general child-parent conflict.

This workshop will provide a general introduction to the philosophy, science, and techniques of Motivational Interviewing, with particular focus on the needs of the professional who deals with children and adolescents. The workshop will provide a valuable learning experience both for practitioners who have no prior knowledge of MI as well as those who have been briefly introduced to the model. This workshop is limited to 35 participants. Click here for information on CEUS.

This is a 1-day workshop on Friday, 4/10/09, from 8:30am-3:30pm. The workshop is limited to 35 participants.

MI for Dietary Behavior Change
Ellen Glovsky, Ph.D., RD, LDN.

This 1.5-day workshop is designed specifically for dietitians, nutritionists, and others whose work entails helping people to change their behavior with food.

The workshop will provide a basic introduction to Motivational Interviewing, introducing the philosophy of MI, the microskills necessary for bringing this “spirit” into the consultation room, and various techniques that can be integrated into everyday professional practice. Teaching methods will include lecture, discussion, role play and “real play”, as well as viewing video clips that demonstrate MI techniques.

This workshop will be beneficial both to those with no prior MI experience as well as to those who wish to renew their understanding of MI. The workshop meets on Friday, 5/1/09 from 9:00am-3:30pm and Saturday, 5/2/09 from 9:00am-12:00pm (9 contact hours). A light breakfast will be provided.

WEBINARS
Join us from the comfort of your own home or office.
The following webinars are $75 each.

What is MI?
Ellen Glovsky, Ph.D., RD, LDN

This webinar will introduce the philosophy (“spirit”) and techniques of Motivational Interviewing (MI), an evidenced-based consultation style with applications to the many sub-fields of health behavior change, including addictions treatment, chronic disease management, diet and nutrition, diabetes education, and cardiac rehabilitation, to name but a few. We will discuss the concepts of the “righting reflex,” change talk, and the decisional matrix, three core components of the MI guiding style. This webinar is ideal for any professional who is wondering if MI might be a helpful strategy for his or her clinical practice. Click here for information on CEUS.

Custom Tutorials
Gary Rose, Ph.D.

Tutorial in Motivational Interviewing is a one hour individualized tutorial designed around the unique learning needs of the trainee. Each tutorial hour can incorporate expert review of submitted training samples, written and telephonic feedback, as well as didactic instruction. This service is state-of-the-art and will prepare clinicians to qualify for certification of competence in MI.

Train the MI Trainer is a one hour individualized tutorial that is designed around the unique learning needs of the individual who is already practicing MI and wishes to gain competence in the supervision and training of others. Each tutorial hour can incorporate expert review of submitted training samples, written and telephonic feedback, as well as didactic instruction. This service is state-of-the-art and will prepare clinicians to qualify for the annual Train the Trainers workshops sponsored by MINT, the Motivational Interviewing Network of Trainers.

MI: Brief Interventions
Gary Rose, Ph.D.

This webinar will provide a general introduction to the philosophy, science, and techniques of Motivational Interviewing, with particular focus on the needs of the professional who deals with children, adolescents, and their parents. We will discuss the concepts of the “righting reflex,” change talk, and the decisional matrix, three core components of the MI guiding style. The webinar will provide a valuable learning experience both for practitioners who have no prior knowledge of MI as well as those who have been briefly introduced to the model.

MI and the "Non-Diet" Approach to Dietary Behavior Change
Ellen Glovsky, Ph.D., RD, LDN

Motivational Interviewing skills are especially useful in teaching a “non-diet” approach to dietary behavior change. This non-diet approach teaches hunger and fullness awareness, food choice based on what one really wants to eat, and conscious eating. The method takes into account special dietary needs as well as a healthy diet for disease prevention.

This webinar will discuss the basics of Motivational Interviewing, and its application to the “non-diet” method. We will discuss the philosophy (“spirit”) and techniques of Motivational Interviewing, an evidenced based consultation style with applications to the many fields of health behavior change. We will discuss the concepts of the “righting reflex,” change talk, and the decisional matrix, three core components of the MI guiding style.

This webinar is appropriate for any health care provider who works with clients/patients regarding dietary behavior change. Click here for information on CEUS. At this time, IMC does not seek pre-approval for continuing educational units. However, we will provide documentation that will allow a participant to petition the relevant sanctioning body for such units. Registered Dietitians can list IMC training events in the Professional Development Portfolio, providing these topics fulfill learning needs and objectives that were specified in the plan.