Download Motivational Interviewing Techniques and Stages of Change for Substance Use Disorders and more Exams Social Work in PDF only on Docsity! IC&RC LCDC EXAM Domain I (Screening, Assessment And Engagement) Motivational Interviewing Terms Questions And Answers. FRAMES Approach of Motivational Interviewing - \Feedback, Responsibility, Advice, Menus, Empathetic Counseling, Self-efficacy The F in FRAMES - \Feedback regarding personal risk or impairment is given to the client following assessment of substance use and associated problems The R in FRAMES - \Responsibility for change is placed squarely and explicitly on the client and with respect for the clients right to make choices for himself The A in FRAMES - \Advice about changing-reducing or stopping- substance use is clearly given to the client by the clinician in a nonjudgmental manner The M in FRAMES - \Menus of self directed change options and treatment alternative are offered to the client The E in FRAMES - \Empathetic counseling-showing warmth, respect adn understanding is emphasized The S in FRAMES - \Self-effacey or optimistic empowerment is engendered int eh client to encourage change. PIES Approach - \Created in WWI for soldiers Proximity, Immediacy, Expectancy, Simplicity THE P in THE PIES APPROACH - \Proximity- Provide treatment where you are THE I in THE PIES APPROACH - \Immediacy- Intervene and treat as soon as the problem is noticed. THE E in THE PIES APPROACH - \Expectancy Expect the intervention to be successful and return the person to duty THE S in THE PIES APPROACH - \Simplicity simply listening showing empathy and demonstrating understanding works best. 6 Stages of Change in TIP 35 (5 in others) - \1) Pre-contemplation, 2) Contemplation 3) Preparation 4) Action 5) Maintenance 6) Recurrence Pre-contemplation - \The client is not yet considering change or is unwilling or unable to change Contemplation - \The client acknowledges concerns and is considering the possibility of change but is ambivalent and uncertain Preparation - \The client is committed to and planning to make a change in the near future but is still considering what to do. Action - \The client is actively taking steps to change but has not yet reached a stable state. Maintenance - \he client has achieved initial goals such as abstinence and is not working to maintain goals. Recurrence - \The client has experienced a recurrence of symptoms and must now cope with consequences and decide what to do next. Motivational strategist for the stage of Pre-contemplation - \Establish rapport, ask for permission and build trust. raise doubts or concerns in the client about use and patterns. Explore what events brought the client to you. Elicit perceptions of the problem. Offer information on risk about use. Help S/O intervene. Examine discrepancies in perceptions of the problem Express concerns and keep the door open. Motivational strategist for the stage of Contemplation - \Normalize ambivalence. Help the client tip the decisional balance scales toward change. Change extrinsic to intrinsic motivations for change. Examine the clients personal; values in relation to change. Emphasize the clients free choice, responsibility and Self-efficacy. Elicit motivational statements of intent and commitment. Elicit ideas regarding the clients perceived self efficacy and expectations regarding treatment. Summarize self motivational statements.
