Webinar: When Peer
Support Is Not Enough
K E Y T A K E A W A Y S
Four Foundational Processes of
Motivational Interviewing (MI)
Emphasis on spirit, rather than technique (PACE)
"People are generally better persuaded by the reasons
which they have themselves discovered than by those
which have come into the mind of others."
Blaire Pascal, 17th century philosopher
Core Skills (OARS + I&A)
• Engaging provides the platform for focusing
• Focusing helps clarify the goals and direction
• Focusing is an ongoing process of seeking
and maintaining direction and setting specific,
achievable goals (Miller and Rollnick, 2013)
Open Ended Questions
• Can't be answered by yes or no, or a one-
word response
• Invite the person to reflect and elaborate
• Help you understand another
Affirming
• A statement of the existence or truth of
something
• Recognize that which is good, including the
person's worth as a fellow human being
• Often starts with "you"
Reflecting (simple and complex)
• Simple - stays close to the speaker's words
• Complex - makes a guess
Summarizing
• Change talk - Patient speech that favors
movement in the direction of positive change;
specific to a particular behavior change target
• Elaborating - Asking for more information,
more detail, in what ways, an example, etc.
• Affirming – commenting positively on the
person's statement
• Reflecting - continuing the paragraph, etc.
• Summarizing – collecting bouquets of
change talk
Informing & Advising (with permission,
elicit-provide-elicit)
Engaging - shall we walk together?
Focusing - where shall we go?
Evoking - why are we going there?
Partnership
Acceptance
Compassion
Evocation
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