Motivational Interviewing (MI) is an established evidence-based practice renowned for resolving ambivalence. MI, which originates in substance use disorder treatment, has been shown to enhance client motivation for change and improve treatment outcomes.  The spirit of MI complements Self-Determination Theory (SDI), which asserts that people have an intrinsic desire to make life changes congruent with their core values. SDI states that people are more likely to be internally motivated if their actions, beliefs, and core values align.  Motivational Interviewing provides the technique to make that happen.

The principles of Motivational Interviewing include providing accurate empathy, building discrepancy, rolling with resistance, and increasing self-efficacy. These supply the basis for building intrinsic motivation for change and can facilitate the resolution of life-threatening ambivalence in suicidality.

Researchers Britton, Williams, and Connor (2008) show how the therapist’s proficiency in Motivational Interviewing can resolve a client’s ambivalence and resistance to change.

This very practical workshop includes learning through lectures, interactive discussions, demonstrations, video role plays, and skill-building through group exercises. These methods combine to provide techniques and interventions that can be applied immediately.

Objectives:

• Describe the principles that underpin Motivational Interviewing and how they promote client autonomy

• Articulate the distinguishing techniques of open-ended questions, affirmations, reflective listening, and summarizations

• Explain the Stages of Change as described by Prochaska and DiClemente (1983)

• Discuss the significance of Self-Determination Theory in coordination with MI

• Distinguish different methods of using MI with specific populations and varied disorders

• Express and practice Motivational Interviewing techniques used in counseling suicidal individuals

• Describe ethical considerations and documentation

• Enumerate necessary therapist qualities that support the efficient use of MI

Randi is an expert in both using and teaching Motivational Interviewing. In addition to her many years of presenting Cascadia Training workshops, she taught Motivational Interviewing courses as an adjunct faculty member at Bastyr University and as Case Management Program Director for Antioch University and Seattle's Job Initiative. She also uses her expert-level skills in Motivational Interviewing in her private practice, specializing in treating clients with suicidality, suicide ideation, substance use disorders, and more.