Summary: <p>Screening and Motivational Enhancement<br> Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC</p> <p>CEUs are available for this presentation at <a href="https://www.allceus.com/member/cart/index/product/id/40/c/">https://www.allceus.com/member/cart/index/product/id/40/c/</a><br> Objectives<br> ~ Compare and contrast MET with other approaches to therapy<br> ~ Briefly review the FRAMES approach<br> ~ Describe the stages of change<br> ~ Define EE-DD-AA-RR-SS<br> ~ Define OARS<br> ~ Explore strategies for increasing motivation<br> MET Unique Characteristics<br> ~ Emphasis on personal choice regarding future behavior<br> ~ Objective evaluation focused on eliciting the CLIENT’s OWN concerns<br> ~ Resistance is an interpersonal behavior pattern indicating failure to accurately empathize<br> ~ Resistance is met with reflection<br> Motivational Enhancement Therapists Do NOT<br> ~ Argue with clients<br> ~ Impose diagnostic labels<br> ~ Tell clients what they “must” do<br> ~ Seek to “break down” denial through direct confrontation<br> ~ Imply client’s powerlessness<br> OARS<br> ~ Open Ended Questions<br> ~ Affirmations<br> ~ Reflective Listening<br> ~ Summaries<br> Stages of Change<br> ~ Motivation needs to be enhanced and maintained in all stages of change<br> ~ Stages<br> ~ Precontemplation<br> ~ Contemplation<br> ~ Preparation<br> ~ Action<br> ~ Maintenance<br> Basic Principles: EE-DD-AA-RR-SS<br> ~ Express Empathy<br> ~ Reflective listening (accurate empathy) is a key skill<br> ~ Develop Discrepancy<br> ~ Perceive a discrepancy between where they are and where they want to be<br> ~ Raise clients’ awareness of the personal consequences of their drinking in order to precipitate a crisis increasing motivation for change<br> ~ Avoid Arguing<br> ~ No attempt is made to have the client accept or “admit” a problem</p> <p>Basic Principles cont…<br> ~ Roll with resistance<br> ~ New ways of thinking about problems are invited but not imposed.<br> ~ Ambivalence is viewed as normal, not pathological, and is explored openly.<br> ~ Solutions are usually evoked from the client rather than provided by the therapist<br> ~ Support self-efficacy<br> ~ People will not try to change unless they believe there is HOPE for success</p> <p>Hardiness<br> ~ Control<br> ~ Self-efficacy<br> ~ Hope and Faith<br> ~ Commitment<br> ~ Courage and Discipline<br> ~ Challenge<br> CBT vs. MET<br> Cognitive Behavioral<br> ~ Assumes client is motivated<br> ~ Identify and modify maladaptive cognitions<br> ~ Prescribes change strategies<br> Motivational Enhancement<br> ~ Builds client motivation<br> ~ Explores and reflects client perception without correcting<br> ~ Elicits change strategies from the client</p> <p>Nondirective vs. MET<br> Nondirective<br> ~ Client determines content and direction<br> ~ Avoids injecting counselor’s advice and feedback<br> ~ Empathy is used noncontingently<br> MET<br> ~ Directs client toward motivation<br> ~ Offers advice and feedback<br> ~ Empathic reflection used selectively to reinforce certain points<br> Building Motivation<br> ~ Since you are here, I assume you have been having some concerns or difficulties related to your use. Tell me about them.<br> ~ Tell me a little about your drinking. What do you like about it? What’s positive about drinking for you? And what’s the other side? What are your worries about drinking?<br> ~ How has your drinking has changed over time? What things do you think could be problems, or might become problems?<br> ~ What have others said about your drinking? What are they worried about?<br> ~ What makes you think that perhaps you need to make a change in your drinking?</p>
