Transcript Empowering Change MI General 3 Day

Stages of Change &
Motivational Interviewing
UNSTICK THAT STUCK CLIENT
Employment Services Research Project
(Manitoba)
• 3 year (Feb. 2007 - Feb. 2010)
• Almost 3,000 participants – study and control group who
were chronically unemployed
• Clients of First Nations, Métis, Inuit or non-status descent
• Single parents (mostly women), clients with multi-barriers
to employment
• Persons with disabilities
• Ex-offenders
• Newcomers to Canada
• Youth (18-29 years of age)
The Models
We used the Stages of Change to assess client readiness
to change
& Motivational Interviewing to tip the scales of
ambivalence
Disconnect
Estimates less than 20% people making changes in their
lives are in the action stage at any given time, but 90%
of all programs designed to assist with change are
intended for people in the action stage
(Prochaska, et.al.,1994)
Motivational Interviewing
“Motivational interviewing is a collaborative
conversation style for strengthening a person’s own
motivation and commitment to change”
Miller and Rollnick, 2012
MI is both Person-Centered &
Directive
PersonCentered
Directive
Client Centered
Focus on
client
strengths
Collaboration
Empathy
Client
Centered
Disconnect
between
values &
behaviour
Precontemplative
or Contemplative
Preparation
INTAKE
Assessment
Preparation
Action Plan
Contemplation
MI &
Assessment
Preparation
Job Search
Employment
Development
Research Project Study Results
• 25% decrease in clients being released from
employment assistance services
• 34% increase in first time employed numbers
• 48% increase in 6-month employment retention
Why use Motivational
Interviewing?
• Effective short term intervention to move client’s
otherwise deemed un-motivated
• It is directive and client-centered (moving towards
outcomes in a respectful way)
• Increase job satisfaction & reduced practitioner burnout