SOCW 6204 Walden University WK 4 Motivational Interviewing Discussion
Respond to at least two different colleagues’ postings in one or more of the following ways:
-Submit a constructive criticism of the goals of motivational interviewing your colleague posted.
-Offer a different perspective of the applications of motivational interviewing to the clinical situation your colleague posted.
-Please use references
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DB 1
Logan-
Description of the major components of a motivational interview.
According to Burke and Lundahl (2009), motivational interviewing is both a treatment and philosophy and a set of methods employed to help people increase their motivational level by exploring and resolving ambivalence about behavioral change. According to Morton et al., (2015), the major components of motivational interviewing are; engaging (expressing empathy), focusing (developing discrepancy, avoiding argumentation and direct confrontation, and rolling with resistance, and collaboration), evoking (evocation), and planning(autonomy).
Explain the goals of motivational interviewing.
According to Morton et al., (2015), the goal of motivational interviewing is to enhance an individual’s intrinsic motivation to change. I feel that when using motivational interviewing it should always be used to help provide the client with the self-determination to make a positive change in the client’s life.
Describe direct applications of motivational interviewing to a clinical situation in a health care setting.
The application of motivational interviewing in a drug and alcohol rehab health care setting could be beneficial to the patients in this setting.In this type of setting a social worker, can use motivational interviewing to help empower a patient to use self-determination to help a client finish the rehab program and not relapse. It could also help the focus on a specific goal, an example is a mother, working toward the goal of being with her children again.
Then, explain the direct applications of motivational interviewing to a public health issue or situation.
The application of motivational interviewing in when working with clients that have been affected by a public health issue can be useful. An example is helping to find a patient a more affordable medication plan, so they do not feel the need to choose between taking one medicine or the other medicine. I feel that many patients I work with would rather pick and choose which medicine is more affordable then reaching out to see if there is an assistance program that can help. Using motivational interviewing can help the patient find the self-determination to discuss these issues with the social worker, and come up with a intervention that leads to affordable information.
Finally, discuss the disciplines of medical social work in which a social worker would be most likely to use motivational interviewing.
The disciplines of medical social work in which a social worker would be most likely to use motivational interviewing is the substance abuse discipline. As I stated earlier, it would help them through the process of becoming sober and remaining sober. It could also help these clients achieve other goals as well. The social workers in this type of field, will most likely use motivational interviewing with the same client during many sessions, to help them reach their goals. While I think motivational interviewing can be helpful in many disciplines such as in a rehab setting but, I think it is most often used in the substance abuse field.
Reference:
Morton, K., Beauchamp, M., Prothero, A., Joyce, L., Saunders, L., Spencer-Bowdage, S., & Pedlar, C. (2015). The effectiveness of motivational interviewing for health behavior change in primary care settings: A systematic review. Health Psychology Review, 9(2), 205-223.
Lundahl, B., & Burke, B. L. (2009). The effectiveness and applicability of motivational interviewing: a practice-friendly review of four meta-analyses. Journal of Clinical Psychology, 65(11), 1232–1245. https://doi-org.ezp.waldenulibrary.org/10.1002/jcl…
DB 2
Christina-
Post a description of the major components of a motivational interview.
Motivational Interviewing is a theoretical approach that promotes motivation for behavior change. The major components that guide motivational interviewing are: expressing empathy, developing discrepancy, avoiding argumentation and direct confrontation, rolling with resistance, and supporting self-efficacy and optimism (Morton et. al., 2015).The motivation for behavior change is rated on a scale based on the stages of change, which are precontemplation, contemplation, preparation, action, maintenance, and relapse.
Explain the goals of motivational interviewing.
The primary goal of motivational interviewing is to promote change in clients that are ambivalent toward their behaviors as they do not see the relationship between their behaviors and consequences. In motivational interviewing, the clinician facilitates as the client examines and resolves their ambivalence while the client is responsible for identifying and resolving the ambivalence as they go through the stages of change (Wehab, 2005).By eliciting this change, the client can feel empowered toward making the necessary improvements in their lives.
Describe direct applications of motivational interviewing to a clinical situation in a health care setting.
While motivational interviewing can be applied to various areas of social work, I believe it is most effective in mental health and/or substance use settings.As a case manager working with clients with dual diagnoses, I apply motivational interviewing to many of my clients upon intake in order to gain a better understanding of their level of motivation to recover.I would assess their stage of change as well their MORS (Milestones of Recovery Scale) in order to gauge their level of ambivalence. Based on their stage of change, I would facilitate sessions to work on the client’s coping skills to promote the desire to change and understand the correlation between their decision to resort to maladaptive coping mechanisms, such as self-medicating, and the consequences that the behaviors bring to other aspects of their life, such as housing, social relationships, and physical health.
Explain the direct applications of motivational interviewing to a public health issue or situation.
Besides mental health, I believe a public health issue that motivational interviewing would be effective in is in the nutrition and fitness sector when dealing with the obesity epidemic in America. Motivational interviewing can be utilized to illicit change in those needing the incentive for change in their eating habits and physical activity. By addressing the ambivalence of the consequences of making unhealthy food choices, the nutrition expert can promote change and empower the client in addressing their behaviors and decide to make better choices.
Discuss the disciplines of medical social work in which a social worker would be most likely to use motivational interviewing.
Motivational Interviewing is a concept that is flexible in all realms of medical social work. While it is widely known for being effective in the mental health and substance use treatment field, it is becoming more prominent in the primary care sector with the consideration of chronic illnesses. Motivational interviewing is now more widely utilized to health-promoting behaviors such as oral health, sexual health, and nutrition (Morton et. al., 2015).By using motivational interviewing to promote change, patients are able to address their ambivalence in analyzing the relationship between their behaviors and their health issues.
References:
Morton, K., Beauchamp, M., Prothero, A., Joyce, L., Saunders, L., Spencer-Bowdage, S., & … Pedlar, C. (2015). The effectiveness of motivational interviewing for health behaviour change in primary care settings: A systematic review. Health Psychology Review, 9(2), 205-223. doi:10.1080/17437199.2014.882006
Wahab, S. (2005). Motivational interviewing and social work practice. Journal of Social Work, 5(10), 45–60.