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 Subject :the cat is out of the bag - four key processes in MI.. 29/07/2010 at 12:01:28 
Stephen Rollnick
Joined: 23/08/2009 at 01:16:31
Posts: 76
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Dear Colleagues,

I gace a plenary talk with Bill Miller in Stockholm recently at the 2nd ICMI conference (International Coniference on Motivational Interviewing). We gave an overview of a "new" framework for MI that we are going to build the 3rd edition of the basic Mi text around, to be published in 2011 (its not written yet)>

ThenI got lots of emails and queries about this framework.  So here is a very brioef account that can be amplified if you so wish, just ask!

ENGAGE: process no 1.  Use core skills like listening to engage the person. The system around you can undermine or enhance engagement too. No point in proceeding with any useful helping without engagement.

GUIDE: process no 2. Help the person work out what direction they would like to take, what change they would like to address.  Agenda-setting is a core task and skill. identify a change topic.

EVOKE: process no 3.  This is where MI skills are used to evoke the persons own sense of how and why tey might change. You elicit and reinforce change talk.

PLAN: process no 4.  here you use the same core skills to help someone formulate a change plan that is specific and achieveable.

They are not stages, but you couldnt get going with 3 & 4 without 1 & 2 intact.

OK. More if you want this.

 

Steve
 Subject :Re:the cat is out of the bag - four key processes in MI.. 25/11/2011 at 17:05:36 
Jon Opsahl
Joined: 21/11/2011 at 22:54:06
Posts: 2
Location: 

I find this 4-dimensional framework VERY HELPFUL in perceptualizing a "therapeutic arena" where the interactive processes of MI would occur. To me, the dimensions of Engage & Guide form the launching pad, where the client gets stablized and oriented for change. Then the dimensions of Evoke & Plan (Negotiate) can be added forming the atmosphere above the launching pad where the client really explores the possibilities of change with all the how's & why's.

I would like to learn more about how you will be explaining the intricacies in MI-3. (About when in 2012 for the new edition?)

Would the Process of #4 PLAN, be better labelled NEGOTIATE, instead? It may be only semantics, but to me the spirit of MI is emphasized more in a process of negotiating a Plan (as with a partner) in contrast to a process of Plan development (more typically prescribed by the expert for the recipient to follow).
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Forthcoming Workshops

Motivational Interviewing: Introduction & Update. 2 day workshop - 11th & 12th June 2012, Cardiff
Begin: 11.06.12, 09:00
End: 12.06.12, 17:00
This is a repeat one-off opportunity to learn about motivational interviewing (MI), and the latest developments, from its two co-founders, William R. Miller from Albuquerque, New Mexico & Stephen Rollnick from Cardiff, Wales. Professor Miller will return to Cardiff after a successful workshop in 2011. This will be of interest to both to newcomers and those more familiar with MI. A streaming system will be used to ensure that those relatively new to MI will get good opportunity to practice basic skills. It will provide: - Clarification about the common and unique elements of MI - A focus on client change language and how it guides the practice of MI - An update on theory and research - The presentation of a new 4-process framework for MI that allows for easier integration in diverse settings - Opportunity to practice core skills for evoking motivation to change For further details and application form, visit: www.misr2012.co.uk

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