Syllabus
Master of Social Work
SSWO 652 – Motivational Interviewing (Spring 2020)
Credits - 3
Description
Motivational interviewing is a way of collaborating with clients empathically and in a person-centered way that helps clients to find their own motivations for change. In this course students will learn the fundamentals of motivational interviewing and will have the opportunity to practice intensively within the context of the social work profession. Students will learn core principles of motivational interviewing including expressing empathy and avoiding arguing, developing discrepancy, rolling with resistance, and supporting self-efficacy. We will explore enhancing strategies for promoting individual change in primary healthcare settings and the use of motivational interviewing in achieving better healthcare outcomes.
Materials
Required
Miller, W. & Rollnick, S. (2012). Motivational interviewing: helping people change (3rd ed.). New York, NY: Guilford Press. ISBN: 9781609182274
Rosengren, D. (2018). Building motivational interviewing skills: A practitioner workbook (2nd ed.). New York, NY: Guilford Press. ISBN: 9781462532063
Learning Objectives and Outcomes
School of Social Work Program Outcomes:
Graduates of the UNE SSWO will demonstrate knowledge, skills, and leadership in the following:
- Demonstrates ethical and professional behavior.
- Advance human rights and social, racial, economic, and environmental justice.
- Engage in anti-racism, diversity, equity, and inclusion (ADEI) in practice.
- Engage in practice-informed research and research-informed practice.
- Engage in policy practice.
- Engage with individuals, families, groups, organizations, and communities.
- Assess individuals, families, groups, organizations, and communities.
- Intervene with individuals, families, groups, organizations, and communities.
- Evaluate practice with individuals, families, groups, organizations, and communities.
Course Objectives
Through the completion of their assignments, students will demonstrate their ability to:
- Apply core principles and concepts of motivational interviewing as a therapeutic stance in working with clients. PROGRAM OUTCOME #3 (As measured by Evaluating Motivational Interviewing Paper, Motivational Interviewing Self Evaluation Paper, Self-Coded Motivational Interviewing Paper, and Discussion)
- Engage clients in conversations about change and to assess where clients are in the change process. PROGRAM OUTCOME #3 and #4 (As measured by Evaluating Motivational Interviewing Paper, through peer critique of Self-Coded Paper, and Discussions)
- Use active listening skills of open-ended questions, affirming, reflection, and summarizing with clients. PROGRAM OUTCOME #2 (As measured by peer critique of Self-Coded Paper and Discussions)
- Show evidence of collaborating with clients in developing a focus and goal-directed activities. PROGRAM OUTCOME #3 (As measured by Self-Coded Motivational Interviewing Paper, Evaluating Motivational Interviewing Paper, Discussion and Discussion Facilitation)
- Demonstrate evidence of the ability to acknowledge and explore ambivalence through developing and sustaining talk that is change oriented and that highlights discrepancy in behavior that supports change. PROGRAM OUTCOMES #2 and #3 (As measured by Motivational Interviewing Self Evaluation Paper, Evaluating Motivational Interviewing Paper, and Discussions)
- Collaborate with clients to develop a goal-directed plan for change in behavior and to show the ability to strengthen commitment for that plan. PROGRAM OUTCOMES # 2 and #3 (As measured by Self-Coded Motivational Interviewing Paper and Evaluating Motivational Interviewing Paper)
- Show evidence of competent use of motivational interviewing skills in social work practice. PROGRAM OUTCOME #3 (As measured by Self-Coded Motivational Interviewing Paper and Evaluating Motivational Interviewing Paper)
- Evaluate motivational interviewing skills in practice. PROGRAM OUTCOME #3 (As measured by Self-Coded Motivational Interviewing Paper, Evaluating Motivational Interviewing Paper, and Discussions)
Assignments
A variety of learning activities are designed to support the course objectives, facilitate different learning styles, and build a community of learners. Learning activities for each week include reading, PowerPoints, videos, sample interviews, handouts, self-reflection, and discussions.
Assignment #1: Motivational Interviewing Self Reflection Paper (20% of grade)
The purpose of this paper is to reflect on the ways in which you have effected change in your life. Working with clients using a motivational interviewing approach to a large degree involves helping clients to find a motivation for change that works for them while taking into account the natural ambivalence that is felt when considering change. Answer the prompts in the assignment instructions in Blackboard to explore how you go about making change in your own life. You may use material from your responses to the discussion questions in Week 1. Suggested paper length: 4-7 pages. Due in Week 2.
Assignment #2 – Evaluating Motivational Interviewing Conversations Paper (20% of grade)
Your goal for this paper is to show that you are comfortable assessing MI skills and approaches as they are applied in a session (provided to you), and to learn to be able to identify and evaluate MI-focused interactions in conversation. You will be provided a verbatim transcript of an actual session with a client that you will be required to assess using OARS. You will use the right-hand column in the paper to identify the MI approaches that are being used. See the full assignment instructions in Blackboard. Due in Week 5.
Assignment #3: Self-Coded Motivational Interview Paper (30% of grade)
The purpose of this assignment is to apply a motivational interviewing approach and strategies to a session with a client from your field placement or your place of employment. For students who are not in a field placement or are not employed, you may interview a friend, colleague, or classmate. Contact your instructor with any concerns. You will write a three-part paper that includes the following:
- A one-page narrative that contains: the client’s demographic information; a description of the identified ‘problem’; at what stage of change is the client (pre-contemplation, contemplation, action, maintenance).
- A verbatim transcript of a portion (approximately 5 pages single-spaced) of the session. You will code your interview using the same format as that is used in Paper #2 (e.g., paraphrasing, summarizing, simple reflection, complex reflection, rolling with resistance, amplification of change talk, pointing out discrepancies).
- A summary of the session and a self-assessment using OARS (2 pages). This section will contain a narrative of your session and your reactions to using MI and its efficacy in this particular session. What challenges did you face and how did you feel about your use of MI in the session?
See the full assignment instructions in Blackboard. This paper is due in Week 7.
Grading Policy
The School of Social Work uses the following grading system for all courses with the exception of field education courses. Students are expected to maintain a “B” (3.0) average over the course of their study. Students with less than a GPA of 3.0 will be placed on academic probation. Students must have an overall GPA of 3.0 in order to receive their Master’s Degree.
Your grade in this course will be determined by the following criteria:
Grade Breakdown
Assignment | Point Value | Percentage of
Grade |
---|
Motivational interviewing self-reflection
paper | 200 | 20 |
Evaluating Motivational Interviewing Conversations paper | 200 | 20 |
Self-Coded Motivational Interviewing paper | 300 | 30 |
Discussion Questions (20 points each) | 300 | 30 |
Total: | 1000 points | 100% |
Grade Scale
Grade |
Points Grade |
Point Average (GPA) |
A |
94 – 100% |
4.00 |
A- |
90 – 93% |
3.75 |
B+ |
87 – 89% |
3.50 |
B |
84 – 86% |
3.00 |
B- |
80 – 83% |
2.75 |
C+ |
77 – 79% |
2.50 |
C |
74 – 76% |
2.00 |
C- |
70 – 73% |
1.75 |
D |
64 – 69% |
1.00 |
F |
00 – 63% |
0.00 |
Schedule
Course Dates: Wednesday, January 8 – Sunday, March 1
All assignments are to be submitted by 11:59 p.m. ET on the dates listed below. Unless otherwise specified below, all discussions and assignments are due the last day of the week.
WEEK 1: Motivational Interviewing Overview
Dates: Wednesday, January 8 – Tuesday, January 14
- Readings:
- Articles:
- A Brief Guide to Motivational Interviewing
- Eight Stages in Learning Motivational Interviewing
- Ten Things that Motivational Interviewing Is Not
- Textbooks: Miller, W. & Rollnick, S. (2012). Motivational interviewing: Helping people change (3rd ed.). Chapters 1-3
- Optional: Rosengren, D. (2018). Building motivational interviewing skills: A practitioner workbook (2nd ed.). Chapter 2
- Multimedia:
- What is Motivational Interviewing?
- Helping Populations Progress Through Stages of Change
- Introduction to Motivational Interviewing
- Motivational Interviewing: Spirit and Principles
- Motivational Interviewing: Setting the Scene
- Other Resources:
- Handouts: Motivational Interviewing Tips Sheet
- Discussions:
- How do we change?
- The Spirit of Motivational Interviewing
WEEK 2: Engagement and the Relational Foundation
Dates: Wednesday, January 15 – Tuesday, January 21
- Readings:
- Articles:
- Motivational Interviewing: Moving from why to how with autonomy support
- The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials.
- Motivational interviewing and social work practice
- Textbooks:
- Miller, W. & Rollnick, S. (2012): Chapters 4-7
- Rosengren, D. (2018): Chapters 3-6
- Multimedia:
- Motivational Interviewing: Core Concepts Video
- Motivational Interviewing: An M.I. Learning Resource Clip
- Dr. William Miller: Motivational Interviewing: Facilitating Change Across Boundaries
- Other Resources:
- PowerPoint: Advanced Motivational Interviewing
- Handout: MI Self-Evaluation Checklist
- Discussions:
- Effective Listening
- Values and Truths
- Assignment: Motivational Interviewing Self-Reflection Paper Due
- Looking ahead:
- Review the upcoming assignments in the course:
- Evaluating MI Conversations Paper (week 5)
- Self-Coded MI Paper (week 7)
WEEK 3: Focus and Directive Goal Setting
Dates: Wednesday, January 22 – Tuesday, January 28
- Readings:
- Articles:
- The language of motivational interviewing and feedback: Counselor language, client language, and client drinking outcomes.
- Effects of motivational interviewing training on mental health therapist behavior.
- Textbooks:
- Miller, W. & Rollnick, S. (2012): Chapters 8-11
- Optional: Rosengren, D. (2018): Chapters 7-8
- Multimedia:
- Motivational Interviewing: Core clinician skills – Introducing OARS
- Theory & Practice of MI: Practicing OARS, Mastering the Skills of MI
- Motivational Interviewing and employment–with OARS labeled
- Other Resources:
- Handouts:
- OARS: Strategies of Motivational Interviewing in the Early Stages of Treatment
- Evaluating Motivational Interviewing – Verbatim Transcript
- The Four Processes of MI
- Discussions:
- Style and Focus
- Advice and Self Disclosure
WEEK 4: Evoking Change and Working with Ambivalence
Dates: Wednesday, January 29 – Tuesday, February 4
- Readings:
- Articles:
- Toward a theory of motivational interviewing
- Which individual therapist behaviors elicit change talk and sustain talk in motivational interviewing
- Textbooks: Miller, W. (2010). Motivational interviewing: Helping people change (3rd ed.). Chapters 10-18.
- Miller, W. & Rollnick, S. (2012). Chapters 12-18
- Optional: Rosengren, D. (2018). Chapters 9-11
- Multimedia:
- Motivational interviewing (MI): Core concepts video
- Clients arguing for change: Introducing DARN-C
- Handouts:
- Getting to Change
- Readiness to Change Ruler
- Example of exploring Pros and Cons
- Discussions:
- Ambivalence: Change Talk and Sustain Talk.
- Developing Discrepancy
- Assignments:
- Continue working on Assignment #2: Evaluating MI Conversations Paper (due next week)
- Continue working on Assignment #3: Self-Coded MI Paper (due in week 7)
WEEK 5: Developing a Change Plan and Strengthening Commitment
Dates: Wednesday, February 5 – Tuesday, February 11
- Readings:
- Article:
- Motivational Interviewing in Health Settings: a Review.
- Textbooks:
- Miller, W. & Rollnick, S. (2012). Chapters 19-22
- Rosengren, D. (2018). Chapters 12-13
- Multimedia:
- The Ineffective Physician: Non-Motivational Approach
- The Effective Physician: Motivational Approach
- How not to do motivational interviewing – A conversation with Sal about managing his Asthma
- Motivational Interviewing – A conversation with Sal about managing his Asthma
- Other Resources:
- Handouts:
- Strategies for assessing importance and confidence of change plan
- Motivational Interview Planning
- Change Plan Worksheet
- Example of coded session with ‘Julia’
- Discussions:
- Developing a Change Plan, Strengthening Commitment and Supporting Change
- From Evoking to Planning
- Assignments:
- Evaluating Motivational Interviewing Paper Due
- Continue working on Self-Coded Paper
- Post a draft of your paper by Friday of Week 6 in the group discussion forum
- Peer feedback due by Friday of Week 7
- Paper Due by the end of Week 7
WEEK 6: Applying Motivational Interviewing in Practice
Dates: Wednesday, February 12 – Tuesday, February 18
Readings:
- Article:
- Strengths-based practice and motivational interviewing
- Motivational Interviewing: A Theoretical Framework for the Study of Human Behavior and the
Social Environment
- Textbook:
- Miller, W., & Rollnick, S. (2012). Chapters 23-26
- Optional: Rosengren, E. (2018). Chapter 14
- Multimedia:
- Motivational Interviewing – Recommendations and Conclusions
- Dr. Jonathan Fader Demonstrates Motivational Interviewing Skills
- Discussions:
- Experiencing Motivational Interviewing
- Learning, Applying and Integrating Motivational Interviewing
- Assignment: Share your Self-Coded MI Paper draft with peers in your group discussion no later than Friday; provide peer critique applying MI technique
WEEK 7: Evaluating Motivational Interviewing in Practice
Dates: Wednesday, February 19 – Tuesday, February 25
- Readings:
- eBook Chapter: Promoting Treatment Adherence Through Motivational Interviewing (UNE Library)
- Articles:
- The effectiveness and applicability of motivational interviewing: A practice-friendly review of four meta-analyses
- Evaluating skill acquisition in motivational interviewing: The development of an instrument to measure practice skills
- Textbook:
- Miller, W., & Rollnick, S. (2012). Chapters 27-28
- Multimedia:
- Motivational Interviewing: An M.I. Learning Resource: The first 15 minutes
- The Change Face of MI Presentation by Stephen Rollnick
- Other Resources:
- Discussions:
- Case Application
- Peer Review of Self-coded Motivational Interviewing Paper by 11:59 PM ET Friday
- Assignment: Self-Coded MI Paper by 11:59 PM ET Tuesday (end of Week 7)
WEEK 8: Motivational Interviewing Special Populations
Dates: Wednesday, February 26 – Sunday, March 1
- Readings:
- Articles:
- Setting the stage for the integration of motivational interviewing with cognitive-behavioral therapy in the treatment of depression
- Client experiences of motivational interviewing for generalized anxiety disorder: A qualitative analysis
- The application of motivational interviewing techniques for engaging “resistant” families
- Motivational Interviewing in adolescent treatment
- Patient attitudes towards change in adapted motivational interviewing for substance abuse: A systematic review
- Motivational interviewing in a group setting with mandated clients: A pilot study
- eBook:
- Substance Abuse and Mental Health Services Administration. (1999). Chapter 3: Motivational Interviewing as a Counseling Style
- Multimedia:
- Motivational Interviewing in Psychiatry
- Motivational Interviewing Step by Step Series, Episodes 1-4
- Motivational Interviewing (MI) Addictions Video
- Discussion:
- A Case Through the Lens of MI
Student Resources
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