Advancing Learner Skills in MI: Coaching to - PowerPoint Presentation

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Advancing Learner Skills in MI: Coaching to the Finer Points

Developed by EckMaahs & Associates, LLC For the MINT Forum, Fort Wayne, Indiana September 12-14, 2012Presented by Sue EckMaahs, Fran Lesicko and Susan Littrell. Additional thanks to Jane Nakken for assistance with presentation and materials development.Slide2

“Agenda”…

Audiotape coaching within the broader MI coaching spectrum“Learning from our mistakes!”: Preparing learners for coaching with tapes Common Pitfalls in Learning MIListening for “coaching points” – Audio ExerciseThe ABC’s of audiotape based coaching Practice!Slide3

Where does audiotape coaching “fit’ in the coaching spectrum?

MI workshop(s) – with individualized coaching and feedback during training exercisesSmall group skill practice/coaching sessionsIndividual coaching sessions using discussion and role-play or real-play (face-to-face or telephonic)Follow up individual coaching sessions using audiotape samples of MI work with clients/patients Slide4

Preparing the Learner for the Session

Communicate…Length of tape or MI segment desiredWhat you are looking for (MI spirit and core skills)Clear target & reasons to “guide” in the direction of change (avoid neutral/equipoise situations)How to use the technology–digital tapes work best with “hands-on” demo around use of recorder and uploading to computer

Not a “test” – done in the spirit of support and learning. The messier the MI, the more you learn!

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Common Pitfalls in Learning MI…

1. Ramping up the HopelessnessSustaining the Sustain TalkThe Mis-Placed Decisional BalanceBarrier Question Fever2. Stuck in the PastPsychotherapy AlleyThe Social History BuffSlide6

3. Missing or Moving Target

Skipping from Target to Target

The classic “Check-In”

Non-directive, client-centered listening without a focus

4. The Cheerleader

The Dog after a Bone

Skimming the Surface

Lost in the Forest

Racing to the

Finishline

“E-P-E” without the ESlide7

5. The Dog after a BoneEvoking with the purpose of proving a point

Change Talk “Pouncing” 6. Skimming the Surface‘Touch ‘n’ Go’ Responses to Change TalkNo depth in planningSlide8

7. Lost in the ForestGoing Nowhere

Going in Circles8. Racing to the Finish LineExploring the “how” to change and missing the “Why” Slide9

9. “E-P-E” without the “E’s”The ‘nice’ expert

No exploring of the client’s own ideas/knowledge before asking permission to give advice. Slide10

What do you hear? Listening for Strengths and Potential Coaching Points…Slide11

Audiotape Coaching Process…One way to do it:

Before meeting the learner, code the tape (if using a coding instrument); note strengths and potential coaching points. If first session, go over what the two of you will be listening for (i.e., spirit, direction/guiding, OARS, change talk, flow, etc.).Ask them to ID the target behavior and evoke learner’s perceptions of strengths.If not first tape, review goals from last session and evoke progress/thoughts.Slide12

Coaching Process (cont):

Explain that you will listen together and either party may stop the tape periodically to discuss.While listening, be sure and reinforce/affirm the strengths and look for learning opportunities to use E-P-E for discovery and practice.Before ending the session, ask the learner to set 1-3 goals for further practice.Schedule next tape.Slide13

Practice makes PRRRRRfect!Slide14

EckMaahs & Associates, LLC

1424 Victoria St. North

Saint Paul, Minnesota 55117

Phone:

651-489-1122

www.eckmaahs.com

seckmaahs@eckmaahs.com

Thank You for Attending!