Practice Of The Motivational Interviewing Approach Social Work Essay

intrust Of The Motivational Interviewing Approach Social Work EssayCritic eithery break up your make of the Motivational Interviewing hail with specific reference to your classroom encyclopedism and work placementOn reflection I provoke learnt a great deal ab disclose the MI arise, putting the classroom development into practise, then reviewing my performance on the videodisc has been a fundamental break dance of my learning process. Although being familiar with many of the techniques, which ar similar to skills I already possess, the actual approach was new to me.In brief MI allows a ordinarily client require Person Centred Approach to collapse showion by allowing clients to recognise their ambivalence acknowledging that form is possible and cultivating their unlearned forces to make necessary permutes that are acceptable to them. I set out treasure that for myself Im going to need to practice, review and hone my techniques awareness with implementing this copy .It is emphasised with MI that the tone of the approach is conceivably more important than techniques hold upd . I bump the only real way to describe this phenomena is to acknowledge that the spirit would be how the therapist hands themselves the way that he/she utilises the techniques. With MI it is the clients responsibility to conciliate their ambivalence finding intrinsic penury to reposition problematic behaviours, non the therapists to impose or suggest change. The counselling approach is mainly a soft, quiet eliciting style, which places importance on the working relationship being a attendantship.The extreme contrast to MI would be confrontational approaches, which may tackle to break a clients denial through authoritative derogatory shaming approaches disc everywherey away individuals defences and rebuilding their identities with societies or groups philosophies .The therapeutic approach of a gross(a) Person Centred counselling model essentially relies upon th e three core conditions of Congruence, Empathy and categorical Positive regard these conditions contribute to the presence of the Counsellor influencing the relationship form with the client.With addiction interference settings where time constraints are prevalent Motivational Interviewing elicit allow more structure direction being applied to the normally client lead Person Centred Approach. By developing var. mingled with client beliefs and problematic behaviours direction piece of ass be achieved. According to when discrepancy becomes large enough and change seems important, a search for possible methods for change is initiated (p. 11).I possess already integrated any(prenominal) use of MI into my practice however, Im aware at times my agencies policies and procedures are in battle with the MI spirit. Recently, I take away had to check my own incentives in utilise MI, making sure Im not implementing it as a form of manipulation to move clients into adherence with age ncies policies, which would blemish the spirit of the MI approach.The compatibility of the MI approach in my place of work is drumheadable in some areas. Our give-and- perplex modality is a 12 step ascetic based approach, which at present arises two conflicts with the MI spirit. Firstly, not all clients may wish total abstinence and those who do may wish to achieve it in some way that is not 12 step orientated. It is agency policy that all clients attend 12 step fellowship meetings every evening during their give-and- lead duration.In our manipulation setting the MI approach has proven to be useful in several areas when clients initially arrive in discussion anxiety levels are high if not addressed toilet lead to dropout. Application of MI here can help the client concenter on the influencing factors that motivated them to contemplate preaching in the first place. In addition, MI is acknowledged a beneficial approach to use with sore clients especially the principals of curlicue with resistance and the expression of empathy .Although the clients have attended our treatment facility for a variety of reasons, it is difficult to place them all in one bracket concerning the stages of change model. Taking into account their alcohol / medicate use the vast majority would be in either musing or active change. Some clients may display signs of resistance to change around other areas of their life which may include being in a relationship with a partner who is still active in addictive behaviour. Many clients also have difficulty with assertiveness, which is going to be necessary to develop for them to help maintain addiction free lifestyles. It is a process of change for clients conversely many of these distinct essentials are met with varying degrees of resistance by individual clients.The first example Im going to use is a male person client of 42 years of age who has been interdependent upon substances for twenty years. He displays high levels of inte rest in the abstinent approach registering high using a Likert surveyment tool to gauge his Willingness, great power Readiness regarding an abstinent way of life. With reference to his substance use, I would assess him to be in the action stage of Prochaska and DiCliemente The stages of change (see appendix A).He has a partner who still is a substance user he displays high levels of resistance to changing this area of his life and feels that he testament be able to change her view on substance winning once he saves home after the completion of his treatment. I have been affirming the client consistently with the changes he has made to his behaviour whilst in treatment and with permission from him, pointing how his changes are in line with the 12 step abstinent based approach. What Im trying to achieve is too reinforce his belief in himself about this particular approach. By doing this I feel that there are inconsistencies further developing between his two cognitions I want to expect substance free, yet I want to go home to my partner who is a substance user. As he is now seed to question his own thinking, I can see that the cognitive dissonance is beginning to have an effect Im hoping he will seek to alter the precarious dissonant cognition by remaining in Bournemouth to attend aftercare.A client we recently had at our facility who presented for cannabis use, and admitted his main motivation for being in treatment was to avoid going to prison displayed loathly behaviours towards the treatment modality. His resistance would manifest in ways of walking out of group therapy, getting up and walking around whilst clients were presenting personal assignments generally showing no respect for what other clients were trying to achieve. The application of MI in this instance was quite difficult as a direct approach in line with agency policy and procedures needed to take place first. We had tried on several occasions not to take too much notice of the unacc eptable behaviours he presented which could be considered rolling with resistance, however eventually had to enforce an ultimatum. In circumstances like this I found it very difficult almost impossible to remain in a totally pure orientated spirit of MI.To say that I have mastered the concepts principles of MI would be a significant over estimation. I have furthered my knowledge of the contributing elements of MI which included the stages of change model, the techniques used to work with ambivalence resistance. Most importantly, I have learnt supra all else MI is about allowing the client to be the expert and for me to be mindful of the type of language that I use. The spirit of MI I have no real problem with other than perhaps on occasions avoiding the expert trap generally I do present myself within the spirit of this model.The application of this particular model Im using at work in a tentative way, in other manner of speaking Im applying it in certain situations where perhaps I feel confident to use it. An example of this would be, when clients seem to be making rash decisions to leave treatment or are displaying ambivalence about an abstinent approach.After reviewing the DVD it is clear to me that I lack confidence in the application of the MI approach. I do however feel though that practice and reviewing my practice can only help with me developing my implementation of this approach. I feel that I need to be more mindful of the language I use whilst working with clients. As it became apparent to me whilst reviewing the DVD that I can without realising fall into traps. An example of this would be at the end of the session I asked my client if I could give him something to take away. On reflection, I could have asked him how he felt he could assess his decision on getting a shed.My future development is going to involve applying reviewing my practice, what I have started to look for at my work setting in my own practice and that of my work colleagues i s to identify what clearly is not MI.Some observations I have acknowledged not only with this approach are the ethical conflicts that can arise between almsgiving autonomy . On reflection, the example I used earlier on in this assignment with a male client whose partner remains in active addiction. His autonomy was to return home after treatment completion my interest or benevolence is with the safety of the client. As a professional, I know it would be godforsaken for him to return home to someone who remains actively taking illegitimate drugs. The question is do I then use MI as a way to manipulate the client? My answer is yes of course I do. Questionably is this really in the pure spirit of the approach? addition AThe Stages of ChangeIntervention process using the Stages of Change modelSource Adapted from the work of Prochaska and DiCliemente