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MI Day 2 UNC SSWUniversity of North Carolina at Chapel Hill School of Social Work Clinical Institute

    printable AGENDA  | HANDOUT |   SLIDES

Additional handouts: Types of Reflections  | Change Talk | 12 Roadblocks  | Glossary |  | Observer Sheet

When: September 20-21, 2018 9:00am – 4:30pm both days(Thurs/Friday)

UNC Chapel Hill School of Social Work Auditorium, 325 Pittsboro St, Chapel Hill, NC 27599 Directions and Parking.


Continuing Education:
12 Hours (details)

General: $380 | Early Bird $280 before Sept.1, 2018

** Current UNC-SSW students, staff and faculty**
General: $280 | Early Bird $180 before Sept. 1, 2018

The surest way to reduce people’s motivation for behavioral change is to prescribe the change – whether smoking, exercise, sleep habits, or other behaviors. Yet when time is limited, prescribing change can seem more effective than, say, validating a person’s experience with ineffective behaviors. Motivational Interviewing (MI) is an evidence-based intervention that can seem paradoxical because it focuses more on choice than change itself. MI’s approach is collaborative, supportive, and designed to strengthen client’s intrinsic motivation for and commitment to change, in an atmosphere of acceptance and compassion. At the same time, MI is deliberate, directive, and involves a specific way to listen and respond. MI gains its power through the exploration of ambivalence, discrepancies between values and actions, and attention to change talk.

In this workshop, Marty Weems will teach and illustrate how to use MI in small moments and short sessions to increase motivation to elicit change. Workshop participants will increase their proficiency in differentiating between “change talk” and “commitment language,” and learn how to elicit and shape both. The workshop will begin with an overview of the spirit and techniques of MI. Participants will then receive training and feedback on using MI through a combination of didactic material, active role-plays, and consultation. Participants are encouraged to bring examples from their own practice in which they felt discord rather than collaborative movement with clients. Participants will also have the opportunity to create change plans, consolidate commitment from clients, and otherwise integrate MI into their current practice.

picture-71Marty Weems LCSW, LCAS, is a Clinical Assistant Professor at the University of North Carolina at Chapel Hill School of Social Work. Marty joined the faculty at the School of Social Work in 2003, and teaches graduate studies in direct practice social work. Prior to her tenure at the School of Social Work, Marty worked as a treatment provider, with a focus on substance use disorders. In 2008 she founded e-daptivity Learning and Performance Solutions, an organizational development company that specializes in providing services to behavioral healthcare agencies

Learning Objectives.
At the conclusion of this training, participants will be able to:
1. Describe at least 2 characteristics of the “spirit” of MI.
2. Practice the 4 behavioral skills (“OARS”) to guide people in making a plan for change.
3. Identify the utility of the 4-processes of MI: Engaging, Focusing, Evoking, and Planning
4. Review and practice 7 specific techniques to increase client motivation.
5. Employ at least 3 techniques to develop discrepancy between goals and current behavior.
6. Increase their capacity to achieve attunement through the use of reflective thinking, listening, and responding.
7. Demonstrate at least 4 techniques to elicit, recognize and reinforce “change talk.”
8. Apply at least 2 strategies to avoid deficit-centered, disengagement “traps” e.g. “the righting reflex.”
9. Be able to identify and respond to “sustain talk” in a way that avoids “discord.”
10. Apply at least 1 strategy to form and strengthen therapeutic alliance under circumstances in which clients are under duress or distress.
11. Use at least 1 strategy to explore, amplify, and resolve ambivalence to change.
12. Employ at least 3 techniques to reduce client resistance to changing behavior.
13. Practice at least 4 techniques to develop discrepancy between goals and current behavior.
14. Identify at least 1 technique to use when responding to client statements where there is little motivation to change.
15. Apply at least 2 strategies to identify the client’s degree of readiness to change
16. Use at least 2 techniques during a role play to help a client experience the discrepancy between current behavior and the health promoting behavior.
17. Practice 1 strategy to create change plans with clients.
18. Practice at least 1 technique to consolidate commitment from clients.


  • Lundahl, B., Moleni, T., Burke, B. L., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials. Patient Education and Counselling, 93(2), 157-168. doi:10.1016/j.pec.2013.07.012
  • Miller, W. R., & Rollnick, S. (2009). Ten things that motivational interviewing is not.Behavioural and Cognitive Psychotherapy, 37(2), 129-140. doi:10.1017/S1352465809005128
  • Miller, W.R., & Rollnick, S. (2013). Motivational interviewing: Helping people change. New York, NY: Guilford Press, c2013
  • Oh, H., & Lee, C. (2016). Culture and motivational interviewing. Patient Education and Counseling, 99(11), 1914-1919. doi:10.1016/j.pec.2016.06.010
  • Rollnick S, Miller WR, and Butler CC: Motivational Interviewing in Health Care: Helping Patients Change Behavior. New York: The Guilford Press, 2008.
  • Rollnick, S., Butler, C. C., Kinnersley, P., Gregory, J., & Mash, B. (2010). Motivational interviewing. Bmj, 340(7758), 1242-1244. doi:10.1136/bmj.c1900
  • Tylus-Earl, N., & Jones, J. (2018). Motivational interviewing for patients with mood disorders. Nursing, 48(2), 18-20. doi:10.1097/01.NURSE.0000527613.60279.62

For more information and resources on MI, visit the MINT website (of the Motivational Interviewing Network of Trainers).