Motivational Interviewing Strategies for practice:
Tracey is a 25-year-old young woman who presented for help at Social Services clinic for assistance. She was referred by her Child Welfare worker who was called into her home after a few relatives were worried about her young children. Tracey has 3 children, ages 7, 4, and 1. The case worker went to the home and found that it was chaotic. The children seem unkempt, the house was full of unwashed dishes, and the laundry had been piled up what looked like for days. Upon entering the home, and with permission from Tracey, the case worker began to assist her with obtaining help for her family and herself. Tracey indicated she needed clothes, and baby items as well as money for rent. The case worker asked her if she would attend a meeting at Social Services in the community to get started with receiving those services and be willing to attend counseling. Tracey said she would attend Social Services for her most urgent needs.
While at the meeting, the Social Service provider asked Tracey the questions below. Each of the 5 questions assumes Tracey is at a certain place in the process of change. Can you match where each question is best used at what place in the Cycle of Change?
Hover over each blank box to reveal the answer.
Questions
Name the appropriate cycle of change
Cycles of change
What brings you here today?
What changes would you like to plan for before you leave?
How have you done with going to parenting meetings?
What has been your experience with counseling before?
You have mentioned many things you would like to address today, which one is the most important to you now?
Engagement
Evocation/Planning
Evocation
Evocation/Engagement
Focusing
Focus (Not sure where to start)
Engagement (new to the idea of change or may not want to change)
Planning (commitment to changing)
Evocation (more ready for change but may not have a plan to change)