Aspects that the Interviewer Does Well
Motivational interviewing refers to the interaction between a care provider and a mental health patient or an addict of a substance (Crisp, 2015). The interviewer helps the client to plan for the process of change and accepts the condition of the client. The interview session aims to motivate the client towards achieving their goals. The sessions base on humanistic and optimistic theories that empower individuals with the ability to exercise free choice (Dean, Britt, Bell, Stanley, & Collings, 2016). Furthermore, the client can rely on self-evaluation to undergo a positive transition after the interview. The caregiver must build a therapeutic relationship with the client to have a successful session. This essay will reflect the motivational interview in the video. The write-up will explore the aspects that the interviewer did well and those that require improvement. The paper will also look at the response of the client and the changes that can promote behavioral transition.
The interviewer applies the virtues of respect and empathy to build a therapeutic relationship with the client. An effective motivational interview should allow the client to talk more than the counselor (Romano, & Peters, 2015). In the video, the female counselor poses questions and enable the client to provide comprehensive and uninterrupted replies. The caregiver allows the patient to do the majority of the talk as she listens. The counselor employs reflective listening skills throughout the interview (Crown, & Vogel, 2017). The counselor asks about the things that motivate the client, and he talks about the goals of achieving financial stability as his primary motivation. The patient states that if he works hard, he can have lots of money and achieve his goal of being happy.
The counselor elicits motivation from the patient and does not advise on any aspect of the discussion (Jamieson, Bradshaw, Lawrence, Broughton, & Venner, 2016). The caregiver asks the client to state the right things and the challenges of making a change. The patient notes that making a change improves his financial situation as he makes money. However, he indicates that working hard for money can be a stressful adventure. In the video, the female counselor does not make suggestions on behalf of the interviewee. Additionally, the interviewer does not persuade the client to make conclusions which is a positive aspect of the motivational interview. The counselor remains quiet as she extracts details from the patient. The interviewer asks the patient about his strategies to make a change, and the interviewee talks about going to work daily.
Other Aspects That the Interviewer should Focus On
The counselor develops and supports discrepancy during the interview session (Edwards, Bannatyne, & Stark, 2018). The interviewer allows the interviewee to suggest reasons for stopping cocaine addiction. The counselor has the appropriate answers but allows the client to express his honest feelings. The client states that he plans to go to work daily as the first strategy of making a change. He also expects to save money to solve his financial situation. The male client also plans to sell his grandmother’s jewelry to get money. The counselor also asks the patient about motivation and the client identify his parents as his main driving points. The interviewer does not disagree with the patient; instead, she motivates him to carry on with his goals. Therefore, the counselor gets numerous aspects of motivational interview right.
The counselor does not encounter resistance but needs to prepare for it in her future engagement with the client. The interviewee has already expressed his desire to change by going to work and selling jewelry to make money. However, the counselor should not confront him if he does not change his ways. The interviewer also fails to make the client examine and see different points of view. She should allow the client to evaluate his options and have a priority list. The interviewer only asks questions and allows the patient to do all the talking which is not appropriate. She should identify any existing gaps between the goals and behaviors of the patient during their interaction.
The interviewer should support the client’s self-efficacy. The counselor should make the clients believe that they can achieve the change that they desire (O’Halloran, Shields, Blackstock, Wintle, & Taylor, 2016). The interviewer should reflect on her previous experiences with clients in similar situations. In the video, the counselor does not provide examples of cocaine addicts that applied given change strategies to achieve personal goals. A competent interviewer should ask the clients about skills and strengths (Williams, Manias, Cross, & Crawford, 2015). The counselor in the video only asks for the motivational points and steps towards making a change. The interviewer should also encourage the client to carry on with his goals. Moreover, the counselor should suggest other change strategies after the client has issued his suggestions. Therefore, the counselor should concentrate on the patient’s self-efficacy during the interview.
The counselor should improve on her skills in making a summary of the patient’s contributions. The interviewer unsatisfactorily summarizes the thoughts of the client in the course of the discussion. An appropriate summary shows the client that the counselor was paying keen attention to the details of the engagement (Hall, Staiger, Simpson, Best, & Lubman, 2016). The summary also prepares the patient to start the journey of change. The client should ask the patient to make any adjustments during the summary segment. In the video, the female counselor fails to request the client to make changes to his contributions. The summary should point out the strengths and the weaknesses of the discussions. The counselor should advise the client to substitute the weak points with practically strong points during their interactions.
Client’s Response to the MI Approach
The counselor in the video applied the MI approach appropriately; hence eliciting a desirable response from the client. The procedure requires interviewers to ask questions and listen as the client does most of the interactions (Schoo, Lawn, Rudnik, & Litt, 2015). The counselor asks the patient to state the factors that motivate him in life. The client gives a detailed discussion indicating that the goals to change his financial situation are his significant points of motivation. The interviewer also asks the patient to state the good and the bad things about making the change. The interviewee answers by pointing out that effective change comes with financial freedom. However, the quest for making money can be stressful. Therefore, the client response to the MI approach is exceptional as he answers all the questions conclusively.
The counselor should have stated her experience with cocaine addicts and their strategies of change to the patient. After listening to the patient, the counselor should assure the patient that his plans are the best to bring change (Fontaine et al., 2016). The interviewer should support the client in his quest to change his financial situation. The patient plans to go to work on a daily basis to get money. Therefore, the counselor should call the client daily on the phone to ensure that he goes to work. The client also plans to sell his grandmother’s jewelry to raise money. The counselor should talk to the grandmother to grant the request of the client of selling the items for cash.
The client states that his primary sources of motivation are his parents. However, he notes that parents can also be a stumbling block to his quest for change. Therefore, the counselor should have a private session with his parents after the meeting. The interviewer should urge the parents of the client to motivate him as he undergoes transition. The client identifies stress as a drawback to working hard for the money. Therefore, the counselor should hold regular meetings with the client to help him manage stressful conditions (Gray, & Brown, 2017). The patient has future ambitions of being a boss and achieving financial stability. The counselor should share the aspirations of the patients with his family members who can assist him to meet the behavioral change.
Conclusion
Motivational interview refers to the interaction between the counselor and mental health patient or a substance addict. In the video, the counselor conducts the interview appropriately in many ways. The interviewer poses questions and allows the client to do most of the interactions. The female interviewer also respects and empathizes with the patient during the discussion. Additionally, the counselor supports the patient’s efficacy throughout the session. The interviewer further develops and support discrepancy during the interview. The counselor does not encounter resistance during the discussion but should prepare for any in the future. Moreover, the interviewer should encourage the client’s self-efficacy to motive a quick change in the patient. The counselor should also improve on her summary skills. The interviewer should conduct additional activities to enhance behavioral changes. Such activities include convincing the parents to encourage the patient at all times.
References
Crown, S., & Vogel, J. A. (2017). Enhancing Self-Care Management of Interdialytic Fluid Weight Gain in Patients on Hemodialysis: A Pilot Study Using Motivational Interviewing. Nephrology Nursing Journal, 44(1).
Crisp, R. (2015). Can Motivational Interviewing be Truly Integrated with Person-centered Counselling?. The Australian Journal of Rehabilitation Counselling, 21(1), 77-87.
Dean, S., Britt, E., Bell, E., Stanley, J., & Collings, S. (2016). Motivational interviewing to enhance adolescent mental health treatment engagement: a randomized clinical trial. Psychological medicine, 46(9), 1961-1969.
Edwards, E. J., Bannatyne, A. J., & Stark, A. C. (2018). Twelve tips for teaching brief motivational interviewing to medical students. Medical Teacher, 40(3), 231-236.
Fontaine, G., Cossette, S., Heppell, S., Boyer, L., Mailhot, T., Simard, M. J., & Tanguay, J. F. (2016). Evaluation of a Web-based E-learning platform for brief motivational interviewing by nurses in cardiovascular care: a pilot study. Journal of medical Internet research, 18(8).
Gray, R., & Brown, E. (2017). What does mental health nursing contribute to improving the physical health of service users with severe mental illness? A thematic analysis. International journal of mental health nursing, 26(1), 32-40.
Hall, K., Staiger, P. K., Simpson, A., Best, D., & Lubman, D. I. (2016). After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?. Addiction, 111(7), 1144-1150.
Jamieson, L., Bradshaw, J., Lawrence, H., Broughton, J., & Venner, K. (2016). Fidelity of motivational interviewing in an early childhood caries intervention involving indigenous Australian mothers. Journal of health care for the poor and underserved, 27(1), 125-138.
O’Halloran, P. D., Shields, N., Blackstock, F., Wintle, E., & Taylor, N. F. (2016). Motivational interviewing increases physical activity and self-efficacy in people living in the community after hip fracture: a randomized controlled trial. Clinical Rehabilitation, 30(11), 1108-1119.
Romano, M., & Peters, L. (2015). Evaluating the mechanisms of change in motivational interviewing in the treatment of mental health problems: A review and meta-analysis. Clinical Psychology Review, 38, 1-12.
Schoo, A. M., Lawn, S., Rudnik, E., & Litt, J. C. (2015). Teaching health science students foundation motivational interviewing skills: use of motivational interviewing treatment integrity and self-reflection to approach transformative learning. BMC medical education, 15(1), 228.
Williams, A., Manias, E., Cross, W., & Crawford, K. (2015). Motivational interviewing to explore culturally and linguistically diverse people’s comorbidity medication self?efficacy. Journal of clinical nursing, 24(9-10), 1269-1279.
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