Respond to?at least two colleagues in one or more of the following ways:? Select one of the examples from the video that your colleague cited and describe

Respond to at least two colleagues in one or more of the following ways: 

• Select one of the examples from the video that your colleague cited and describe an additional way the clinician’s use of motivational interviewing processes or core skills impacted the conversation with the client.  
• Expand on your colleague’s explanation of how the clinician’s use of motivational interviewing might impact the next steps in the treatment process.  

Use the Learning Resources to support your posts. Make sure to provide APA citations and a reference list. 

1-kendall- 

• Describe two examples from the video where you saw evidence of a motivational interviewing process (engaging, focusing, evoking or planning) and explain how they impacted the conversation with the client.  

The clinician did a great job of engaging the client. He introduced himself, properly explained confidentiality and asked the client his preference of what to call him or address him as. There was also a great example of evoking within the interview. The clinician said, “how important would it be to you to make changes to your coke use”? By phrasing the question this way, they didn’t sound like they were giving advice but rather assessing their own motivation for change.

• Describe two examples from the video where you saw evidence of a motivational interviewing core skill (open questions, affirmation, reflecting, or summarizing) and explain how they impacted the conversation with the client.

In the interview there was multiple examples of open-ended questions used to continue the discussion from the client and draw more details out of them surrounding their reasons for substance use. The clinician said, “can you tell me more, you’ve been partying, and your wife has been getting upset with you”.  “Open-ended questions allow the client to explore aloud while the counselor provides encouragement and support” (Capuzzi & Stauffer, 2020, pg. 146). The client then goes into detail and explains how his lack of employment has led him to party more and use cocaine. The open-ended question allowed the client to elaborate on specifics of what his problem is. After hearing the client describe everything, he has going on the clinician summaries back everything that the client stated to show he was listening attentively and understands what he is saying. “Summaries give the client a chance to hear his or her own words reflected back, thus prompting a response that leads to further exploration” (Capuzzi & Stauffer, 2020, pg. 147).

• Explain how the clinician’s use of motivational interviewing might impact the next steps in the treatment process. 

By effectively using motivational interviewing skills, the clinician fostered a collaborative environment and empowered the client to want to make a change. It ultimately increases the client’s engagement and reduces the chances of resistance. It also leads to a more tailored treatment plan to address all of the clients’ challenges and needs.

References:

Capuzzi, D., & Stauffer, M. D. (2020). Foundations of addictions counseling (4th ed.). New York, NY: Pearson Education, Inc. 

RNAO Communications. (2015). Using motivational interviewing approaches. [Video]. YouTube. https://www.youtube.com/watch?v=PQzrx7JmUkM

2-eric- 

Post a reflection on the clinician’s integration of motivational interviewing processes and core skills into his conversation with the client.

The clinician in this session skillfully integrated motivational interviewing (MI) processes and core skills into the conversation with Nathan, a client struggling with cocaine and alcohol use. From the beginning, the clinician established trust by introducing himself warmly and clarifying the purpose of the meeting, using a respectful tone and clear explanation of confidentiality. His calm, empathetic approach immediately fostered a safe space, which is essential for MI. RNAO Communications. (2015).

Rather than lecturing or offering unsolicited advice, the clinician followed Nathan’s lead, allowing him to identify the problems and concerns in his own words. This is a central tenet of motivational interviewing—supporting autonomy while guiding the client to recognize discrepancies between their current behavior and their values or goals. The clinician balanced reflective listening, open-ended questioning, and gentle feedback to help Nathan explore his ambivalence about change and move toward a self-motivated decision to act.

Describe two examples from the video where you saw evidence of a motivational interviewing process (engaging, focusing, evoking or planning) and explain how they impacted the conversation with the client.

First example – Engaging:
The clinician asked, “What name would you prefer?” and reassured Nathan about confidentiality, which was a clear example of engaging. This set a collaborative tone and helped reduce Nathan’s anxiety, allowing him to be more open about sensitive topics like substance use, risky behaviors, and relationship issues. RNAO Communications. (2015).

Second example – Evoking:
When the clinician asked, “On a scale of 1 to 10, how important is it for you to make changes to your cocaine use?”, and followed up with “Why an 8 and not a 4?”, he used the evoking process. This prompted Nathan to articulate his reasons for change, such as missed job interviews, regretful behavior, and the impact on his family. This evocation of change talk increased Nathan’s motivation by helping him hear his own desire for a better future. RNAO Communications. (2015).

Describe two examples from the video where you saw evidence of a motivational interviewing core skill (open questions, affirmation, reflecting, or summarizing) and explain how they impacted the conversation with the client.

First example—open questions:
The clinician asked, “Tell me more about what brings you here,” which is an open-ended question. This allowed Nathan to describe the progression of his substance use and how it was negatively impacting his life. The open format encouraged a deeper exploration of his emotions and experiences without fear of judgment.

Second example—Summarizing:
At the end of the session, the clinician provided a summary of Nathan’s concerns, including missed opportunities, risky behavior, regret, and the desire to stop using cocaine. This summary served to validate Nathan’s experiences, reinforce his insight, and ensure shared understanding between client and clinician. It also helped to prepare the client mentally for the next phase of treatment planning.

Explain how the clinician’s use of motivational interviewing might impact the next steps in the treatment process.

The clinician’s effective use of motivational interviewing will likely increase the client’s readiness for change and engagement in the treatment process. Nathan not only acknowledged that he wants to change but also began identifying strategies to reduce his substance use, such as avoiding certain bars and distancing himself from peers who use drugs. Because the motivation came from within, Nathan is more likely to feel empowered and committed to his goals. RNAO Communications. (2015).

Moreover, the clinician’s respectful and affirming approach strengthens the therapeutic alliance, making it more likely that Nathan will continue participating in sessions, adhere to the treatment plan, and trust the recommendations provided by the healthcare team. The use of MI sets the foundation for a collaborative, person-centered treatment plan where Nathan’s autonomy and strengths are central.

References:

• RNAO Communications. (2015). Using motivational interviewing approachesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=PQzrx7JmUkM