When a service user is ready to plan for the desired change, some practitioners may automatically revert to the role of an expert and offer suggestions for how and when the service user could implement the change. However, as you learned in Week 2, taking on the role of an expert is counterproductive to the spirit of motivational interviewing. Service users are more likely to follow through with a plan for change they conceived themselves as opposed to a plan that was conceived for them. As a result, it is often useful to ask service users key questions (such as, “Where do you go from here?” and “What happens next?”) to encourage them to create their own plan for change.
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Planning and Referring
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You're absolutely right! The temptation to jump into "expert mode" and offer solutions can be strong, but it goes against the core principles of motivational interviewing.
Here's why focusing on the service user's own plan for change is crucial and how to encourage it:
Why It Matters:
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Intrinsic Motivation: When a service user develops their own plan, they feel a sense of ownership and responsibility for the change. This intrinsic motivation is far more powerful than external pressure.
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Increased Commitment: Because they've invested in the plan, they're more likely to stick to it.
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Enhanced Self-Efficacy: Building a plan themselves boosts their confidence and belief in their ability to make the change.
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Long-Term Sustainability: Plans that are self-generated tend to be more tailored to the user's individual needs and circumstances, making them more likely to succeed in the long run.
Asking Guiding Questions:
Instead of jumping in with suggestions, use open-ended, reflective questions to guide the service user's thinking:
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"Where do you go from here?" - This invites the user to articulate their next steps.
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"What happens next?" - This encourages them to consider the immediate steps they need to take.
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"What's one thing you can do this week to move towards your goal?" - This focuses the user on concrete action.
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"What are your thoughts about taking [specific action]?" - This helps the user explore their feelings and considerations about their options.
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"What are some things you've done in the past that helped you make changes?" - This draws on their past successes to build confidence.
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"What are some things that might help you overcome challenges as you work towards this goal?" - This helps them anticipate and plan for potential roadblocks.
Additional Tips:
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Avoid "Should Statements": Phrases like "You should..." can be perceived as judgmental and undermine the user's autonomy.
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Focus on Strengths and Resources: Help the user identify their existing skills and support networks that can contribute to their success.
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Offer Support and Encouragement: Let the user know you believe in their ability to make positive changes, even if they encounter setbacks.
Remember: The goal is not to tell the service user what to do, but to empower them to create their own path to change. By using open-ended questions and focusing on their strengths and resources, you can help them create a plan that is both effective and sustainable.
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