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I Feel... I Think... I Wish...

26/8/2015

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I've just added a new assessment exercise to the tools section of my website. It's pretty self explanatory. It can be self completed by a client, or during an assessment session, to establish what they want to change, achieve or work towards. It would compliment a motivational interviewing approach which you can check out in my previous post here. Let me know if you use it! :-)
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Motivational Interviewing with Children and Families

6/11/2014

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Motivational Interviewing (Miller & Rollnick, 1991) is a way of talking with people about change that was first  developed for the field of addictions but has broadened and become a favoured approach for use with a wide variety of populations in many different settings. It complements the strengths based approach that is gaining in popularity and engages clients as agents of change. 

Typically, in child protection parents motivation for change is presumed to be static. They either possess it or lack it and there is very little the Social Worker can do to change this. Under these conditions the Social Worker becomes a punitive enforcer of court orders and agency rules and regulations and does little to promote change. Under the threat of punitive measures parents are asked to change or else. 

However, it is well documented that a confrontational counselling style limits effectiveness. Miller, Benefield and Tonnigan (1993) found that a directive-confrontational counselling style produced twice the resistance, and only half as many “positive” client behaviours as did a supportive, client-centred approach. The researchers concluded that the more staff confronted substance-involved clients, the more the clients drank at twelve-month follow up. Problems are compounded as a confrontational style not only pushes success away, but can actually make matters worse. 

By using Motivational Interviewing interactions become more change focussed and relationships between families and Social Worker become more collaborative. The technique should be used simultaneously with other protective measures to ensure that children are safeguarded from the risk of significant harm.  I trained to use motivational interviewing whilst working with an offending and addiction service in 2007. I have since found the technique to be hugely beneficial when applied to work with children and families.

If you would like to learn more, Motivational Interviewing in Social Work Practice is an excellent book providing an accessible introduction to MI with examples of how to integrate this evidence based method into direct practice. You can also find some useful MI tools on my website.  
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    I'm a Qualified Children's Social Worker with a passion for safeguarding and family support in the UK.

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