As we move into the last of the four basic MI processes, we will be focusing on the language and the creation of a personalized change plan. There are numerous frameworks for how change plans are created but the key is for it to be developed with primary input from clients. However the change plan is formalized, it must resonate with the client and assist them in moving from intention to action.
A change plan should include ways for this new behavior to be integrated into the client鈥檚 life. The plan should include the initial steps and perhaps gradual steps to take in moving forward. It likely includes how the client鈥檚 life would be different based on this plan, on a day-to-day basis. Lastly, there would also be time to come back together with the client to see how things are going and to see if any changes to the plan need to be made.
One common strategy for creating a change plan is using a SMART approach. This provides a framework for the client that can be followed by both the client and clinician. I realize many of you may be very familiar with this approach but here again is the description.
Specific The Who, What, Where, When, and How of the plan
Measurable Ways to measure the progress towards the desired behavior change
Attainable A plan that is realistic and not too easy or too difficult
Relevant Based on the evoking process, the motivations for changing
Time-bound Check-in sessions to discuss progress and any needed changes to the plan
The most important element of a change plan is the engagement of the client in creating the plan. It must be clear to the client the best way to move forward and in way that they feel will work. Our role, as clinicians, is to offer support and continue clarifying and adjusting the plan as needed. This process can be challenging for both client and clinician since we know how difficult change can be to integrate. At the same time, it can also be very rewarding when progress is being made and the client is creating the change they want in their life.
Getting to this point, when the client and clinician are creating a change plan is a result of a great deal of exploration. Hopefully, there will be some momentum in moving from many discussions to developing a plan that will be put into action. We will continue looking at the creation of change plans in the next few blogs. I hope everyone is doing as well as possible and you have opportunities to use and practice motivational interviewing.
For more information about Motivational Interviewing or related services, contact Eunice Akinyi Okumu, by phone (919) 843-2532, or by email, eunice_okumu@med.unc.edu