The planning process can go in many directions. Previously, we explored the planning process when there was a clear path forward. What if there are several options that seem worthwhile to pursue? In this scenario, the goal of the clinician is to help facilitate the client in prioritizing them and making a choice. It can be a good situation to be in when there are lots of options to choose from. At the same time, it can be difficult to prioritize them and choose one.
Below are the tasks provided by Miller and Rollnick of the territory to cover with a client who has several ways to move forward. The first task we will explore is confirming the goals and any subgoals along the way. There may be a clear goal, but it is always good to make sure everyone is on the same page.
- Confirm the goal, and as appropriate, subgoals along the way.
- Itemize the options that are available or have been discussed.
- Elicit the client’s hunches/preferences as to the best way forward.
- Summarize the plan and strengthen commitment.
- Troubleshoot-raise any concerns you have.
Oftentimes, there may be a long-term goal the client wants to pursue. There also may be some shorter-term goals along the way. The key is to first find out where the client wants to go and then to determine if there is more than one way to get there. If there are multiple options, take time to explore them to see what makes the most sense based on all the available information.
The goal may seem quite clear, but it always helps to confirm with the client. The more the client speaks out loud about what behavior they want to change, the more they learn about themselves and the best way to achieve their goal. This is where the clinician can be of great benefit; to listen and help the client prioritize what option should be pursued first.
Again, the clinician’s role can be helpful to the client if there are several options to choose from in the planning process. In next month’s blog, we will continue looking at the tasks to review with the client to find the best path moving forward. 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 Steve Bradley-Bull, LCMHC, by phone, (919) 812-9203, or by email, steve_bradley-bull@med.unc.edu
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