MI Skills and Practice: A Practical Guide

MI Skills and Practice: A Practical Guide

MI Skills & Practice

Motivational Interviewing Skills: A Practical Guide

Motivational Interviewing skills develop through more than understanding the principles of MI. Using them effectively in real conversations takes practice.

This guide brings together the core communication skills and practical resources for listening, guiding, responding to ambivalence and exchanging information while maintaining partnership and respect for autonomy.

Motivational Interviewing skills demonstrated through reflective listening and the MI Spirit of partnership, acceptance, compassion and empowerment.

 
Core communication skills

Core Motivational Interviewing Skills: OARS + I

The fourth edition of Motivational Interviewing describes the core communication skills as OARS + I. Information exchange is especially important for practitioners who bring professional knowledge, advice or concerns to conversations.

O

Open Questions

Invite exploration and help people describe their own experience.

Explore Open Questions →

A

Affirmations

Recognise strengths, efforts, values, intentions and qualities.

Explore Affirmations →

R

Reflections

Offer an understanding of meaning and experience rather than relying mainly on questions.

Explore Reflective Listening →

S

Summaries

Gather important material and help organise or guide a conversation.

Explore Summaries →

+ I

Information Exchange

Share knowledge, advice and concerns while continuing to involve the other person.

Explore Information Exchange →

Language, motivation and relationship

Working with what happens in the conversation

MI skills become particularly useful when people feel two ways about change, when the status quo has important benefits, or when tension develops between practitioner and client.

Moving towards change

From exploring motivation to planning

MI is purposeful without assuming that every conversation must end with an action plan. When readiness develops, practitioners can help people consider possible next steps, strengthen confidence and translate motivation into an achievable way forward.

Explore Planning in Motivational Interviewing →

Developing practice

Motivational Interviewing Skills Develop Through Practice and Feedback

Understanding MI is not the same as being skilful in MI. Practitioners can benefit from demonstration, practice, reflection, useful feedback and opportunities to return to real conversations with a particular learning focus.

Explore Developing and Implementing MI →

Continue learning

Explore Motivational Interviewing in practice

Explore how MI is used in different professional settings, or develop your skills through experiential training.

For further information about Motivational Interviewing and the international MI community, visit the Motivational Interviewing Network of Trainers (MINT).