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Motivational Interviewing Audit Scoring Guide DESCRIPTION OF RATING ITEMS This section describes in detail different counseling strategies an ISO may use during a session. Items 1 through 10 define strategies that are consistent with Motivational Interviewing (MI) and critical to the approach (e.g., open-ended questions, affirmations of strengths and self-efficacy, reflective statements). Each item includes a specific definition, frequency and extensiveness rating guidelines to help the skills developer/rater capture all occurrences of it, specific examples, and guidelines for rating the overall skill demonstrated by the ISO in using the particular strategy. We strongly encourage the skills developer and supervisors/raters to become very familiar with the rating items and to continuously refer to the definitions in order to provide ISO’s with the most accurate, consistent, and individualized rating feedback and coaching. Motivational Interviewing Consistent Items 1. MOTIVATIONAL INTERVIEWING STYLE OR SPIRIT: To what extent did the ISO provide low-key feedback, roll with resistance (e.g., avoiding arguments, shifting focus), and use a supportive, warm, non-judgmental, collaborative approach? To what extent did the ISO convey empathic sensitivity through words and tone of voice, demonstrate genuine concern and an awareness of the client’s experiences? To what extent did the ISO follow the client’s lead in the discussion instead of structuring the ...
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