Motivational Interviewing and Strength-Based Assessment

Seeds of Change Consulting provides training, supervision, and consultation with a focus on providing individually tailored, strength-based treatment to clients. All services include an examination of the idea of “resistance”, the subsequent clinical challenges arising from this discord, and how to strategically address these challenges through the use of Motivational Interviewing and other forms of strength-based assessment and treatment.

Seeds of Change Consulting teaches concrete skills so service providers can experience a sustained increase in strength-based assessment and treatment, resulting in improved client outcomes.

Director of Seeds of Change Consulting-Sarah Solis LCSW

Sarah Solis - Motivational Interviewing and Strength-Based Assessment

Director of Seeds of Change Consulting, Sarah Solis LCSW, has 12 years of experience providing care to clients impacted by trauma. She is currently employed as a Clinical Case Manager at the Department of Veterans Affairs. Sarah has worked in corrections, community mental health outpatient and day treatment programs, medical social work, and community-based services for children and families. Sarah has experience providing direct service, clinical supervision, and worked as a program manager for many years.

Sarah believes treatment is a gift to the healer as well as the healing. Each individual or family brings an incredible life story and personal wisdom.Throughout the treatment process, Sarah ensures that an individual or family’s voice is heard and respected. The majority of her experience has been working with underserved and marginalized populations. Cultural humility and responsiveness is an important element in her work. She participates in monthly cultural humility work groups and has co-authored a training on cultural assessment and treatment planning.

Sarah has completed the Motivational Interviewing Network of Trainers (MINT) training program and remains an active member.

Philosophy

Most service providers enter their prospective fields with the intent to facilitate change for their clients in a strength-based manner. Barriers to seeing this intent through include:

  • The service provider’s experience and internalization of a historical or current deficit-based work-place culture
  • The mandate to collaborate with individuals or agency partners that utilize a deficit-based approach, and the service provider’s internalization of this view of the client
  • Federal, state, or county service provision rules that reinforce deficit-based treatment
  • And, of course, the service provider’s lived experience and, at times, the application of this lived experience as the only context to understand the client (transference/counter-transference)

Seeds of Change Consulting normalizes the service provider’s experience of these impediments.

Clients are the agents of their own change. As each individual accesses health and mental health services, she brings with her many of the skill sets needed to successfully address areas of desired transformation. Service providers have the privilege of helping clients identify existing strengths, name the area of change, and explore ambivalence. Collaboratively the service provider and client create a plan that will result in the transformation. In short, each service provider has the capacity to deliver strength-based assessment and treatment.

 

Services

Trainings 

Half-Day Motivational Interviewing Training – This 4-hour training provides attendees with a basic understanding of James Prochaska and Carlo DiClemente’s Stages of Change. Attendees will learn how to assess a client’s current motivation to change a particular behavior and then learn how to use Motivational Interviewing Open-Ended Questions, Affirmations, Reflections, and Summaries (OARS) to further enhance or consolidate the client’s level of motivation.

Full-Day Motivational Interviewing Training – This 7-hour training (8 hours total with a 1-hour lunch break) provides attendees with a basic understanding of James Prochaska and Carlo DiClemente’s Stages of Change; and builds upon this understanding with additional training on William Miller and Stephen Rollnick’s Motivational Interviewing tenets and techniques. Attendees will learn how to assess a client’s motivation to change a particular behavior and then learn how to utilize stage-appropriate interventions, such as Open-Ended Questions, Affirmations, Reflections, and Summaries (O.A.R.S); evoking/elaborating/enhancing change talk; and creating sustainable change plans. The goal of the training is to enhance the attendees’ ability to collaboratively work with clients to increase or consolidate motivation to address identified problem areas.

Two-Day Motivational Interviewing Training – This two-day training provides a total of 14 hours of interactive learning, covering the basic tenets and techniques delivered in the Full-Day Motivational Interviewing Training with the addition of more workshop time to put these new skills into practice with fellow attendees under the trainer’s guidance and direction.

Three-Day Motivational Interviewing Training – This three-day training provides a total of 21 hours of interactive learning, covering the basic tenets, and an introduction to intermediate level Motivational Interviewing skills. Attendees engage in multiple break-out group activities and process the learning experience after each activity.

Half-Day “Oppression, Structural Violence, and Motivational Interviewing”-This 3-hour training is intended for providers that have received at least two full days of Motivational Interviewing training. The training focuses on the experience of marginalized groups and the means of tailoring Motivational Interviewing to capture a client’s experience of oppression. Trainees practice the facilitation of change plans that highlight the client’s means of remaining safe in oppressive treatment systems.

Full-Day “Oppression, Structural Violence, and Motivational Interviewing”-This 7-hour training covers the concepts noted in the half-day training with the addition of more workshop time to put these new skills into practice with fellow attendees under the trainer’s guidance and direction.

Full-Day “Motivational Interviewing and Systems: The Identification of System Motivation to Evoke Client Desired Change”-This 7-hour training examines the many systems with which the client interacts, and how to motivate the systems to be more conducive to client desired change. Systems include, but are not limited to, family, school, work, mental health and medical programs, probation/parole, and child welfare. Trainees will learn the basics of Motivational Interviewing and how to apply these skills when interacting with reluctant system players.

Half-Day Strength-Based Assessment Training – This 4-hour training focuses on identifying client system strengths and then utilizing these strengths to create a collaborative, solution-focused treatment plan. The training will include a workshop with multiple real-world vignettes for attendees to practice strength-based assessment skills, as well as group practice sessions to cement the attendees’ ability to use solution-focused language.

Supervision

Clinical group and individual supervision.

Consultation
Agency consultation focuses on balancing agency contracts and/or grant requirements with a service population’s current needs. This includes assistance in documenting the use of Motivational Interviewing.

Tools

Seeds of Change Consulting trainings and supervision include the introduction and practice of concrete tools. Examples of tools include O.A.R.S (open-ended questions, affirmations, reflections, and summaries), decisional balance worksheets, Motivational Interviewing Goal and Value cards, motivation scaling, change plans, Prochaska and DiClemente’s Stages of Change, strength-based supervision tools, resiliency-identification assessment questions, and eco-mapping.

Skills

SOC customers will learn to identify:

  • Client reluctance,
  • The etiology of the reluctance,
  • Client resiliency factors,
  • Change talk,
  • Client family/community supports,
  • Issues of culture and socio-economic status and how these effect treatment,
  • And client-recognized change areas

SOC customers will learn to navigate:

  • Deficit-based systems with which the client interacts/depends on,
  • Program/agency mandates vs. the needs of clients,
  • Transference/counter-transference

SOC customers will learn to facilitate:

  • Client desired change
  • Client system change

Documentation

SOC customers will learn to document interventions in line with standards set forth by:

  • Medicaid (Medi-Cal)
  • Grant providers

SOC customers will learn to identify, collect, and monitor outcome data.