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    Motivational interviewing in Child, Youth and Family residences : case leaders' experiences, appraisal and skill level, and the barriers to implementation.

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    Author
    Wilkinson, Victoria Rose
    Date
    2015
    Permanent Link
    http://hdl.handle.net/10092/11854
    Thesis Discipline
    Psychology
    Degree Grantor
    University of Canterbury
    Degree Level
    Masters
    Degree Name
    Masters of Science

    Motivational Interviewing (MI) is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2012, p.12). Utilised as a preparation tool to increase engagement in treatment, as an adjunct to another therapeutic intervention, or as a stand-alone intervention in its own right, MI promotes and strengthens an individual’s motivation to change by helping to explore and overcome ambivalence (Miller & Rollnick, 2012). This study aimed to investigate Child, Youth and Family (CYF) case leaders’ experiences of practising MI and its implementation within the context of CYF residential units throughout New Zealand. A mixed-methods exploratory sequential design was employed to address the research aims, which sought to capture CYF case leaders’ experiences and appraisal of MI, and to assess their level of skill in applying MI post-workshop training. In addition, this research aimed to identify potential barriers to MI implementation, in order to inform future training and intervention efforts. Data was collected through an online survey, focus groups and audio recordings of participant MI interactions submitted post-training. Qualitative and quantitative analyses identified that the case leaders’ perceived and externally assessed low level of MI skilfulness, as well as a lack of time and resources (e.g., quiet space), were major factors influencing the infrequent use of MI in residences post-training. Furthermore, the results highlight the complexity of implementing Evidence Based Practices (EBP)’s, such as MI, within government organisations, and the need for systematic ongoing training, feedback and organisational support for this to be successfully achieved.

    Subjects
    Motivational Interviewing
     
    New Zealand
     
    Child Youth and Family (CYF)
     
    therapeutic intervention
     
    implementation
     
    practitioner skill
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    • Science: Theses and Dissertations [3603]
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    https://canterbury.libguides.com/rights/theses

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