CE - just in case - MOTIVATIONAL INTERVIEWING REQUIRED FORMS

WELCOME TO MOTIVATIONAL INTERVIEWING CONTINUING EDUCATION HOURS

Following are the instructions for completing this Module:

Pay fee
Download Videos
Download Workbooks
Watch Videos
Perform repetition exercises: 71 minutes. This consists of verbally practicing and repeating aloud the lessons heard in the videos.
Complete and return Verification of Hours Form: You verify your self-study and verbal practice hours
Complete and return Test
Complete and return Course Evaluation Form
Email instructor that you have completed the course: info@spanishformentalhealth.com
Once you have completed these steps, you will be provided a link to download your diploma. Thank you and great job!
If you need assistance at any time, please email info@spanishformentalhealth.com

FORMS FOR VIDEO #1 / OPEN STAGE - ETAPA ABRIERTA

MOTIVATIONAL INTERVIEWING
OPEN STAGE - ETAPA ABIERTA
TEST

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

1- The acronym OARS refers to which of the following in Spanish? *

a. Etapa Abierta, Etapa de Afirmación, Etapa de Reflexión y Etapa de Resultado. b. Etapa Abierta, Etapa de Afirmación, Etapa de Reflexión y Etapa de Resumen. c. Etapa de Apertura, Etapa de Afirmación, Etapa de Reflexión y Etapa de Resumen. d. Etapa de Apertura, Etapa de Afirmación, Etapa de Reflexionar y Etapa de Resultado.

2- La versión informal de la frase: “Buenos días. Me alegro verle de nuevo.” es: *

a. Buenos días. Me alegro verlos de nuevo. b. Buenos días. Me alegro verte de nuevo. c. Buen día. Me alegro verlas de nuevo. d. Ninguna de las opciones de arriba es correcta.

3- Which of the following is considered part of the Open Stage in the MI model? *

a. ¿Qué esperas conseguir con la terapia? b. ¿Qué esperan conseguir con la terapia? c. ¿Qué esperas lograr con las terapias? d. All of the above.

4- Which of the following is the plural version of: “Dime sobre el asunto principal que deseas mejorar.” *

a. Díganme sobre el primer asunto que desean mejorar. b. Dígame sobre el primer asunto que desean mejorar. c. Díganme sobre los asunto que desean mejorar. d. None of the above.

5- The following phrase: “¿De quién fue la idea de venir hoy aquí?” can be used to ask a single person or to ask a couple. *

a. True b. False

6- If your client, Marta, says: “No me llevo bien con mi colega”, it means she doesn’t get along with her: *

a. Boss b. Partner c. Co-worker d. Female worker

7- What is the way to tell a client to take their time? *

a. Toma su tiempo. b. Tome su tiempo. c. Tomas tu tiempo. d. None of the above.

8- Translate the following phrase to English: “Cómo desearías que fueran las cosas en tu vida ahora?” *

9- Which of the following expressions is correct? *

a. Sí, te entiendo. b. Sí, les entiendo. c. Sí, les comprendo. d. No le comprendo. All of the above are correct

10- En la Entrevista Motivacional, ¿cuál es la etapa que le sigue a la Etapa Abierta? *

Submit

MOTIVATIONAL INTERVIEWING
OPEN STAGE - ETAPA ABIERTA
COURSE EVALUATION FORM

INSTRUCTORS: Cynthia M. Braden, LMFT and Alfonso Lopez

Please fill out the following Evaluation Form on a scale of 1–5,
with 5 being the positive end and 1 being the negative end:

Educational goals and learning objectives

* Indicates required field

The educational goal(s) of this course was/were met. *

Based on the content of the course, I am able to:

Objective #1: implement the OARS acronym to do therapy with a client *

Objective #2: learn language to enable client to express the presenting problem *

Objective #3: enable client to express prior attempts to solve problem *

Objective #4: implement active reflective listening statements *

Course Content/Learning Experience:

Course was appropriate to my education, experience, and licensure level. *

Information could be applied to my practice. *

Presentation was effective, including the use of experiential or active learning. *

Instructional materials were suitable and useful. *

Information was current and accurate. *

Instructor:

Knew the subject matter and delivered it clearly. *

Was responsive to questions, comments, and opinions. *

Program Administration:

Administration of the program was adequate. *

Technology:

Accessibility for technology support was adequate - i.e. questions or problems were addressed effectively and in a timely manner (distance learning only). *

Technology contributed to learning. (distance learning only) *

Course technology was user-friendly. (distance learning only) *

Please note your profession and status (check all that apply): *

LMFT LCSW LPCC LEP PSY Student/Trainee Registered Intern University Faculty

Others: *

Please note years in your profession: *

1-5 6-10 11-20 20+

What was your overall impression of the course? What went well? What could have been improved? *

What topics or presenters would you like to see at a future CE presentation? *

Other comment *

Submit

MOTIVATIONAL INTERVIEWING
OPEN STAGE - ETAPA ABIERTA
VERIFICATION OF HOURS FORM

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

I certify that I have completed the exercises for this Module. *

Watched video Performed repetition exercises Completed and returned Course Evaluation Form Completed Tests and Verification of Hours Form Emailed Instructor that I completed the course Paid Fee

Submit

FORMS FOR VIDEO #2 / AFFIRMING STAGE - ETAPA DE AFIRMACIÓN

MOTIVATIONAL INTERVIEWING
AFFIRMING STAGE - ETAPA DE AFIRMACIÓN
TEST

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

1- What is the informal of the phrase: “Usted es un buen ejemplo para su familia.”? *

a. Eres un buen ejemplo para su familia. b. Tu eres un buen ejemplo para tus familias. c. Es un buen ejemplo para tu familia. d. Eres un buen ejemplo para tu familia.

2- ¿Cuáles cambios cree usted que sean _______________? *

a. Disponibles b. Iguales c. Posibles d. None of the above

3- Which of the following is considered part of the Affirming Stage in the MI model? *

a. ¿Ha sucedido algo positivo en esta última semana? b. ¿Qué esperan conseguir con la terapia? c. Tengo dos preguntas sobre lo que dijo. d. a and c

4- Which of the following is the plural version of: “Gracias por la información que me diste.” *

a. Gracias por la información que me dieran. b. Gracias por la información que dieron. c. Gracias por la información que me dieras. d. Gracias por la información que me dieron.

5- The phrase: “¿Qué opina sobre eso?” means: What is your opinion about this. *

a. True b. False

6- If your client, Marta, says: “I think I need to make some changes in my life”, which of the following replies fall into the Affirming Stage: *

a. No le entendí correctamente, ¿puede repetir, por favor? b. Cuénteme que piensa hacer para lograr eso. c. Usted dice que necesita hacer algunos cambios en su vida. d. All of the above

7- What is the correct way to tell a client that there is still work ahead in therapy? *

a. Aún tenemos mucho por hacer. b. Ya tenemos mucho por hacer. c. Todavía tenemos mucho por lograr. d. Todavía hay mucho por llegar en la terapia.

8- Translate the following phrase to Spanish: “What have you done this last week that hasn’t worked for you?” *

9- Which of the following expressions is incorrect? *

a. Tiene mucho valor. b. Tienes muchos valor. c. Tienen mucho valor. d. Tú tienes mucha fuerza. e. All of the above are correct

10- En la Etapa de Afirmación, ¿es correcto que el terapeuta haga referencia a las habilidades del cliente? *

a. Yes b. No

Submit

MOTIVATIONAL INTERVIEWING
AFFIRMING STAGE - ETAPA DE AFIRMACIÓN
COURSE EVALUATION FORM

INSTRUCTORS: Cynthia M. Braden, LMFT and Alfonso Lopez

Please fill out the following Evaluation Form on a scale of 1–5,
with 5 being the positive end and 1 being the negative end:

Educational goals and learning objectives

* Indicates required field

The educational goal(s) of this course was/were met. *

Based on the content of the course, I am able to:

Objective #1: implement the OARS acronym to do therapy with a client *

Objective #2: learn language to enable client to express the presenting problem *

Objective #3: enable client to express prior attempts to solve problem *

Objective #4: implement active reflective listening statements *

Course Content/Learning Experience:

Course was appropriate to my education, experience, and licensure level. *

Information could be applied to my practice. *

Presentation was effective, including the use of experiential or active learning. *

Instructional materials were suitable and useful. *

Information was current and accurate. *

Instructor:

Knew the subject matter and delivered it clearly. *

Was responsive to questions, comments, and opinions. *

Program Administration:

Administration of the program was adequate. *

Technology:

Accessibility for technology support was adequate - i.e. questions or problems were addressed effectively and in a timely manner (distance learning only). *

Technology contributed to learning. (distance learning only) *

Course technology was user-friendly. (distance learning only) *

Please note your profession and status (check all that apply): *

LMFT LCSW LPCC LEP PSY Student/Trainee Registered Intern University Faculty

Others: *

Please note years in your profession: *

1-5 6-10 11-20 20+

What was your overall impression of the course? What went well? What could have been improved? *

What topics or presenters would you like to see at a future CE presentation? *

Other comment *

Submit

MOTIVATIONAL INTERVIEWING
AFFIRMING STAGE - ETAPA DE AFIRMACIÓN
VERIFICATION OF HOURS FORM

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

I certify that I have completed the exercises for this Module. *

Watched video Performed repetition exercises Completed and returned Course Evaluation Form Completed Tests and Verification of Hours Form Emailed Instructor that I completed the course Paid Fee

Submit

FORMS FOR VIDEO #3 / REFLEXION STAGE - ETAPA DE REFLEXIÓN

MOTIVATIONAL INTERVIEWING
REFLEXION STAGE - ETAPA DE REFLEXIÓN
TEST

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

1- Which of the following is not one of the three categories of reflection? *

a. Reflecting Content b. Reflecting Sentiment c. Reflecting Feeling d. Reflecting Meaning

2- To reflect content, you may use which of the following phrases? *

a. Usted dice que no tiene seguro médico. b. Usted dice que se siente apenado por eso. c. Usted dijo que se siente mucho mejor después de hablar con ella. d. A and C e. A, B and C

3- Which of the following is the correct informal version of the phrase: Usted dice que en estos momentos está pasando por un gran apuro. *

a. Tú dices que en estos momentos está pasando por un gran apuro. b. Tú dices que en estos momentos están pasando por un gran apuro. c. Tú dices que en estos momentos estás pasando por un gran apuro. d. a and c.

4- Which of the following is the plural version of: “Cómo le ha afectado eso?” *

a. ¿Cómo les ha afectado eso? b. ¿Cómo les has afectados eso? c. ¿Cómo le han afectado eso? d. None of the above.

5- The phrase: “¿En qué has ocupado su tiempo este último año?” can be used to ask a single individual or a couple. *

True False

6- If your client, Carlos, says: “A veces le grito a mi esposa y hasta me pongo violento.”, which of the following replies fall into the Reflecting Stage: *

a. Usted dice que a veces se pone violento. b. Dices que hasta ella se pone violenta en algunas ocasiones. c. Usted dice que a veces le grita a su familia. d. All of the above.

7- What is the correct way to make a reflecting statement to a client that infers he is feeling isolated? *

a. Me parece que se sientes aislado. ¿No es así? b. Suena como que te sientes aislado. ¿Correcto? c. Me parece que se siente solos. d. Me da la impresión de que te siente solitario.

8- Translate the following phrase to Spanish: “It seems you’re heading toward a solution to that problem. Is that right?” *

9- Which of the following expressions is correct? *

a. Usted mencionó que se siente complacido por eso. b. Usted dijo hace unos momentos que se siente humillado. c. Me parece que se siente arrepentido por lo que hizo. d. Me da la impresión de que se siente confundido con todo eso. d. All of the above are correct

10- En la Etapa de Reflexión, el terapeuta debe mencionar algunos puntos de lo que el cliente ha dicho. *

a. Yes b. No

Submit

MOTIVATIONAL INTERVIEWING
REFLEXION STAGE - ETAPA DE REFLEXIÓN
COURSE EVALUATION FORM

INSTRUCTORS: Cynthia M. Braden, LMFT and Alfonso Lopez

Please fill out the following Evaluation Form on a scale of 1–5,
with 5 being the positive end and 1 being the negative end:

Educational goals and learning objectives

* Indicates required field

The educational goal(s) of this course was/were met. *

Based on the content of the course, I am able to:

Objective #1: implement the OARS acronym to do therapy with a client *

Objective #2: learn language to enable client to express the presenting problem *

Objective #3: enable client to express prior attempts to solve problem *

Objective #4: implement active reflective listening statements *

Course Content/Learning Experience:

Course was appropriate to my education, experience, and licensure level. *

Information could be applied to my practice. *

Presentation was effective, including the use of experiential or active learning. *

Instructional materials were suitable and useful. *

Information was current and accurate. *

Instructor:

Knew the subject matter and delivered it clearly. *

Was responsive to questions, comments, and opinions. *

Program Administration:

Administration of the program was adequate. *

Technology:

Accessibility for technology support was adequate - i.e. questions or problems were addressed effectively and in a timely manner (distance learning only). *

Technology contributed to learning. (distance learning only) *

Course technology was user-friendly. (distance learning only) *

Please note your profession and status (check all that apply): *

LMFT LCSW LPCC LEP PSY Student/Trainee Registered Intern University Faculty

Others: *

Please note years in your profession: *

1-5 6-10 11-20 20+

What was your overall impression of the course? What went well? What could have been improved? *

What topics or presenters would you like to see at a future CE presentation? *

Other comment *

Submit

MOTIVATIONAL INTERVIEWING
REFLEXION STAGE - ETAPA DE REFLEXIÓN
VERIFICATION OF HOURS FORM

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

I certify that I have completed the exercises for this Module. *

Watched video Performed repetition exercises Completed and returned Course Evaluation Form Completed Tests and Verification of Hours Form Emailed Instructor that I completed the course Paid Fee

Submit

FORMS FOR VIDEO #4 / SUMMARIZE STAGE - ETAPA DE RESUMEN

MOTIVATIONAL INTERVIEWING
SUNNARIZE STAGE - ETAPA DE RESUMEN
TEST

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

1- To provide an empathic Summary of the client’s narrative, which of the following three-step templates is correct? *

a. Le entiendo. – Pero ahora no puede resolver el problema. - ¿No es así? b. Usted dice que… – Pero que no puede. – Y que ahora necesitas ayuda. c. Tú dices que… – Y que has tratado… – Pero que no te ha dado resultado. d. Usted dijo que… – Y que ha podido resolver el problema. – Y que no resulta.

2- ¿Cuáles de las siguientes expresiones es incorrecta? *

a. Usted ha dicho que no puede. b. Usted dijo que no pudo. c. Ustedes dicen que no han podido. d. Ustedes que dijeron que no pueden.

3- Provide a summarizing statement to the client, changing to the correct verb conjugation, compatible with the Summarize Stage. CLIENT: “Estoy pasando por una crisis con mi pareja. Hemos tratado de solucionar el problema de muchas maneras, pero nada nos da resultado.” *

4- Which of the following is incorrect? *

a. ¿Capté eso correctamente? b. ¿Escuché claramente lo que dijo? c. ¿Entendí correctamente lo que acaba de decir? d. ¿Capté claramente lo que digas?

5- The phrase: “Ella se quiere aprovechar de mí.” means: She wants to take advantage of my finances. *

a. True b. False

6- If your client, Marta, says: “I’m having a hard time getting rid of anger I have inside.”, which of the following replies fall into the Summarize Stage: *

a. Entiendo. Dice que se le hace difícil superar eso. Dígame que ha tratado de hacer específicamente para resolver eso. b. Cuénteme que piensa hacer para lograr eso. c. Usted dice que necesita hacer algunos cambios en su vida. d. All of the above.

7- What is the correct way to tell a client in the formal imperative form to continue with the narrative? *

a. Continua, por favor. b. Continuas, por favor. c. Continúan, por favor. d. None of the above.

8- Translate the following phrase to Spanish: “However, you’re saying that it has been very difficult.” *

9- Which of the following expressions is incorrect? *

a. Gracias por contarme eso, Carlos. b. Gracias por contarme esas cosas, Carlos. c. Gracias por contarme todo esos, Carlos. d. Gracias por contarme todo eso, Carlos. All of the above are correct

10- En la Etapa de Resumen, ¿sería correcto que el terapeuta haga referencia a los problemas del cliente? *

Submit

MOTIVATIONAL INTERVIEWING
SUNNARIZE STAGE - ETAPA DE RESUMEN
COURSE EVALUATION FORM

INSTRUCTORS: Cynthia M. Braden, LMFT and Alfonso Lopez

Please fill out the following Evaluation Form on a scale of 1–5,
with 5 being the positive end and 1 being the negative end:

Educational goals and learning objectives

* Indicates required field

The educational goal(s) of this course was/were met. *

Based on the content of the course, I am able to:

Objective #1: implement the OARS acronym to do therapy with a client *

Objective #2: learn language to enable client to express the presenting problem *

Objective #3: enable client to express prior attempts to solve problem *

Objective #4: implement active reflective listening statements *

Course Content/Learning Experience:

Course was appropriate to my education, experience, and licensure level. *

Information could be applied to my practice. *

Presentation was effective, including the use of experiential or active learning. *

Instructional materials were suitable and useful. *

Information was current and accurate. *

Instructor:

Knew the subject matter and delivered it clearly. *

Was responsive to questions, comments, and opinions. *

Program Administration:

Administration of the program was adequate. *

Technology:

Accessibility for technology support was adequate - i.e. questions or problems were addressed effectively and in a timely manner (distance learning only). *

Technology contributed to learning. (distance learning only) *

Course technology was user-friendly. (distance learning only) *

Please note your profession and status (check all that apply): *

LMFT LCSW LPCC LEP PSY Student/Trainee Registered Intern University Faculty

Others: *

Please note years in your profession: *

1-5 6-10 11-20 20+

What was your overall impression of the course? What went well? What could have been improved? *

What topics or presenters would you like to see at a future CE presentation? *

Other comment *

Submit

MOTIVATIONAL INTERVIEWING
SUNNARIZE STAGE - ETAPA DE RESUMEN
VERIFICATION OF HOURS FORM

* Indicates required field

DATE *

Name *

First

Last

LICENSE NUMBER *

I certify that I have completed the exercises for this Module. *

Watched video Performed repetition exercises Completed and returned Course Evaluation Form Completed Tests and Verification of Hours Form Emailed Instructor that I completed the course Paid Fee

Submit

WELCOME TO MOTIVATIONAL INTERVIEWING CONTINUING EDUCATION HOURS

FORMS FOR VIDEO #1 / OPEN STAGE - ETAPA ABRIERTA​

MOTIVATIONAL INTERVIEWING​OPEN STAGE - ETAPA ABIERTATEST

MOTIVATIONAL INTERVIEWING​OPEN STAGE - ETAPA ABIERTACOURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING​OPEN STAGE - ETAPA ABIERTA​VERIFICATION OF HOURS FORM

FORMS FOR VIDEO #2 / AFFIRMING STAGE - ETAPA DE AFIRMACIÓN ​

MOTIVATIONAL INTERVIEWING​AFFIRMING STAGE - ETAPA DE AFIRMACIÓN​TEST

MOTIVATIONAL INTERVIEWING​AFFIRMING STAGE - ETAPA DE AFIRMACIÓNCOURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING​AFFIRMING STAGE - ETAPA DE AFIRMACIÓN​​VERIFICATION OF HOURS FORM

FORMS FOR VIDEO #3 / REFLEXION STAGE - ETAPA DE REFLEXIÓN ​

MOTIVATIONAL INTERVIEWING​REFLEXION STAGE - ETAPA DE REFLEXIÓN​TEST

MOTIVATIONAL INTERVIEWING​REFLEXION STAGE - ETAPA DE REFLEXIÓNCOURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING​REFLEXION STAGE - ETAPA DE REFLEXIÓN​​VERIFICATION OF HOURS FORM

FORMS FOR VIDEO #4 / SUMMARIZE STAGE - ETAPA DE RESUMEN​

MOTIVATIONAL INTERVIEWING​SUNNARIZE STAGE - ETAPA DE RESUMEN​TEST

MOTIVATIONAL INTERVIEWING​SUNNARIZE STAGE - ETAPA DE RESUMENCOURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING​SUNNARIZE STAGE - ETAPA DE RESUMEN​​VERIFICATION OF HOURS FORM

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FORMS FOR VIDEO #1 / OPEN STAGE - ETAPA ABRIERTA

MOTIVATIONAL INTERVIEWING
OPEN STAGE - ETAPA ABIERTA
TEST

MOTIVATIONAL INTERVIEWING
OPEN STAGE - ETAPA ABIERTA
COURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING
OPEN STAGE - ETAPA ABIERTA
VERIFICATION OF HOURS FORM

FORMS FOR VIDEO #2 / AFFIRMING STAGE - ETAPA DE AFIRMACIÓN

MOTIVATIONAL INTERVIEWING
AFFIRMING STAGE - ETAPA DE AFIRMACIÓN
TEST

MOTIVATIONAL INTERVIEWING
AFFIRMING STAGE - ETAPA DE AFIRMACIÓN
COURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING
AFFIRMING STAGE - ETAPA DE AFIRMACIÓN
VERIFICATION OF HOURS FORM

FORMS FOR VIDEO #3 / REFLEXION STAGE - ETAPA DE REFLEXIÓN

MOTIVATIONAL INTERVIEWING
REFLEXION STAGE - ETAPA DE REFLEXIÓN
TEST

MOTIVATIONAL INTERVIEWING
REFLEXION STAGE - ETAPA DE REFLEXIÓN
COURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING
REFLEXION STAGE - ETAPA DE REFLEXIÓN
VERIFICATION OF HOURS FORM

FORMS FOR VIDEO #4 / SUMMARIZE STAGE - ETAPA DE RESUMEN

MOTIVATIONAL INTERVIEWING
SUNNARIZE STAGE - ETAPA DE RESUMEN
TEST

MOTIVATIONAL INTERVIEWING
SUNNARIZE STAGE - ETAPA DE RESUMEN
COURSE EVALUATION FORM

MOTIVATIONAL INTERVIEWING
SUNNARIZE STAGE - ETAPA DE RESUMEN
VERIFICATION OF HOURS FORM