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Chapter 3.Engaging

Edited by:
    https://doi.org/10.1176/appi.books.9781615371860.pl03

    Sections

    Goals of Engaging | Communication Styles in the Engagement Process | Actions That Interfere With Engagement | Engaging at the Core of the Therapeutic Relationship | Role of Engaging in Improving Outcomes | Core Communication Skills in Motivational Interviewing: OARS | Examples of Use of the Core Skills of Motivational Interviewing (OARS) | Study Questions | References

    Excerpt

    Engagement is the first step in the therapeutic relationship and constitutes the foundation of motivational interviewing (MI) work. It is the process by which the patient and clinician agree to connect, to disclose, and to work together comfortably. The engaging process is variable and dynamic; sometimes the process occurs early, with relative ease, while at other times it requires effort from both the clinician and the patient. Many factors can influence the strength of the relationship and the pace at which engagement happens. The thoughts and feelings a clinician or a patient may have during the encounter can and will affect engagement. For example, diverse experiences and vulnerabilities the patient and clinician possess can affect the engaging process. In this way, engaging is a two-way process. To promote patient collaboration, the clinician should be aware of these factors and work proactively to provide an environment where the patient feels safe to share information.

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