1.  The exploration of the provider’s views on a patient’s situation often has an effect on how information is communicated. For example, if the provider has negative feelings about an aspect of the patient's life, it could be a barrier to teaching and ultimately outcomes. This exercise allows the student to explore their own feelings about patients like Butch. It can either be done with an audience response system (download the PowerPoint for the audience response system) or with KAHOOT IT, a free system allowing students to respond using their cell phones. Both of these allow for anonymous responses by the students, and help to launch rich discussions in the classroom. The PowerPoint document includes speaker notes. The questions in this activity are as follows: 

• Most people who are homeless have put themselves in that situation
  1. I totally agree
  2. I agree with most cases
  3. Sometimes this is the case
  4. I totally disagree 
• Being homeless may be a better alternative to living in a home with rules 
  1. I can't imagine that anybody feels this way
  2. This may be true depending on the rules
  3. In rare cases this might be the case
  4. I believe this is the case with many people 
• People who are homeless are lazy and need to get a job 
  1. This would solve their problem
  2. There are many factors that contribute to homelessness
  3. People who work can still be homeless
  4. Most people who are homeless are unable to get a job 
• There is a higher percentage of homelessness among: 

1. Veterans
2. Mentally Ill People
3. Middle Aged People
4. Substance abusers

• I will never be homeless

1. I can't imagine a situation where this would happen to me
2. Never say never. This could happen if a series of events goes wrong
3. I know how to access resources to prevent this
4. I have been homeless 

• My independence is:

1. Not that big of a deal for me
2. Fairly important to my well- being
3. A significant part of who I am
4. Not something that I can control 

2.  As you listen to Butch’s monologue how would you use a motivational interview approach to collaborate with him to optimize his health? Watch the Motivational Interviewing: Linking Behaviors video(or another video that more specifically describes the stages of motivational interviewing such as 3 Motivational interviewing Core Skills in Action) to better understand the technique where a conversation is centered on a collaborative approach to changing behaviors rather than telling the patient what they need to do.

Download the PowerPoint slides related to using a therapeutic motivational interview approach in talking with Butch. The slides can be used as part of a class discussion or can be assigned in groups for the students to process. It is also an appropriate tool to use in an online setting.