This Treatment Improvement Protocol offers guidance to addiction treatment providers on using the motivational interviewing therapeutic approach, along with the stages-of-change model of behavior change, in substance use treatment. This edition of the TIP includes updates to the original course, including a literature search on the use of MI in substance use treatment covering 2013 to mid-2017 and the most current (2013) edition of Miller and Rollnick’s foundational text. This chapter describes strategies to increase commitment to change by enhancing decision-making capabilities.
The chapter begins with a discussion of extrinsic (external) and intrinsic (internal) motivation, describing ways to help clients connect with internal motivators to enhance decision-making and thereby commitment. The second section focuses on decisional balancing strategies—effective ways to explore the benefits and costs of change and clients’ values about changes they might make. The third section highlights the importance of personal choice and responsibility as clients get closer to making a decision to change.
This course is based upon material published by the Substance Abuse and Mental Health Services Administration and is available as an open access article.
This course on motivational interviewing is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work. This course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their understanding of motivational interviewing. The course material includes a review of the strategies helpful in moving clients from contemplation to preparation. It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal.
Authors: Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment
Learning Objectives: This course will provide the practitioner with detailed information regarding motivational interviewing. Specifically, a professional will:
· Describe strategies for moving from extrinsic to intrinsic motivation
· Identify the importance of emphasizing personal choice and responsibility
· Recognize self-efficacy as a critical determinant of behavior change
Citation: Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 35 (Chapter 5). HHS Publication No. (SMA) 13-4212. Rockville, MD: Substance Abuse and Mental Health Services Administration, 1999, Revised 2017.
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