Motivational Interviewing Stabilizing Change
This course offers guidance to 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 Treatment Improvement Protocol includes updates to the original course, including a literature review on the use of motivational interviewing (MI) in substance use treatment covering 2013 to mid-2017 and the most current (2013) edition of Miller and Rollnick’s foundational text. In addition, the course content was updated again in 2019 with further information.
This chapter addresses ways in which motivational strategies can be used effectively at different points in the formal treatment process. The first section discusses the importance of understanding and offsetting clients’ natural doubts and reservations about treatment immediately after admission so that they stay long enough to benefit from the process rather than dropping out prematurely. The next part outlines ways to help clients plan for stabilizing change, develop coping strategies to avoid or defuse high-risk situations, and enlist family and social support. The third section describes types of alternative reinforcers that can be used, including a broad-spectrum approach that attempts to make a non-using lifestyle more attractive and rewarding than previous self-destructive behavior.
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 increase their knowledge of motivational interviewing. The course material includes a review of the strategies helpful in retaining and engaging clients in treatment to stabilize their behavior changes. It may also be useful for licensed clinicians who require continuing clinical 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 the importance of understanding and offsetting client doubts immediately after admission to retain and engage them in treatment
- Identify strategies to help clients plan for stabilizing change
- Recognize alternative reinforcers that can be used to make a non-using lifestyle more attractive
Citation: Substance Abuse and Mental Health Services Administration. Enhancing Motivation for Change in Substance Use Disorder Treatment. Treatment Improvement Protocol (TIP) Series No. 35. Chapter 7 SAMHSA Publication No. PEP19-02-01-003. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2019. Retrieved from https://store.samhsa.gov/sites/default/files/d7/priv/tip35_final_508_compliant_-_02252020_0.pdf on 5/2021.
This Ce-Classes.com course is approved for CE credit by:
- The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.
- Association of Social Work Boards (ASWB) Ce-Classes.com, Provider #1142, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Ce-Classes.com maintains responsibility for this course. ASWB Approval Period: 1/5/2020-1/5/2023 Social workers participating in this course will receive 2 Clinical continuing education clock hours.
- The National Board for Certified Counselors (NBCC) Ce-Classes.com has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6320. Programs that do not qualify for NBCC credit are clearly identified. Ce-Classes.com is solely responsible for all aspects of the programs.
- Florida Certification Board
- The Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2023
- The California Board of Behavioral Sciences. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by nationally recognized certifying bodies, such as APA, to satisfy renewal requirements.
- California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-147-0223 Expires 2-2023
- The Texas Board of Social Work Examiners – CE-Classes.com meets the requirements for acceptable continuing education
- The Texas Board of Professional Counselors – CE-Classes.com meets the requirements for acceptable continuing education
- Massachusetts Authorization Number: 2145
- Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Provider # RCST031201
- New York Social Work Board – Ce-Classes.com is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0120.
- The Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2022 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
- The California Board of Registered Nursing. CEP 15647 Expires 11/30/2022.
This course is Non Interactive .