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. 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 develop 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 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 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: Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 35 (Chapter 7). HHS Publication No. (SMA) 13-4212. Rockville, MD: Substance Abuse and Mental Health Services Administration, 1999, Revised 2017.
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