Sixtyone problem drinkers were randomly assigned to either immediate treatment or a 4week waitlist control group. Rollnick, the guildford press, new york, london, 1991. Outcomes strongly support the experimental hypotheses and longterm effectiveness of the treatment. A service of the national library of medicine, national institutes of health. Motivational interviewing toolkit ireta institute for.
Motivational interviewing, when used as a technique to increase selfefficacy, is more than merely planting a seed that change is possible. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. These fundamental concepts and approaches were later elaborated by miller and rollnick 1991 in a more detailed description of clinical procedures. More recent adaptations of this approach to medical settings have been effective in improving a wide range of problem behaviors, including physical inactivity. Because motivational interviewing is so commonly associated with substance use and addictions, they will be the focus of examples for the rest of the guide. Using motivational interviewing techniques to talk with. Burke, department of psychology, fort lewis college. Through empathy, we come to deeply understand anothers concerns and their reasons for behaving as they do.
Motivational interviewing and the management of problem. Motivational interviewing is a therapeutic technique for helping people make changes in their lives, which has been applied effectively to the treatment of addictions. Motivational interviewing mi is a therapeutic strategy for facilitating behaviour change. Nov 05, 2007 a very good book that provides clear information on the concept, principles, tools, and skills of the motivational interviewing in general, and its use within the health care context in particular. Mar 17, 2006 instead of using a direct confrontational strategy to treat alcohol problems, miller 1983 proposed an alternative method called motivational interviewing mi. This chapter begins with the context in which motivational interviewing was developed. Keeping in mind that the employee or patient has the right to make their own choices.
Which of the following is not consistent with the mi approach to counseling. Miller in behavioral psychology in 1983, as a method of therapy for problem drinkers. Using motivational interviewing for career andor college. The checkup was originally developed to reach problem drinkers who. Books motivational interviewing network of trainers mint. Motivational interviewing preparing people to change addictive behaviour by. One of the key points the book stressed is the importance of eliciting from patients their own good motivation for making healthrelated behavior. A central challenge for many providers is persuading patients to adopt and stick with healthful changesfrom losing weight or starting an exercise program to.
Start by using the ruler to learn about importance. Motivational interviewing skills manual christopher bolling, md 2 definitions. Taken as one of the techniques to be used in creating discrepancy in motivational interviewing, its impact is even stronger. Motivational interviewing mi is a popular technique for addressing excessive drinking in young adults. Motivational interviewing in a brief encounter skills handbook. Motivational interviewing and the marijuana checkup. This bestselling work has introduced hundreds of thousands of professionals and students to motivational interviewing mi, a proven approach to helping people. Choose the best answer for each of the following questions. Sep 01, 2012 this is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful approach to facilitating change. Motivational interviewing is an integral part of sbirt, and its principles can also be applied to other therapeutic interactions revolving around behavior change. Motivating often means resolving conflicting and ambivalent feelings and thoughts. Anger, sadness, or apathy are reasons why someone may not be motivated, and by addressing these, the person can be ready for a change. Mar 24, 2014 motivational interviewing is an alternate style of communication that has demonstrated success with very resistant clients, such as those recovering from drug and alcohol addiction. The book elucidates the four processes of mi engaging, focusing, evoking, and planning and vividly demonstrates what they look like in action.
Core concepts evolved from experience in the treatment of problem drinkers. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Miller, phd, in an issue of behavioral psychotherapy in 1983. Alcohol use and misuse in young people is a major risk behaviour for mortality and morbidity. The aspect of motivational interviewing that most individuals are familiar with is the stages of change model. The concept of motivational interviewing evolved from experience in the treatment of problem drinkers. Motivational interviewing is a personcentred counselling style for addressing the common problem of ambivalence about change miller and rollnick 20. Helping people change 3rd edition is an essential text for any clinician who hopes to use the intervention in their practice. An extension of this approach, the drinkers checkup dcu, is described as a potential intervention for health screening, treatment selection and matching, cleint selfassessment, and research.
Additionally, motivational interviewing incorporates selfdetermination, which is one of the tenets of traumainformed care. We feel that mi may offer some useful resources for busy cf clinicians. The spirit of motivational interviewing is based on three key concepts. When i was initially introduced to the subject, i immediately felt that motivational interviewing was an approach i would like to incorporate in my counselling skills. This is a goaloriented addiction treatment which emphasizes results and seeks to help alcoholics clear the hurdle of ambivalence. Motivational interviewing is an approach based upon principles of experimental social psychology, applying processes such as attribution, cognitive dissonance, and selfefficacy. Motivational interviewing is underpinned by a series of principles that emphasise a collaborative therapeutic relationship in which the autonomy of the patient is respected and the patients intrinsic resources for change are elicited by the therapist. The drinkers checkup as a preventive intervention volume 16 issue 4 william r. Findings of a pilot study of motivational interviewing with pregnant drinkers. And thats where the drinkers checkup came from, which is a combination. Motivational interviewing and alcohol use disorder bartleby.
Motivational interview with hazardous drinkers request pdf. Motivational interviewing is good for people who are too emotional to be motivated. Motivational module 2 interviewing mi interventions. The main goal of motivational interviewing is combatting ambivalence, which is a characteristic of addiction. Motivational interviewing mi is a counseling approach first described by professor william r. Millers approach to motivational interviewing motivational interviewing mi refers to a counseling approach developed by clinical psychologists william r miller, phd, and stephen rollnick, phd. Motivation for change and alcoholism treatment carlo c. Motivational interviewing for the prevention of alcohol.
Motivational techniques for improving compliance with an. Individuals who abuse drugs or alcohol are aware of the consequences of their actions. Within mi, the therapist is viewed as a facilitator rather than expert, who adopts a. Motivational interviewing enables case managers to elicit. Motivational interviewing emerged in the context of addiction treatment in the early 1980s when dr william miller was working in a clinic for people with. Motivational interviewing skills manual christopher bolling, md 10 importance and confidence ruler an easy way for health care providers to learn about a persons motivation is by using importance and confidence rulers. What is motivational interviewing in patient care management. Motivational interviewinga nonauthoritative approach to helping people to free up their own motivations and resourcesis a powerful technique for. This interactive, online course has been designed for practitioners who work with or desire to work with clients. Motivation is conceptualized not as a personality trait but as an interpersonal process. Motivational interviewing is a collaborative conversation style for strengthening a persons own motivation and commitment to. The dcu seems to be effective in enhancing problem drinkers motivation for. Future sessions can be used to check in, tweak the change plan when there are difficulties, and maintaining motivation with change talk.
Seeing your va medical provider for regular checkups is one of the most important things you can do to maintain your health and well being. Motivational interviewing with problem drinkers vad. In this video about motivational interviewing, i talk about exchanging information between the counselor or and client. What are motivational interviewing techniques and how are. Change is placed only and clearly on the employee or patient. This is often used for addiction as lack of motivation to quit can be one of the. Motivational interviewing in healthcare stephen rollnick. Motivational interviewing plus normative feedback a brief intervention, page 2 of 22 twelvestep facilitation tsf based on the principles of alcoholics anonymous but an independent treatment designed to familiarize patients with the aa philosophy. Motivational interviewing benefits banyan treatment. Motivational interviewing is a collaborative, personcentered communication strategy that strengthens the clients own motivation to change. Since that time mi has been used as a strategy with a multitude of clients who abuse substances.
The concept of motivational interviewing mi was developed based on work with individuals with alcohol problems miller, 1983. Dismantling motivational interviewing and feedback for college. A technical therapeutic definition how does it work. To investigate the impact of counselor style, a 2session motivational checkup was offered to 42 problem drinkers 18 women and 24 men who were randomly assigned to 3. Millers see record 198402297001 system of motivational interviewing with problem drinkers is elaborated by providing a theoretical context for understanding its impact, with a summary of research on motivational interventions. Principles and techniques of motivational interviewing. A study conducted at the university of washington offered a twosession marijuana checkup, publicized through the local media with a telephone number for inquiries. The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first described by miller 1983 in an article published in behavioural psychotherapy. Motivational interviewing mi is a therapeutic technique used to address addiction and substance use disorders in patients by strengthening ones motivation and commitment to a particular goal, such as sobriety. Motivational interviewing arizona state university.
Racgp motivational interviewing techniques facilitating. Motivational interviewing psychology today australia. Motivational interviewing what is it and how can it. Lecture is based on the book motivational interviewing. Motivational interviewing mi is a counseling approach developed in part by clinical. At 6 months, mi with feedback significantly reduced drinking. Each network has mi champions who are focused on supporting the continuing rollout of mi into the networks. Since 2011, motivational interviewing mi has been a key focus within ccnc engaging, educating, and empowering the patients we serve is a core value.
To investigate the impact of counselor style, a 2session motivational checkup was offered to 42 problem drinkers 18 women and 24 men who were randomly assigned to 3 groups. Central to met is a counseling style called motivational interviewing. A 25 year old woman who did not believe that she needed to join an alcoholic anonymous program for her excessive drinking habits which lead her to become injured. This method is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and. Psychological strategies motivational interviewing techniques. Research has shown that motivational interviewing is also effective when paired with other treatment strategies. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Mi is a technique that works on simplifying and engaging fundamental motivation within the client in order to modify behavior miller, 2006. Motivational interviewing a personcentered counseling method for addressing the common problem of ambivalence about behavior change. Sobell, nova southeastern universitv dramatic changes over the past 3 decades have significantly affected the way clinical services for alcohol problems are conceptualized and provided. Motivational interviewing for effective classroom management. Using motivational interviewing for career andor college major choice. The personalized feedback was modified from the electroniccheckup to go. Motivation plays an important role in alcoholism treatment by influencing patients to seek, complete, and comply with treatment as well as make successful longterm changes in their drinking.
This treatment guide will give an overview of the theory and implementation of motivational interviewing. Motivational interviewing plus normative feedback a brief intervention, page 3 of 22 based sites with no facetoface interaction. As the name suggests, this technique is about motivating the client to change a destructive behavior. Motivational interviewing 2015 trauma informed care conference. Motivational interviewing as a treatment for addiction. It works by helping patients find the strength they need to change their unhealthy behaviors through goal setting.
Millers 1983 system ofmotivational interviewing is elaborated by providing a theoretical context for understanding its impact, with a summary of research on motivational interventions. Helping people change, written with stephen rollnick, in 1991. Motivational interviewing is an approach based upon principles of experi mental social. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. Motivational interviewing and alcohol rehab motivational interviewing is a method of addiction counseling that focuses on the client. The model deemphasizes labeling and places heavy emphasis on individual. Motivational interviewing is a directive clientcentered counseling approach for initiating behavior change. Its use has spread into health care, criminal justice, education and most recently into sport.
One of the most important elements of motivational interviewing is that of empathy. Motivational interviewing is a counseling method that helps people resolve ambivalent feelings and insecurities to find the internal motivation they need to change their behavior. Featured article the drinkers checkup mental health. Motivational interviewing with problem drinkers behavioural. The theory and practice of mi have evolved over the preceding decades and it is now a proven method of counseling, shown to be effective for aiding in a wide variety of conditions. The following materials supplement formal mi training, but cannot replace the instruction and practice necessary to become proficient. Focus on whats important to the patient regarding behavior, health, and welfare. Motivational interviewing mi is a counseling style that has been shown to. Home motivational interviewing with problem drinkers. Stephen rollnick is a cofounder of motivational interviewing mi, first introduced 1983 by william r. Motivational interviewing resistance to change alcohol.
This online course teaches the core skills and processes of motivational interviewing mi that have been found to be highly effective in health care. The epub format uses ebook readers, which have several ease of reading features. A lack of motivation can make changing ones thought and behavior patterns very difficult, so addicted individuals experiencing ambivalence about quitting may need to go through mi first. The original development of the mi model was designed to identify where an individual with a substance abuse issue stood regarding their perception of their need to address the problem. Helping people change, 3rd edition applications of motivational interviewing by william r. The notion of motivational interviewing developed from involvement in the management of problem drinkers, and was first pronounced by miller in 1983 hettema, et al. The weedcheck is the dutch translation of the accu. A therapist works to instill motivation tactics to increase positivity and the drive to change enabling behaviors. A brief history of motivational interviewing motivational interviewing mi is a way of talking with people about change related to things we often have mixed feelings about exercise, diet, alcohol and other drug use, relationship issues, risky sexual. Mi is a type of conversation which attempts to elicit and strengthen motivation for change developed in 1983 by william miller and based on his experience with problem drinkers mi methodologies have been empirically tested and proven to be effective. It is very much a collaborative process of careful cultivation of the clients belief in his or her ability to achieve their goals. Motivational interviewing is a practice that therapists use to help people fight addiction. Motivational interviewinga nonauthoritative approach to helping people to free up their own motivations and resourcesis a powerful technique for overcoming ambivalence and helping clients to.
Treatment consisted of a computerbased brief motivational intervention, the drinkers checkup dcu. Dr alistair duff alistair duff qualified as a clinical psychologist from leeds university in 1994 and. Sep 04, 2019 motivational interviewing can be very beneficial for those who have not had good results with cognitive behavioral therapy cbt. September 20, 2017 motivational interviewing is a patient engagement strategy geared toward overcoming a significant challenge in patient care. Jan 02, 2015 having utilized the motivational interviewing mi techniques in this book for the last six months, i can say that i no longer feel that discussions with patients about smoking cessation, drug use, or weight loss are difficult or awkward, and instead find them to be an enjoyable and engaging challenge.
1406 1230 1347 994 134 1308 735 114 1529 18 1118 1086 355 303 1068 242 651 131 1588 1473 1581 894 276 1255 1042 690 654 429 270 756 280 965 1246 1492 872 584 657 1216 326