Initially defined in 1983 by william miller, motivational interviewing is used as a form of therapy to help treat people dealing with addictions, including drug and alcohol. Motivational interviewing mi is an example of ebp in substance abuse treatment. Emphasize the patients autonomy and need to choose for. However, the majority of practitioners trained to use. Motivational interviewing 2015 trauma informed care. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Motivational interviewing arizona state university. Motivational interviewing, on the other hand, takes the basic communication skills of reflection, active listening and openended questioning and uses these skills to guide rather than lead. Welcome to this training manual from the motivational interviewing network. Motivational interviewing in childhood obesity treatment. The primary mission of mint is to promote the quality of training and practice of motivational interviewing.
Motivational interviewing is practiced by licensed therapists and substanceabuse counselors. He introduced motivational interviewing in a 1983 article in the journal behavioral. Motivational interviewing strategies and techniques. Motivational interviewing mi is a guiding and clientcentered counseling approach used to motivate adults and adolescents to adopt healthy and constructive. Tnt manual 2014 d10 20150205 motivational interviewing. Motivating often means resolving conflicting and ambivalent feelings and thoughts. Anyone can do motivational interviewing mi utilize 5 as, 5 rs handouts provided nonjudgmental most important. Eight stages in learning motivational interviewing. Each response from the interviewer is coded as a reflection r. See more ideas about motivational interviewing, motivation and social work. This resources provides basic information about the principles on. In this slide presentation i talk about the basic concepts of motivational interviewing mi.
Patients not ready to make a quit attempt now the 5 rs. Fisher j, fisher w, cornman d, amico r, bryan a, friedland g. Preparing people to change health behaviors tips sheet five general principles of motivational interviewing. Motivational interviewing center for health training 2010 1 the oars model1 essential communication skills o. See more ideas about motivational interviewing, therapy tools and mental health counseling. Strategies of motivational interviewing oars strategies description examples openended questions elicits descriptive information tell me about or describe.
Motivational enhancement therapy is a specific type of motivational interviewing that involves structured feedback and future planning. A core skill in building a collaborative relationship is asking open questions. Training objectives discuss participants current strategies for mifocused supervision and rationale for its use. Asking questions and minimizing statements is a principle of motivational interviewing, an evidencebased interviewing style that facilitates patientdriven behaviour change. The use of mi has been reported as a promising approach in the treatment of obesity resnicow et al. Pdf exploring the understanding and application of. Motivational interviewing treatment fidelity in thailand. Motivational interviewing and motivational interactions for health. The book elucidates the four processes of miengaging, focusing, evoking, and planningand. Motivational interviewing is a directive, clientcentred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence. The clinician can motivate patients to consider a quit attempt with the 5 rs. William miller, phd, originally described motivational interviewing for treating problem drinkers in 1983.
Motivational interviewing mi is a therapeutic strategy for facilitating. Since 2011, motivational interviewing mi has been a key focus within ccnc. Use the transcripts make notes in the video transcript for future reference. Your view of this person is going to have a profound impact. Although the current clinical practice guideline recommend motivational interviewing for use with smokers not ready to quit, the strength of evidence for its use is rated as not optimal. Exploring the understanding and application of motivational interviewing in applied sport psychology article pdf available in sport psychologist 314. The way in which you talk with patients about their health can substantially influence their personal motivation for behavior change. Motivational interviewing a tool for working with problem. Principles and techniques of motivational interviewing. Helping people change applications of motivational interviewing ebook. Focus on whats important to the patient regarding behavior, health, and welfare. Motivational interviewing is a personcentered counseling style for addressing the common problem of ambivalence about change. Motivational interviewing mi is a wellknown scientifically tested method of affecting behavior change in humans. Addiction treatment using motivational interviewing.
A bibliography of motivational interviewing christopher mclouth. Openended questions questions that do not invite brief answers affirmations directly affirming and supporting the client during the interaction. A catalogue record for this book is available from the british library. One of the principles of evidencebased practices in corrections is to enhance offenders intrinsic. A brief guide to motivational interviewing the hrb. Motivational interviewing mi is a counseling approach developed in part by clinical psychologists william r. Pdf motivational interviewing is a directive, clientcentred counselling style for eliciting. The most obvious connection between motivational interviewing and the stages of change is that motivational interviewing is an excellent counseling style to use with clients who are in the early. Miller and stephen rollnick, and is defined as a collaborative, personcentered directive counseling method for addressing the common problem of ambivalence about behavior change. Motivational interviewing training new trainers manual. Basic concepts of motivational interviewing for alcohol. Contemplation the customer acknowledges concerns and is considering the possibility of change but is ambivalent and uncertain.
Motivational interviewing training is a process that requires commitment of resources, including staff time as well as financial resources. In mi, interventionists are instructed not to directly provide clients with. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Motivational interviewing worksheets therapist aid.
Preparing people to change addictive behavior, miller and rollnick wrote. The substance use motivation ruler is an excellent tool derived from motivational interviewing. Motivational interviewing is a process that helps people resolve their. Miller had taken a sabbatical and spent 3 months at the clinic. Patients not ready to make a quit attempt may respond to a motivational intervention.
Helping people change, written with stephen rollnick, in 1991. Relevance, risks, rewards, roadblocks, and repetition. Recent metaanalyses show that motivational interviewing is effective for. Ccnc motivational interviewing mi resource guide community. Motivational interviewing mi is a patientcentered and collaborative approach to clinical care. Ask your client to pinpoint, on a scale of 1 to 10, how motivated they are to end their drug use. Miller, phd tips for making the best use of the dvd 1.
Mi is defined as a collaborative, goaloriented style of. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. Motivational interviewing skills manual christopher bolling, md 3 asking open questions. Motivational enhancement therapy begins with an extensive. Motivational interviewing might help addicts to recover. Miller hal arkowitz since the first clinical description of motivational interviewing mi miller, 1983, research and clinical. 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.
Miller is regents professor of psychology and psychiatry at the university of new. Core concepts in motivational interviewing summary of motivational interviewing motivational interviewing mi was developed by william r. Appropriate motivational strategies for the clinician. Cant be answered with yes or no allow for a fuller, richer discussion are nonjudgmental. Motivational interviewing for encouraging quit attempts. Empathy genuineness egalitarianism acceptance unconditional positive regard warmth mi spirit collaboration evocation autonomy its your choice. The effectiveness and applicability of motivational interviewing. Motivational interviewing in a brief encounter skills handbook. Motivational interviewing resources for supervisors. Chapter 3motivational interviewing as a counseling style ncbi. Motivational interviewing provides a foundation for assisting individuals with developing the rationale for beginning change in their lives. Motivational interviewing mi as a counseling approach has gained empirical support for its use in a number of settings and for a variety of behaviors. It is a directive, clientcentered counseling style for eliciting. Skill development, and ultimately competence, in mi requires ongoing focus and commitment to implementation.81 1117 253 1392 202 730 788 1027 804 558 41 260 1486 585 676 937 1129 1139 1344 689 650 600 1488 297 1109 21 1219 685 683 1449 621 1360 470 567 1 1007 783 952 1032 266