Motivational Interviewing (MI)

Definition

The following definition is from the SAMHSA-HRSA Center for Integrated Health Solutions:

“Motivational Interviewing is a clinical approach that helps people with mental health and substance use disorders and other chronic conditions such as diabetes, cardiovascular conditions, and asthma make positive behavioral changes to support better health. The approach upholds four principles— expressing empathy and avoiding arguing, developing discrepancy, rolling with resistance, and supporting self-efficacy (client’s belief s/he can successfully make a change).”

Seminal or Relevant Peer-reviewed Journal Articles

Article 1
Motivational Interviewing and Psychiatry: Use in Addiction Treatment, Risky Drinking and Routine Practice
Motivational Interviewing and Psychiatry: Use in Addiction Treatment, Risky Drinking and Routine Practice, Steven Cole, MD, Michael Bogenschutz, MD and Dan Hungerford, Dr. PH; New York City.
Abstract:
This clinical synthesis focuses on the evidence-based practice of motivational interviewing (MI) and its use in the treatment of addictions, risky drinking, and general psychiatric practice. The authors review the definition and basic concepts of MI, present examples of some core MI clinical interventions, and provide a critical summary of the research supporting the usefulness of MI for the treatment of addictions. In addition, the article also discusses the problem of risky drinking and the ways that MI can help psychiatrists address problem drinking as well as more general behavioral issues and psychotherapy in routine practice. Pragmatic tools are provided to assist psychiatrists in this work.
Article 2
Motivational Interviewing. Annual Review of Clinical Psychology
Hettema J, Steele J, & Miller WR. 2005. Motivational interviewing. Annual Review of Clinical Psychology, 1:91-111 (http://www.integration.samhsa.gov/MI_Annual_Review_of_Clinical_Psych.pdf)
Abstract:
Motivational interviewing (MI) is a client-centered, directive therapeutic style to enhance readiness for change by helping clients explore and resolve ambivalence. An evolution of Rogers’s person-centered counseling approach, MI elicits the client’s own motivations for change. The rapidly growing evidence base for MI is summarized in a new meta-analysis of 72 clinical trials spanning a range of target problems. The average short-term between-group effect size of MI was 0.77, decreasing to 0.30 at follow-ups to one year. Observed effect sizes of MI were larger with ethnic minority populations, and when the practice of MI was not manual-guided. The highly variable effectiveness of MI across providers, populations, target problems, and settings suggests a need to understand and specify how MI exerts its effects. Progress toward a theory of MI is described, as is research on how clinicians develop proficiency in this method.
Article 3
Motivational interviewing as an intervention for at-risk couples. Journal of Marital and Family Therapy
Cordova, J. V., Warren, L. Z., & Gee, C. B. (2001). Motivational interviewing as an intervention for at-risk couples. Journal of Marital and Family Therapy, 27(3), 315-326. doi:10.1111/j.1752-0606.2001.tb00327.x: https://www.ncbi.nlm.nih.gov/pubmed/11436424
Abstract:
Thirty-one couples participated in a pilot, motivational interviewing, intervention for at-risk couples called the Marriage Checkup (MC). The MC consisted of thorough relationship assessment and individualized feedback. It attracted substantial numbers of at-risk couples who were not otherwise seeking treatment. Partners’ marital satisfaction improved significantly from pre- to post-check-up and remained improved at 1-month follow up. Partners were no longer significantly different from a non-distressed comparison group following intervention. Although not addressing the efficacy of the MC, this study supports its viability as an indicated preventive intervention with couples at-risk for severe marital distress by addressing its attractiveness, tolerability, and safety.

Current Books

Motivational interviewing: Helping people change

Motivational interviewing: Helping people change

“The authoritative presentation of motivational interviewing (MI), the powerful approach to facilitating change. The book elucidates the four processes of MI–engaging, focusing, evoking, and planning–and vividly demonstrates what they look like in action.”
Miller, W. R., & Rollnick, S., 1952. (2013). Motivational interviewing: Helping people change (3rd; ed.). New York; London: Guilford Press.

Building motivational interviewing skills, second edition: A practitioner workbook

Building motivational interviewing skills, second edition: A practitioner workbook

“The workbook is packed with real-world examples from a range of clinical settings, as well as sample interactions and hands-on learning activities including quizzes, experiential exercises, and worksheets.”
Rosengren, & B, D. (2017). Building motivational interviewing skills, second edition: A practitioner workbook (2nd ed.). New York: Guilford Publications Inc. M.U.A.

Guilford Press Motivational Interviewing Series Book List (pdf)

Guilford Press Motivational Interviewing Series Book List (pdf)

List and descriptions of many of the newest and most popular books on Motivational Interviewing
Guilford Press Motivational Interviewing Series Book List (pdf)
https://www.guilford.com/add/catmint.pdf

Current Top Websites

MINT

The Motivational Interviewing Network of Trainers (MINT), is an international organization committed to promoting high-quality MI practice and training: Motivational Interviewing Network of Trainers (MINT): (motivationalinterviewing.org)

MINT Training

The list of Training events and training resources of MINT:

http://www.motivationalinterviewing.org/motivational-interviewing-training

Motivational Interviewing: Helping People Change - Book Companion Site

Companion website to the book Motivational Interviewing by William R. Miller and Stephen Rollnick

https://www.guilford.com/companion-site/Motivational-Interviewing-Third-Edition/9781609182274

SAMHSA

SAMSHA website with Resources and webinars on MI:

https://www.integration.samhsa.gov/clinical-practice/motivational-interviewing

Case Western Reserve University

The Case Western Reserve University page on MI providing lots of information and resources:

https://www.centerforebp.case.edu/practices/mi

Pinterest Page on MI

https://www.pinterest.com/pin/270075308885706677/?lp=true

Digital Resources

Digital Resources especially MI coding instruments:

https://casaa.unm.edu/codinginst.html

Webinars and Online Trainings

Tools Available Online

All of the following tools from the website MINT, “Excellence in Motivational Interviewing” are designed to help clients/patients determine how to and the reasons they personally want to change.

Readiness Ruler

Use this ruler to determine how ready a person is to make a change regarding different types of drugs.

Change Plan Worksheet

Worksheet designed to help explore the ways in which a person wants to change

Decisional Balance Sheet

Balance sheet designed to help a person compare the pros and cons of making a change vs. not making a change

Personal Values Card Sort

Instructions and cards for value sorting activity

MI Reminder Card

A great card to use to remind yourself of best practices when using MI

Motivation for Change Poster

Educational poster on motivation for change

Values Clarification Cards

Values that make people want to change

Change Talk Materials and Exercises

Use these tools to learn more about change talk

Manuals and Guides

Therapist Manual

Therapist Manual

This therapist manual was prepared by William R. Miller, Ph.D. and is in the public domain as part of a treatment development project funded by the National Institute on Drug Abuse (R01-DA08896). Motivational Enhancement Therapy with Drug Abusers.

Manual for the Motivational Interviewing Skill Code (MISC) Version 2.1

Manual for the Motivational Interviewing Skill Code (MISC) Version 2.1

MISC is a tool designed for evaluative purposes such as rating an interview between the counselor and the client. Version 2.1 is an update on the original 1997 manual.

Tip 35

Tip 35

SAMHSA TIP on Enhancing Motivation for Change in Substance Abuse Treatment.

mhGAP Intervention Guide (mhGAP-IG)

mhGAP Intervention Guide (mhGAP-IG)

The mhGAP Intervention Guide (mhGAP-IG) for mental, neurological and substance use disorders for non-specialist health settings

N.A. Manual 1

N.A. Manual 1

Motivational Interviewing: Enhancing Motivation for Change—A Learner’s Manual for the American Indian/Alaska Native Counselor

N.A. Manual 2

N.A. Manual 2

Native American Motivational Interviewing: Weaving Native American and Western Practices: A Manual for Counselors in Native American Communities

Transforming Patient Engagement: Health IT in the Patient Centered Medical Home

Transforming Patient Engagement: Health IT in the Patient Centered Medical Home

The article MI and the Patient Centered Medical Home within a resource book focused on improving the health care system.

Project MATCH

Project MATCH

A clinical research guide for therapists treating individuals with alcohol abuse and dependence.

Infographics

Motivational interviewing (MI) is a standardized, evidence-based approach for facilitating behavior change, according to a new infographic by Health Sciences Institute. The infographic explores the four key phases of MI and evidence to support MI’s impact. Click the image below to see the full article.

MI Infographic

Slideshares and Presentations

MI with Adolescents

Friends Togetherness Friendship Happy Enjoy Concept

Slideshare Search Results

Browser window vector illustration. Browser or web browser in flat style with long shadow. Window concept internet browser. Mockup browser screen design.
Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Not readable? Change text. captcha txt

Start typing and press Enter to search