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
Here are 3534 more NCBI PubMed Motivational Interviewing search results.
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.
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.
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
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)
The list of Training events and training resources of MINT:
http://www.motivationalinterviewing.org/motivational-interviewing-training
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
SAMSHA website with Resources and webinars on MI:
https://www.integration.samhsa.gov/clinical-practice/motivational-interviewing
The Case Western Reserve University page on MI providing lots of information and resources:
https://www.centerforebp.case.edu/practices/mi
https://www.pinterest.com/pin/270075308885706677/?lp=true
Digital Resources especially MI coding instruments:
https://casaa.unm.edu/codinginst.html
Webinars and Online Trainings
Addiction Technology Transfer Center (ATTC) Tour of Motivational Interviewing
Over 33,800 MI YouTube Search Results
(the videos have not been vetted)
617 MI Vimeo Search Results
(the videos have not been vetted)
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.
Use this ruler to determine how ready a person is to make a change regarding different types of drugs.
Worksheet designed to help explore the ways in which a person wants to change
Balance sheet designed to help a person compare the pros and cons of making a change vs. not making a change
Instructions and cards for value sorting activity
A great card to use to remind yourself of best practices when using MI
Educational poster on motivation for change
Values that make people want to change
Use these tools to learn more about change talk
Manuals and Guides
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
Slideshare Search Results
