To illustrate the use and application of motivational interviewing, the book presents case studies and multiple dialogues between health care professionals and patients. Numerous studies have illustrated the efficacy of mi as a promising strategy to encourage positive health behavior change around substance abuse, oral health and diet and exercise. As a social worker over the years i have been exposed to many motivational interviewing trainings. A sensible approach presents a new way of teaching the theory and practice. To this aim, motivational interviewing mi has shown promising results in improving motivation to change and individuals confidence in their ability to do so.
Motivational interviewing in schools strategies for engaging. To download the commentary for this case study and activity, click here. Motivational interviewing is a way of being with a client, not just a set of techniques for doing counseling. Its use has spread into health care, criminal justice, education and most recently into sport. Citron is an audiologist and a consultant, providing training for audiologists in motivational interviewing and the psychological aspects of hearing loss.
Through clear explanation, specific examples, and practical exercises, dr. Interest in learning mi is probably borne of frustration in conversations about change that do not always go. Mar 18, 2015 to this aim, motivational interviewing mi has shown promising results in improving motivation to change and individuals confidence in their ability to do so. The purpose of this article is to integrate theory with practice by describing a threesession case scenario. Mar 30, 2018 motivational interviewing is an integral part of sbirt, and its principles can also be applied to other therapeutic interactions revolving around behavior change. Motivational interviewing for health care professionals.
Motivational interviewing mi is a brief personcentered clinical method for strengthening clients motivation for and commitment to change. Motivational interviewing mi is based on the idea that if people have enough information about a problem they will change. Apha publishes new book on motivational interviewing for. Miller offers a stepbystep process for developing your skillfulness in empathic. In 1991 the first related textbook was published titled motivational interviewing by w.
Stephen rollnick is a cofounder of motivational interviewing mi, first introduced 1983 by william r. 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. Hypertension management program counselling tips motivational interviewing case studies feb 2019 page 3 of 10 case study 1. Ofarrell, phd, department of psychiatry, harvard medical school we have used motivational interviewing in our program for several. Expand your reading list by checking out some of these useful journal articles. Substance use disorders and addictions sage publications inc. Motivational interviewing mi is a behavioural change intervention that is growing. This book is in the applications of motivational interviewing series, edited by stephen rollnick, william r. The book elucidates the four processes of mi engaging, focusing, evoking, and planning and vividly demonstrates what they look like in action.
Tnt manual 2014 d10 20150205 motivational interviewing. If you are experienced in motivational interviewing or if you are new to the concepts this book can provide insight, tools and explanations for all levels. Motivational interviewing and health coaching case studies. Motivational interviewing is an integral part of sbirt, and its principles can also be applied to other therapeutic interactions revolving around behavior change. These are the same book, the original and an updated version. Motivational interviewing resources for trainers from the motivational interviewing network of trainers updated. Motivational interviewing may 27, motivational interviewing motivational interviewing mi can be described as an empathetic, gentle, and skillful mode of counseling that enables practitioners to hold constructive conversations with individuals have certain disorders. The book provides a practical, stepbystep approach for using motivational interviewing skills and tools in all practice settings. Motivational interviewing, motivational enhancement therapy. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Miller and rollnick defined motivational interviewing as a collaborative, personcentered form of guiding to elicit and strengthen motivation for change.
Glynis parks is a 19year old single mother who gave birth 9 months ago to a baby. Nov 05, 2007 this book tries to do basically what the title says, present motivational interviewing techniques geared toward a healthcare really primary care setting. A detailed commentary is provided below, including an overview of how an interview may progress. Jim hernandez 2011 jim is a 68yearold hispanic male who was diagnosed with type 2 diabetes two years ago and is a retired electrician. This is the first book on applying motivational interviewing mi is a powerful, evidencebased technique for facilitating behavior change throughout the school environment to help psychologists, counselors and other schoolbased professionals to improve the effectiveness of their practice. Successful implementation of motivational interviewing with plymouth staff took several months, as is typically the case with clinical programs addressing behavioral health issues. Motivational interviewing mi is a form of strengthsbased counseling originally developed by miller and rollnick with the aim of helping people to change. Well, we hear so many bad things about smoking these days, and i have tried to quit at least 5 times, but nothing ive tried has ever worked, so i have just given up. This book is a stepbystep approach to learning motivational interviewing and it begins with theory, presents the core skills, and then shows how to integrate these skills in a clinical setting. Preparing people for change 1991, 2002, 2014offers a practical, evidencebased approach for supporting clients in making and sustaining healthy behavior changes.
Chapter eight is wonderful in presenting three case studies on how to use the method. This book is destined to have an enormous impact on the field. Although he acknowledges that prescriptions might help some people, ed worries about cost and potential side effects. First described by miller 1983, it was originally designed for working with people with substance use disorders, but has since been more widely applied in health care, corrections, mental health and. Fully restructured around the new fourprocess model. Motivational interviewing an essential skill for care managers. Enhancing behavioral change with motivational interviewing. Mi can be effective in single or multiple brief encounters, facetoface or over the phone. This book is the best reference book i have found to explain motivational interviewing. Motivational interviewing, third edition book depository. The companion web page provides additional helpful resources, including reflection questions, an extended bibliography, and annotated case material.
Read a personal experience with motivational interviewing in drug addiction treatment on. Consider how you might use the principles of motivational interviewing with mary. 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. Helping patients change behavior applications of motivational interviewing 1st edition and motivational interviewing. Case study for motivational interviewing cold creek. How to do motivational interviewing audiobook by bill. He is one of the founders of the american academy of audiology aaa, and served as the president of the academy of doctors of audiology ada from 1988 to 1990, when the blueprint of the doctor of audiology aud program was developed. Reflects major advances in understanding and teaching mi. It is no exaggeration to say that motivational interviewing mi has transformed the way doctors engage with patients, families, and colleagues alike. Motivational interviewing mi, first described by william miller 1983, and later elaborated in the classic book motivational interviewing. Approximately eighty percent of studies have found that mi has superior. Motivational interviewing case study example topics and.
Thus, the motivational approach will be effective for clients who are able to change. Rotations come and go, exams come and go, but regardless of specialty, patientcare will be at the heart of your practice. Multiple studies show motivational interviewing mi is an effective tool for eliciting behavioral change across a wide spectrum of healthcare challengesand that good training is needed to equip care managers and other professionals with the mi skills that can help patients resolve ambivalence and achieve their goals. Motivational interviewing mi is a counseling approach developed in part by clinical. A wealth of vignettes and interview examples illustrate the dos and donts of successful implementation in diverse contexts. This is a goaloriented, clientcentered counseling style for eliciting behavior change. Motivational interviewing has been shown to improve treatment adherence and outcomes, promote health behavior change, improve patient satisfaction with care, and increase retention rates in complex case management. Additional case examples and counseling situations. Motivational interviewing mi is a patientcentered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. A single case example runs throughout the book to compare different treatment approaches and provide a realistic introduction to the complexities of cooccurring substance use e.
I also recommend motivational interviewing in health care. Integrating motivational interviewing and cognitive behavior. Helping people change, 3rd edition applications of motivational interviewing. Theeffectivenessandapplicabilityofmotivational interviewing. Focuses on effective clientcentered approach with good examples. Motivational interviewing is a method that works on engaging a clients basic motivations in order to change behavior.
Swhelper social welfare, social justice, and social good. The following materials supplement formal mi training, but cannot replace the instruction and practice necessary to become proficient. Motivational interviewing and health coaching case studies backed by over 200 clinical trials and multiple metaanalyses, motivational interviewing mi is the gold standard for health coaching. In this concise book, you will learn how to do motivational interviewing mi, the evidencebased, clientcentered counseling approach that has demonstrated effectiveness for a range of psychological, behavioral, and health related issues. Helping patients change behavior applications of motivational interviewing. Read a personal experience with motivational interviewing in drug addiction treatment on cold creeks blog.
This book tries to do basically what the title says, present motivational interviewing techniques geared toward a healthcare really primary care setting. Case study using the spirit of motivational interviewing a male patient, 52 years of age, who drinks heavily and has expressed the desire to reduce drinking, but continues to drink heavily. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Chapter 3motivational interviewing as a counseling style. Reviews the growing evidence base and covers ways to assess mi fidelity. Racgp motivational interviewing techniques facilitating. Books motivational interviewing network of trainers mint. This informative and straightforward book explores the emergence of motivational interviewing mi and cognitive behavioural therapy cbt, with specific attention given to the increasing focus on the central importance of the therapeutic alliance in improving client outcomes.
Proponents of mi tend to argue that it is more than a. Recall that eds new psychiatrist recently suggested that he consider a prescription to help alleviate morning fatigue and confusion due to severe anxiety and insomnia. Pdf motivational interviewing in psychotic disorders. By the middle of 2016, motivational interviewing was fully implemented and used consistently with all residential patients. Motivational interviewing is a technique in which you become a helper in the change process and express acceptance of your client. Jim divorced his wife five years ago and also has two. Motivational interviewing toolkit ireta institute for. Integrating motivational interviewing and cognitive behavior therapy in clinical practice shows counseling and other mental health professionals how the theoretical bases and evidencebased practices of motivational interviewing mi and cognitive behavior therapy cbt can be used together to maximize client outcomes. Motivational interviewing is an intervention which has proved to be successful in altering behaviour in the field of substance abuse disorders and also shows promising results in other health care. San francisco, ca usaintroductory motivational interviewing. All studies showed positive effect sizes, though results table 1 overall omnibus results of motivational interviewing across four metaanalyses weak comparison groups strong comparison groups d sd difference in success rate % d sd difference in success rate % burke et al.
Motivational interviewing applications of motivational. Helping people change, written with stephen rollnick, in 1991. In a case where the patient suffers from an underlying mental illness such as. Motivational interviewing, third edition, helping people change by. This may be the single most important book you ever buy during your medical training. Mar 31, 2014 motivational interviewing mi is a form of strengthsbased counseling originally developed by miller and rollnick with the aim of helping people to change. Miller and rollnick, 20 is a personcentered counseling style that. About the author stephen rollnick, phd, is honorary distinguished professor in the school of medicine, cardiff university, wales, united kingdom. It is a mustadopt text for courses in psychology, counseling, social work, mental health, addictions, and health care more broadly. A number of case studies are given that relate ways in which health services is resonant with the respectful and collaborative nature of mithe book has value for family physicians, general practitioners, and registrars.583 185 157 350 548 210 671 890 1008 1502 921 154 1077 261 390 1311 297 1522 1235 16 485 354 1306 932 1549 1343 19 1425 349 115 206 1609 413 316 577 1038 1227 1316 122 351 980 939 1014 942 1476