The inaugural issue of Motivational Interviewing: Training, Research, Implementation, Practice (MITRIP; the journal of the Motivational Interviewing Network of Trainers) is now available online. An open-access, “author-friendly” journal, MITRIP accepts submissions of all kinds related to motivational interviewing (MI) practice, training, implementation, and research: qualitative as well as quantitative studies, case presentations, descriptions of innovations in MI practice or training, and theoretical or conceptual articles, as well as informal contributions related to the activities of MINT members worldwide. Submissions are invited from any author, regardless of affiliation, who wishes to contribute to the ongoing conversation about MI.
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This new guide (published in 2012) is a companion to Motivating Offenders to Change: A Guide for Probation and Parole. Whereas the earlier guide detailed the application of MI in correctional settings, this guide focuses on implementation issues. After a very brief overview of MI, more detailed chapters cover how MI is learned, supervising and coaching to support implementation, assessing MI skills, and organization-level planning to develop MI skills in a correctional setting. The guide is very readable and appears to provide enough information to assist experienced agency leaders in identifying and working through relevant issues in successful implementation of MI.
Treatment Improvement Protocols (TIPs) are best practice guidelines for the treatment of substance abuse, provided as a service of the Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment (CSAT). This TIP, published in 2006, was written to help clinicians address the expansion of intensive outpatient treatment represented by the development and adoption of new approaches to treat a wider variety of clients.
Grounded in evidence-based practice, the TIP describes the core services every program should offer, the enhanced services that should be available on site or through links with community-based services, and the process of assessment, placement, and treatment planning that helps clinicians address each client’s needs. Based on research and clinical experience, the consensus panel discusses major clinical challenges and surveys the most common treatment approaches used in intensive outpatient programs. More specialized sections address treatment of specific groups of clients.
Most pertinent to readers interested in Motivational Interviewing are chapters on building on existing motivation and employing MI in treatment. The section on employing MI in treatment realistically addresses a number of strengths and challenges faced when bringing MI into typical IOP practice.
Here is another in the growing field of SBIRT (Screening, Brief Intervention, and Referral to Treatment) resources and videos. Them emphasis here is on screening and intervening with problem drinkers in the Emergency Department.
Boston University School of Public Health SBIRT (Screening, Brief Intervention, and Referral to Treatment) Institute has posted 12 videos illustrating this MI-consistent approach to intervention with alcohol and drug users in medical settings. Includes illustrations of interventions with adults and adolescents.
Treatment Improvement Protocols (TIPs) are best practice guidelines for the treatment of substance abuse, provided as a service of the Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment (CSAT). This TIP, published in 2008, is primarily concerned with outlining key elements of programming for co-occurring disorders in substance abuse treatment agencies. A secondary audience is mental health agencies and other service systems that seek to coordinate mental health and substance abuse services for their clients who need both.
Clients are said to have co-occurring disorders when they have one or more disorders relating to the use of alcohol and/or other drugs of abuse as well as one or more mental disorders, diagnosed independently of each other. The TIP begins with an overview of recent developments in the treatment of this large and highly diverse population. Subsequent chapters detail assessment, diagnosis, and treatment at the level of the system as well as specific approaches and techniques.
On the same web page as the TIP are a suite of related products, including inservice training materials and “Quick Guides” for addiction treatment clinicians, mental health clinicians, and program administrators,
Telephone Monitoring and Adaptive Counseling (TMAC), the treatment approach outlined in Telephone Continuing Care Therapy for Adults, has been reviewed by National Registry of Evidence-based Programs and Practices (NREPP). We got a very favorable review for both the quality of research supporting the treatment approach, as well as its readiness for dissemination.
NREPP is a searchable online registry of mental health and substance abuse interventions that have been reviewed and rated by independent reviewers. The purpose of the registry is to assist the public in identifying approaches to preventing and treating mental and/or substance use disorders that have been scientifically tested and that can be readily disseminated to the field. NREPP is a program of the US Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA).
This user-friendly NIAAA website offers “valuable, research-based information for anyone who drinks.” Interactive tools and quizzes allow visitors to determine whether their alcohol drinking falls in the low-risk, increased-risk, or high-risk range; to get information about risks associated with drinking; and to decide whether to make a change. Those who decide to change can find guidance on whether to cut down or quit, and tools for achieving either goal. The information is also available in a downloadable 16-page booklet.
Those interested in seeing models of FRAMES-based interventions will note that the website gives Feedback, Advice, a Menu of options, maybe not an Empathic style but certainly a nonjudgmental one, and practical materials designed to support Self-Efficacy for change.
SAMHSA TIP 35, “Enhancing Motivation for Change in Substance Abuse Treatment,” has been a key resource for treatment programs for more than 10 yearrs. Additional materials are available to aid in implementation of FRAMES-based motivational interventions in community-based settings. These include a brief “Quick Guide” for clinicians, a briefer “KAP Keys” for clinicians, and inservice training materials. All are available for free online or by mail.
Motivational interventions based on MI are one aspect of integrated treatment for co-occurring substance use and psychiatric disorders. SAMHSA Evidence-Based Practices KITs (Knowledge Informing Transformation) are intended to facilitate implementation of EBP’s in the community. This KIT, published in 2010, appears to replace the previous Integrated Treatment “Toolkit.” Included are materials for staff, supervisors, trainers, program administrators, community authorities, and consumers. Unfortunately, to the best of my knowledge, there are still no videos demonstrating MI-based interventions adapted for people with serious mental illnesses. The KIT is available for free online or by mail.