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The authors’ stated goal of this book is to provide the experienced practitioner with a guide to having a productive conversation about behavior change with adolescents and young adults using the spirit and skills of MI. They note that the normal developmental processes of adolescence regularly affect the young person’s motivations, decisions, and goals, and present a basic introduction to MI as applied in the context of those developmental processes. They also discuss ethical concerns specific to MI with young people, and provide a selection of starting points for “learning to learn” MI independently or with a peer learning group. Overall, the book is geared toward newcomers to MI.
Within the past decade, research on Motivational Interviewing with adolescents and young adults has “blossomed,” according to the authors, and an edited selection of “side trips” comprising about half the volume presents a clinically-oriented overview of the findings. Each chapter in this section of the book focuses on a particular problem (e.g., smoking) or setting (e.g., criminal justice), and includes subsections detailing the scope of the problem, the rationale for MI, application of MI spirit and strategies, and research implications.
Learn more about Motivational Interviewing with Adolescents and Young Adults at Amazon.com
Tags: addiction, adolescents, corrections, criminal justice, eating disorders, ethics, families, groups, health care, medical settings, mental health, schools, smoking, training, young adults
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.
YouTube – SBIRTInstitute’s Channel.
Tags: addiction, adolecents, drug users, free, medical settings, problem drinkers, sbirt, videos, websites
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,
TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders (free – online)
Tags: addiction, assessment, CBT, contingency management, free, mental health, MI, relapse prevention, training, treatment manual
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).
NREPP | Telephone Monitoring and Adaptive Counseling (TMAC).
Tags: addiction, CBT, MI, relapse prevention, research, telephone, treatment manual, websites
Mind if I blow my own horn? For the past several years, I’ve been working with Dr. Jim McKay at the University of Pennsylvania on studies testing the effectiveness of telephone-based continuing care for adults with alcohol and cocaine dependence. This adaptive telephone-based approach is intended to make continuing care more acceptable to clients who cannot or will not return to the clinic for a typical course of “aftercare.” Our model is primarily based on cognitive-behavioral relapse prevention, but includes Motivational Interviewing to boost motivation to maintain or regain abstinence. The program has been found effective in 3 consecutive studies, and a fourth trial, still under way, looks promising as well. Now Hazelden has made our treatment manual available to the professional community.
The book includes an overview of the program and the therapy models on which it is based, detailed instructions for providing all phases of the treatment program, and adaptive algorithms for stepped care. An included CD-ROM contains supplemental materials and printable clinical forms. You can read the first chapter online at the Hazelden bookstore site.
Learn more about Telephone Continuing Care Therapy for Adults at Hazelden Bookstore
Tags: addiction, CBT, MI, research, telephone, treatment manual
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.
Rethinking Drinking – NIAAA
Tags: addiction, alcohol, alcohol abuse, FRAMES, free, self-help, websites
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.
Enhancing Motivation for Change in Substance Abuse Treatment: Quick Guide for Clinicians Based on TIP 35
Enhanced Motivation for Change in Substance Abuse Treatment: KAP Keys for Clinicians Based on TIP 35
Enhancing Motivation for Change Inservice Training Based on TIP 35
Tags: addiction, brief intervention, FRAMES, free, research, training, treatment manual
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.
Treatment, Prevention, & Recovery>Integrated Treatment for Co-Occurring Disorders Evidence-Based Practices KIT | SAMHSA.
Tags: addiction, CBT, dual diagnosis, free, mental health, research, training, treatment manual
