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.
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Tags: addiction, CBT, dual diagnosis, free, mental health, research, training, treatment manual
This is a remarkably useful edited text. Published in 2007, it describes novel MI applications in the treatment of anxiety, depression, PTSD, suicidal behavior, obsessive-compulsive disorder, eating disorders, gambling addictions, schizophrenia, and dual diagnoses. Also addressed are MI approaches in the criminal justice system. Each chapter provides a concise overview of the disorder or population under discussion; describes how MI has been integrated with standard treatment approaches; illustrates the nuts and bolts of intervention, using vivid clinical examples; and reviews the empirical evidence base. The relevance and practicality of the case examples and discussion make it obvious that the authors of each chapter have actual clinical experience with the population about which they are writing.
Tags: corrections, dual diagnosis, essentials, gambling, mental health, MI, research
Practicing Harm Reduction Psychotherapy presents an alternative to the dominant “abstinence only” approach to addictions. The author’s eclectic model of treatment draws on MI, psychodynamic psychotherapy, and cognitive-behavior therapy among others. This book is primarily geared toward therapists in general practice and assumes relatively little background in substance abuse treatment, but it can also serve as an introduction to a more “psychotherapeutic” approach for counselors with backgrounds in more traditional substance abuse treatment.
Tags: addiction, CBT, dual diagnosis, harm reduction, mental health, MI, psychodynamic psychotherapy
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This user-friendly guide outlines a collaborative approach to working with clients with substance abuse and severe mental illness. The approach isn’t MI per se but is quite consistent with the “spirit” of MI. Includes numerous reproducible forms and handouts.
Tags: addiction, dual diagnosis, mental health, treatment manual
In the late 1990′s, Don Bux and I developed a series of group activities designed to introduce and explore ambivalence regarding substance use in a dually-diagnosed inpatient population. Our patients seemed interested and engaged by the activities, and we wrote a description of our experience which was published in JSAT. However, we have no empirical evidence that the groups accomplished anything other than keeping patients (and psychologists) busy for an hour!
Despite the lack of data, I have received many requests for group leader materials. Links to brief session outlines are below. Please read them carefully before using; most require the group leader to prepare additional materials for patients prior to the start of the group.
Session 1 – The Inner Struggle
Session 4 – Decisional Balance
Van Horn, D. H.A., & Bux, D.A. (2001). A pilot test of motivational interviewing groups for dually diagnosed inpatients. Journal of Substance Abuse Treatment, 20, 191-195.. (abstract available for free; full-text for subscribers)
Tags: addiction, articles, dual diagnosis, groups, inpatients, mental health, MI
Substance abuse and psychiatric disorders often co-occur, and treatment compliance can be especially problematic in this population. This concise yet comprehensive book provides an overview of the factors affecting compliance and an extensive set of recommendations for improving it. Too often treatment compliance is viewed as an all-or-none characteristic of the client, but here the authors present a model of compliance as encompassing a constellation of behaviors including entering treatment, keeping appointments, taking medication properly, and making lifestyle changes. They then go on to outline a number of factors affecting compliance, including client variables, illness and symptom-related variables, relationship and social support variables, and treatment and system variables. This broad-based understanding of compliance allows for a wide-ranging catalog of recommendations at the counselor and treatment system level.
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Tags: addiction, dual diagnosis, mental health, MI, research, treatment adherence