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Montgomery County Office of Mental Health, Drug & Alcohol, Mental Retardation and Behavioral Health - Introduction to Motivational Interviewing

Resources cited during December 3/10 workshop (all links open in a new browser window):

1. "Rounder" video transcript (PDF). We stopped viewing at the top of page 6.

2. Improving Treatment Compliance: Counseling and Systems Strategies for Substance Abuse and Dual Disorders by Dennis C. Daley and Allan Zuckoff - about half of this book is devoted to motivational approaches to improving treatment compliance. Includes examples of brief interventions appropriate for various stages of treatment engagement and key transition points in treatment.

3. .Motivational Interviewing, Second Edition: Preparing People for Change by William R. Miller and Stephen Rollnick - includes a chapter on MI in the treatment of dual disorders.

4. Mid-Atlantic ATTC Motivational Interviewing Page. Includes a comprehensive MI bibliography, in which I found the following articles on MI with patients with severe mental illness (mostly schizophrenia) and substance abuse/dependence:

• Steinberg, M. L., Ziedonis, D. M., Krejci, J. A., & Brandon, T. H. (2004). Motivational Interviewing With Personalized Feedback: a Brief Intervention for Motivating Smokers With Schizophrenia to Seek Treatment for Tobacco Dependence. Journal of Consulting and Clinical Psychology, 72, 723-728.
• Graeber, D.A., Moyers, T. B., Griffith, G., Guajardo, E. & Tonigan, S. (2003). A pilot study comparing motivational interviewing and an educational intervention in patients with schizophrenia and alcohol use disorders. Community Mental Health, 39(3), 189-202.
• Carey, K. B., Carey, M. P., Maisto, S. A., & Purnine, D. M. (2002). The Feasibility of Enhancing Psychiatric Outpatients' Readiness to Change Their Substance Use. Psychiatric Services, 53, 602-608.
• Ruesch, Nicolas; Corrigan, Patrick W. Motivational interviewing to improve insight and treatment adherence in schizophrenia. Psychiatric Rehabilitation Journal. Vol 26(1) Sum 2002, 23-32.
• Barrowclough, C., Haddock, G., Tarrier, N., Lewis, S.W., Moring, J., O'Brien, R., Schofield, N., & McGovern, J. (2001). Randomized controlled trial of motivational interviewing, cognitive behavior therapy, and family intervention for patients with comorbid schizophrenia and substance use disorders. American Journal of Psychiatry, 158, 1706-1713.
• Carey, K.B., Purnine, D.M., Maisto, S.A., & Carey, M.P. (2001). Enhancing readiness-to-change substance abuse in persons with schizophrenia: A four-session motivation-based intervention. Behavior Modification, 25, 331-384. .
• Bellack, Alan S; DiClemente, Carlo C. Treating substance abuse among patients with schizophrenia. Psychiatric Services. Vol 50(1) Jan 1999, 75-80.
• Ziedonis, D., Harris, P., Brandt, P., Trudeau, K., George, T., Rao, S., Tanagho, A., & Kosten, T. (1997). Motivational Enhancement Therapy and Nicotine Replacement Improve Smoking Cessation Outcomes for Smokers With Schizophrenia or Depression. Addiction, 92(5), 633.
• Zeidonis, D. M., & Trudeau, K. (1997).  Motivation to quit using substances among individuals with schizophrenia: Implications for a motivation-based treatment model.  Schizophrenia Bulletin, 23, 229-238.
• Carey, K. B. (1996). Substance use reduction in the context of outpatient psychiatric treatment: A collaborative, motivational harm reduction approach. Community Mental Health Journal, 32, 291-306.
• Zeidonis, D. M., & Fisher, W. (1996). Motivation based assessment and treatment of substance abuse in patients with schizophrenia. New Directions in Psychiatry, 16, 1-8.

5. Group manuals:

Motivational Groups for Community Substance Abuse Programs (available from Mid-ATTC for $18.00)

• Includes an introduction to MI, the techniques and skills needed to practice motivational counseling, guidelines on converting individually-based motivational counseling techniques for use in groups, format and content for motivational groups, and tips on implementing motivational groups and services. Also discusses various methods for employing motivational counseling services in community agencies.

Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual by Mary Velasquez, Gaylyn Gaddy Maurer, Cathy Crouch, and Carlo DiClemente

An excellent guide for group leaders - The Stages-of-Change model - based on research showing that people move through distinct stages, each marked by unique change processes - has become increasingly accepted in addictions treatment. This book helps group leaders to target their interventions toward their clients' stage-specific needs with a set of 29 group sessions.
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Updated December 11, 2004