Deborah H. A. Van Horn, Ph. D., LLC - Motivational Interviewing Training
Course Materials and Resources for Intro to MI 8-Week Teleclass: January-March, 2006
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Course Materials / Recommended Books / Web Sites / Training Videos / Session-Specific Resources /
"Teaching Client" Roleplay Guidelines
Session 1 / Session 2 / Session 3 / Session 4 / Session 5 / Session 6 / Session 7 / Session 8 /
I encourage you to keep the course materials on hand during the calls to help focus your attention on the main points of the discussion. Click on the links below to view the handouts and slides, and then choose "save a copy" to save to your computer. Or, right click on the link, select "save target as," and choose where on your computer you want the file to go. (Mac users, you are on your own)
All the materials are in PDF format. If you can't open the files, click here to download Adobe Reader for free. 
Course materials formatted as handouts with room to take notes (1.70MB PDF)
Same material as above, formatted as slides to view on your computer screen (1.66MB PDF)
Teleclass calling instructions (already included in "handout" format file) (325K PDF)
Transcript of case example to be played in first session (already included in "handout" format file) (30K PDF)
Can't open the course materials? Click here to download Adobe Reader for free.
Motivational Interviewing, Second Edition: Preparing People for Change (MI2) by William R. Miller and Stephen Rollnick
• Theoretical underpinnings, empirical evidence
• Some detailed examples of strategies and techniques with an emphasis on general principles
• Specialty settings, populations, topics featured in extensive edited section
Read my detailed review
See more information at Amazon.com
Health Behavior Change: A Guide for Practitioners (HBC) by Stephen Rollnick, Pip Mason, and Chris Butler
• Medical settings
• Presents a framework for very brief treatment encounters
•
Strategies are presented in terms of principles, examples, and counterexamples with an emphasis on practicality.
Read my detailed review
See more information at Amazon.com
Steve Rollnick's online discussion board
Miller/Rollnick/Moyers professional training video series, 1998 (aka "New Mexico" video series)
MI2 Chapters 1-4, 11 (annotated case example), 16-17
HBC Chapters 1-2 (relevant to sessions 1-3)
Findings From Clinical Trials - Updated December 2004 (online slide presentation; or, download the Powerpoint file)
A Meta-Analysis of Motivational Interviewing Outcome Trials - November 2004 (online slide presentation; or, download the Powerpoint file)
Toward a Theory of Motivational Interviewing - November 2004 (online slide presentation; or, download the Powerpoint file)
New Mexico video tape A (also good for insomnia); tape B part 2 (extended initial interview with a substance-abusing patient)
"Teaching Client" Roleplay Guidelines - If you have the opportunity to work with a role-play partner, then you can develop a "teaching client/patient" role to help maximize your learning. When in the role of the teaching client, your job is to help each other learn MI. The teaching client is NOT the client from Hell! The teaching client should also NOT be based solely on a single real client or patient. Develop a role that is familiar from your work and that you can role-play convincingly. Consider: demographics (age, gender, race, marital status, household composition); socioeconomic background; the clinician's and client's perspective on what is the presenting problem (these may disagree); the client's goals and values; the pros and cons of the problem behavior from the client's perspective; the pros and cons of the desired behavior from the client's perspective. Keep the roleplays short and focused on one specific skill at a time. Allow the person in the clinician role to set (and change!) the level of readiness or resistance displayed by the teaching client. Audiotape the roleplays for review.
MI may be conceptualized as a particular form of the "guiding" style of communication with patients - see Steve Rollnick and colleagues' recent British Journal of Medicine article for more about incorporating MI into daily practice without over-reliance on structured interventions.
For more about motivation and the stages-of-change approach:
MI2 Chapter 15
Changing for Good by James O. Prochaska, John Norcross, Carlo DiClemente
Broadly applicable self-help book that models a patient-friendly way to present stage-matched interventions.
Read my review
See more information at Amazon.comOverview of the Transtheoretical (Stages-of-Change) Model from the URI Cancer Prevention Research Center
Books geared toward substance abuse treatment professionals (links lead to my detailed reviews):
Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual
Substance Abuse Treatment and the Stages of Change
Motivational Interviewing and the Stages of Change
MI2 Chapters 6-7
Evidence for a relationship between therapist clinical skills and client involvement in MI:
Moyers, T. B., Miller, W. R., & Hendrickson, S. M. L. (2005). How does Motivational Interviewing work? Therapist interpersonal skill predicts client involvement within Motivational Interviewing sessions. Journal of Consulting and Clinical Psychology, 73, 590-598.Suggested roleplay prompts for practicing OARS with your roleplay buddy - audiotape and review together. Where could you have used open instead of closed questions? Where could you have used even more reflective listening instead of questioning? Keep roleplays short and focused, and respect the Talker's desire to end the conversation whenever he/she is ready.
- What have you read lately that you would recommend?
- Who in your family are you most like?
- Tell me about a memorable trip you took. What made it memorable?
- What is your dream job?
- What do you like about yourself?
- What is the best advice you ever received?
MI2 Chapter 5-7
HBC Chapter 4
New Mexico video tape B (parts 1 and 2)
Literature review regarding "change talk" - several articles in recent issues of the MINT Bulletin. Look for "what the research says" articles by Grant Corbett in October 2004, May 2005, September 2005 issues.
All of the substance abuse treatment manuals listed on my resources page include exercises for eliciting change talk.
Audio clips (MP3 format) demonstrating use of specific techniques to elicit change talk: To download the files, right click on the link, select "save target as," and choose where on your computer you want the file to go. (Mac users, you are on your own)
The good things and the not-so-good things about smoking - 6.86MB, 5 minutes. From the Health Behavior Change video.
Exploring values, fruits and vegetables - Demonstration of an MI-based peer counseling program developed by the National Cancer Institute for African-American churches. 4.12MB, 3 minutes. From the Body and Soul peer counselor training DVD.
MI2 Chapter 8
HBC Chapter 5
New Mexico video tape C
Audio clips (MP3 format) demonstrating use of reflective responses to resistance: To download the files, right click on the link, select "save target as," and choose where on your computer you want the file to go. (Mac users, you are on your own) Each clip is less than one minute long.
Simple reflection (641k)
Amplified reflection (668k)
Double-sided reflection (693k)
MI2 Chapter 9-10
HBC Chapter 4
New Mexico video tape F
HBC Chapter 5
Motivational Enhancement Therapy serves as a model for a feedback-based intervention in the addictions. See my resources page for more information about some of the variations.
Reid Hester's online Drinker's Check-up provides feedback regarding alcohol use. Results of a 12-month trial.
Alcoholscreening.org provides similar feedback - but in a less MI-consistent manner - for free.
Some excerpts from a drinker's check-up feedback-based intervention. First (3.31 MB MP3, 2:24 minutes), a brief example of giving personal feedback. Next (5.97 MB MP3, 4:20 minutes), a summary of feedback given over a lengthy session, and example of eliciting change talk and managing resistance (in this case, demoralization more than argumentation). To download the files, right click on the link, select "save target as," and choose where on your computer you want the file to go. (Mac users, you are on your own)
Example of importance/confidence rulers with a client with moderate importance and low confidence (6.09 MB MP3; 4:26 minutes)
See the treatment manuals on my resources page for several examples of how MI may be structured for counseling practice.
Some examples of application of MI in a group setting:
Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual
Motivational Groups for Community Substance Abuse Programs
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
Group Leader Materials
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Updated March 7, 2006