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MI and MET in the National Registry of Evidence-Based Programs and Practices (NREPP)

July 7, 2009 in Resources | No comments

This is old news by now, but Motivational Interviewing and Motivational Enhancement Therapy have received the NREPP seal of approval as evidence-based practices in substance abuse treatment.

The National Registry of Evidence-based Programs and Practices (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 review of Motivational Interviewing
NREPP review of Motivational Enhancement Therapy

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Getting Motivated to Change group treatment manual

July 7, 2009 in Resources | No comments

This treatment manual is one of a series published by the Institute of Behavioral Research at Texas Christian University. All the TCU counseling manuals are based on Mapping-Enhanced Counseling, a graphic representation strategy used to visually enhance the counseling process. Even though the materials are not explicitly MI-based, both the concepts and the process presented in the manual are MI-consistent. The manual includes detailed group leader materials and client handouts for the following 4 topics: Motivation 101, The Art of Self-Motivation, Staying Motivated, and Making it Second Nature. A version of the manual for criminal justice settings is also available.

Bartholomew, N. G., Dansereau, D. F., & Simpson, D. D. (2006). Getting motivated to change. Fort Worth: Texas Christian University, Institute of Behavioral Research. Available: the IBR Web site: www.ibr.tcu.edu.

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Motivational Interviewing Assessment : Supervisory Tools for Enhancing Proficiency (MIA-STEP)

January 13, 2009 in Resources | No comments

If you attended one of my workshops, you may have heard me refer to the “MI Sandwich” intervention. Well, here it is. This site includes materials for implementing MI in the initial assessment in outpatient substance abuse treatment, as tested in the NIDA Clinical Trials Network MI study. The materials are geared toward assisting supervisors to teach front-line staff to incorporate MI in their work.  Includes a number of teaching tools and sample sessions in English and Spanish. I’m especially pleased about the outcome of the clinical trial, because I co-wrote the treatment manual used in the study!

MIA:STEP Blending Product – NIDA/SAMHSA Blending Initiative – ATTC Network.

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Talking With College Students About Alcohol: Motivational Strategies for Reducing Abuse

January 12, 2009 in Books | No comments


I haven’t read this one yet. From the publisher: provided is a wealth of practical advice on interacting with students in a range of contexts, from brief conversations in medical settings to motivational counseling sessions and group interventions… Over a dozen appendices feature reproducible assessment instruments and other indispensable tools, in a large-size format for ease of photocopying and use.

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Helping Patients Who Drink Too Much

January 12, 2009 in Resources | No comments

A practical guide to screening and brief intervention for medical and mental health practitioners.  Updated version available online for free.

Helping Patients Who Drink Too Much, A CLINICIAN’S GUIDE, 2005 Edition.

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Substance Abuse Treatment and the Stages of Change

January 11, 2009 in Books | No comments


According to the foreword by Barbara McCrady, Substance Abuse Treatment and the Stages of Change is not a “how to do” manual but rather a “how to think” manual. It is also extremely practical – after all, once you know how to think about something, you know what to do about it. Furthermore, this isn’t a dry or abstract textbook; it includes clear direction as to how to apply the model and many illustrative case examples. I recommend Substance Abuse Treatment and the Stages of Change to clinicians or students seeking both a rigorous evaluation of the stage model and detailed guidance as to how to apply it in practice.
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Project COMBINE Combined Behavioral Intervention Manual

January 11, 2009 in Resources | No comments

This integrative psychosocial treatment approach to alcohol abuse and dependence includes elements of MI/MET, CBT, and facilitated self-help involvement. Tested in Project COMBINE. The manual is not particularly clinician-friendly; it reads like a “cookbook” for alcoholism treatment.  However, is an excellent resource for those willing to look past the efforts at standardization (necessary in a research study). Includes numerous handouts for use in treatment. Also worth noting: the Project COMBINE Medical Management Manual uses an educational approach (NOT MI-based) to improve adherence to medical treatments for alcoholism.

Available from NIAAA for $18.00.  Medical Management Manual is available online in PDF format for free.

COMBINE Manuals .

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Over the Influence: The Harm Reduction Guide for Managing Drugs and Alcohol

January 11, 2009 in Books | No comments


Over the Influence is an ideal resource for those concerned about their alcohol and/or drug use, but not sure if they are ready to quit. This book offers a step-by-step guide to understanding your relationship with drugs and alcohol and deciding what, if anything, to change. The authors use a matter-of-fact, empathic tone and emphasize the importance of knowing yourself and knowing your drugs so that you can make the best possible choices. This isn’t an easy way out – “just say know” substance use management is at least as demanding as “just say no” abstinence. The authors acknowledge that people use drugs for a reason, and don’t ask you to deny the benefits of use while recognizing the harm that it may be causing. Included are basic facts about the most popular drugs (including alcohol, tobacco, and caffeine) and hints for using them in the least harmful way, if you choose to continue use. There are also chapters on taking care of yourself while still using, finding the right help, determining if harm reduction is working, and talking about harm reduction with family and friends. The overall message is that any positive change is better than nothing, and that you deserve to take care of yourself as well as you can even if you continue to use substances.

Deborah H. A. Van Horn, Ph. D. – originally posted July 23, 2004

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Get Your Loved One Sober: Alternatives to Nagging, Pleading, and Threatening

January 11, 2009 in Books | No comments


“Get Your Loved One Sober” is a self-help book based on Community Reinforcement and Family Training (CRAFT) – a cognitive-behavioral approach proven to help family members of alcoholics improve their quality of life and increase the chances that their loved ones will reduce or quit drinking. As the authors note, this book is designed for people who feel they have “tried it all.” The “Alternatives” of the title offer a constructive way for people to attempt to influence their loved one’s drinking behavior. Unlike approaches that rely on confrontational intervention on one hand, or detachment on the other, CRAFT teaches nonconfrontational engagement with the drinker, guided by empirically supported behavioral principles.
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Controlling Your Drinking: Tools to Make Moderation Work for You

January 11, 2009 in Books | No comments


This book earns inclusion not only for its harm reduction philosophy but for having been co-authored by MI co-developer Bill Miller. According to the publisher, Controlling Your Drinking “balanc[es] a compassionate, hopeful tone with dry wit… an easy-to-follow, science-based approach to moderation that avoids labels and moralizing.”

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