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Educating Physicians on Controversies and Challenges in Health is a series of brief informational Web streaming programs—developed by the AMA—targeting primary care physicians. The objective of these programs is to inform physicians about the challenges and controversies at the interface of clinical medicine and public health and to offer possible strategies to address these issues in their practices.  The video on MI presents basic information in physician-friendly terms, but unfortunately, does not include any case examples.

 AMA – Educating Physicians on Controversies & Challenges in Health.

Or, go directly to the 12-minute video introducing MI to physicians in primary care.

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Help your patients quit smoking

Help your patients quit smoking

The Office of the Surgeon General’s tobacco cessation website includes materials for clinicians and consumers, including a “quick” reference guide to recommended treatments for tobacco use and dependence.  Of most interest to MI clinicians will be the recommended motivational strategies for smokers unwilling to make a quit attempt.  They fall short of a true MI approach, but the 5A’s-5R’s counseling model is a good starting point for health care providers looking for a way to have a brief conversation about tobacco use with their patients.

Tobacco Cessation – You Can Quit Smoking Now!

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Published in 2007, this free publication “provides probation and parole officers and other correctional professionals with both a solid grounding in the principles behind MI and a practical guide for applying these principles in their everyday dealings with offenders” (p.2). Seven chapters are contained in this guide: how MI fits in with evidence-based practice; how and why people change; the motivational interviewing style; preparing for change; building motivation for change; navigating through tough times–working with deception, violations, and sanctions; and from start to finish–putting MI into practice.  Detailed examples take into account the practical realities of working with offenders.

National Institute of Corrections Library: Motivating Offenders to Change: A Guide for Probation and Parole. (free; PDF download)

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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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The Center on Alcoholism, Substance Abuse, and Addictions at the University of New Mexico is currently conducting a randomized control trial funded by the National Institute on Drug Abuse in which they will be providing free motivational interviewing (MI) training to providers (counselors, psychologists, medical doctors, social workers, nurses) who work in the field of substance abuse. They are recruiting providers who have minimal experience with motivational interviewing and work in a not-for-profit setting.

One person per agency or setting will be able to participate in this study. Eligible clinicians will participate (with grant support) in a two-day MI training in Albuquerque, NM, which will be held November 17 – 18, 2009. For more information, see the Project Elicit web page.

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See the “downloads” section for many useful assessment and coding instruments.

Center on Alcoholism, Substance Abuse, and Addictions

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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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Combines 2 sessions of individual Motivational Enhancement Therapy with 3 sessions of group Cognitive Behavior Therapy.  While developed for a very specific population, this manual provides a useful example of how MET may be combined with skills-based approaches.

CYT Cannabis Youth Treatment Series.

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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 1999, shows how clinicians can influence motivation by developing a therapeutic relationship, one that respects and builds on the client’s autonomy and, at the same time, makes the treatment counselor a participant in the change process. The TIP also describes different motivational interventions that can be used at all stages of change, from precontemplation and preparation to action and maintenance.

TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment

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This section of the NIDA Cognitive-Behavior Therapy manual illustrates how motivational enhancment concepts and techniques may be integrated into skills-based approaches. You will see that the emphasis remains on therapist-directed skill-building, in contrast to the more “pure” motivation-oriented approach described in the Project MATCH MET manuals and the MI books.

NIDA – Publications – A Cognitive-Behavioral Approach: Treating Cocaine Addiction.

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