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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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The authors present a streamlined model of MI application for health care providers who are not counselors by training. What I love about this one is that it anticipates and responds to just about every question or concern I have heard when working with folks in medical settings. You can tell the authors have done their homework. This 2007 text provides a more flexible, general model for health behavior consultation than the earlier “Health Behavior Change” book.

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A comprehensive guide to case mangement for improving patient adherence to medication therapies. The section on MI is applicable to other non-counseling, medical settings.

Case Management Society of America .

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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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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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A pocket-sized guide for busy health care professionals, describing a simplified approach to improving treatment adherence.

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A pocket guide for busy health care professionals, this slim volume spends just a few pages on rationale and underlying concepts before getting down to the business of skillful behavior change consultation. The authors present a model that includes 3 steps: raising the subject and getting going, exploring importance and raising confidence for change, and discussing action options and closing. Most of the book is devoted to general strategies and simple, structured techniques to engage patients in a brief yet constructive conversation about change. Additional chapters highlight areas of specific interest including medication adherence. Finally, there are a few pages on theory and empirical evidence supporting the approach.

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

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If change were easy, a lot of us (psychologists, counselors, health care providers) would be out of work. Still, that doesn’t stop us from complaining about those clients and patients who just won’t do what we think is in their best interest. Motivational Interviewing, a “client-centered, directive method for enhancing intrinsic motivation,” was developed specifically to help faciliate change in “resistant” populations and has been embraced by addictions treatment and general health care professionals alike. The entirely re-written, highly readable, second edition of Motivational Interviewing updates readers on the state of the art and science of MI, and provides a practical guide for helping people to make all kinds of behavior changes.
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“Motivational Practice” is structured as a self-directed professional development course for health care providers. It begins with the suggestion that you change yourself before helping others, both to serve as a model of self-change and to sharpen your experiential understanding of the processes at work. Subsequent sections provide a model of motivation and change and a practical six-step method for facilitating patients’ behavior change. Ample case examples let you see how each step works in practice.
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