treatment manual

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Building Motivational Interviewing Skills is a remarkable achievement: author and founding MINT member David Rosengren has translated the interactive process of clinical training into an independent study format.

Each chapter includes an opening clinical vignette that provides context. Then, the author provides a brief and readable introduction to the concepts underlying the skill or strategy under discussion, followed by a quiz and annotated transcripts illustrating the skill in practice. The explanatory and illustrative material is followed by a set of practice opportunities, most of which can be done individually and some of which involve a training partner. Concepts, skills, and strategies are presented in roughly the same order as in a trainer-led workshop.

Novice to advanced MI practitioners in almost any clinical setting can benefit from the diverse selection of practice exercises. This excellent workbook can serve as an individual introduction to MI, a resource for translating workshop training into practice, or a guide for an MI learning group.

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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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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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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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Hazelden — Motivational Interviewing and Stages of Change without CE Hours Test.
Hazelden — Motivational Interviewing and Stages of Change with CE test.
Motivational Interviewing and the Stages of Change is a workbook for applying MI and SOC principles in practice. It contains a guide to matching MI strategies to client stage of change, step-by-step instructions for applying these strategies in practice, and materials to aid in supervision of the MI/SOC approach.
If you have completed a workshop in Motivational Interviewing and/or the Stages of Change, and are wondering how to begin to apply your new skills, this book can help you bridge the gap between the workshop and the clinic.
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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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This user-friendly guide outlines a collaborative approach to working with clients with substance abuse and severe mental illness. The approach isn’t MI per se but is quite consistent with the “spirit” of MI. Includes numerous reproducible forms and handouts.

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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. The sessions are presented in a logical order for implementation, but each can stand alone for greatest ease in incorporating into diverse treatment settings. As the authors note, the strategies presented are varied but “conventional” and firmly grounded in research on what works in addictions treatment. Their real innovation is to identify the change process underlying each strategy and key it to a particular stage of change. And, of course, to present it all in an easy-to-use format.
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