Motivational Enhancement

About Motivational Enhancement

Have you ever wondered why someone who appears to need change, and is provided with quality helping resources, doesn’t end up accomplishing sustainable improvement? The answer could lie in the disconnect between that individual’s readiness to change, and the change status requirement of the program or intervention. For example, when the highly ambivalent person gets connected with the action-ready program, two things typically occur – the person washes out, because the program doesn’t sufficiently meet them where they are at, or the person “goes along to get along” and goes through the motions of what is expected, but then promptly regresses or relapses when that treatment episode is complete.

Motivational Enhancement is about accurately evaluating an individual’s stage of change, and connecting them with treatment that is able to meet them where they are at, in order to sufficiently resolve ambivalence so that a true and lasting commitment to recovery can be made.

Motivational Interviewing

This most well-developed MOTIVATIONAL INTERVIEWING WEBSITE contains a wealth of information and resources, including a library of research findings on how Motivational Interviewing has been applied to numerous areas of difficult-to-change behavior, across various populations.

• No-cost resources that can assist in learning and understanding Motivational Interviewing include the following:

• • Toward a Theory of Motivational Interviewing (Miller & Rose, 2009)
  • A Randomized Trial of Methods to Help Clinicians Learn Motivational Interviewing (Miller et al, 2004)
  • Evidence-Based Therapy Relationships (Norcross et al, 2010)
    

Modality-specific Motivational Strategies

• • • COGNITIVE-BEHAVIORAL APPROACHES
      
      • Cognitive-behavioral sequence handout
      • Chain Analysis worksheet
    • MOTIVATIONAL ENHANCEMENT APPROACHES
      
      • "Stages of Change" model
      • "How People Change" pie chart

• • Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (SAMHSA, 2006);
    
    • Introduction, Table of Contents
    • Overview
    • Briefing Materials
    • MI Assessment
    • Results of NIDA Clinical Trials
    • Supervisory Teaching Tools
    • Self-Assessment Skill Summaries
    • MI Rating Guide & Forms
    • Transcripts & Ratings of Demonstration Interviews
    • Supervisor Training Curriculum
    • References

• • Native American Motivational Interviewing - Weaving Native American and Western Practices: A Manual for Counselors in Native American Communities (Venner et al, 2006)
  • Motivational Interviewing: Enhancing Motivation for Change - A Learner's Manual for the American Indian / Alaska Native Counselor (Tomlin et al, 2005)

Substance Abuse and M.E.

• Motivational Enhancement Therapy with Drug Abusers (Miller, 1995);
• Enhancing Motivation for Change in Substance Abuse Treatment (SAMHSA)
• Mejorando la Motivacion para el Cambio en el Tratamiento de Abuso de Sustancias
  
  • Quick Guide for Clinicians
  • Knowledge Application Keys
  • Enhancing Motivation for Change Inservice Training manual
    
    • Module 1: Introduction
      
      • Module 1 slideset
    • Module 2: Conceptualizing Motivation and Change
      
      • Module 2 slideset
    • Module 3: Motivation and Intervention
      
      • Module 3 slideset
    • Module 4: Basic Strategies of Motivational Enhancement
      
      • Module 4 slideset
    • Module 5: Motivational Interviewing as a Counseling Style
      
      • Module 5 slideset
    • Module 6: From Precontemplation to Contemplation - Building Readiness
      
      • Module 6 slideset
    • Module 7: From Contemplation to Preparation - Increasing Commitment
      
      • Module 7 slideset
    • Module 8: From Preparation to Action - Getting Started
      
      • Module 8 slideset
    • Module 9: From Action to Maintenance - Stabilizing Change
      
      • Module 9 slideset
    • Module 10: Integrating Motivational Approaches Into Practice
      
      • Module 10 slideset
    • Module 11: Integration Follow-up
      
      • Module 11 slideset
• Motivational Enhancement Therapy Manual: A Clinical Research Guide for Therapists Treating Individuals With Alcohol Use and Dependence (NIAAA Project MATCH)
• Motivational Groups for Community Substance Abuse Programs (Mid-Atlantic ATTC, 2002)

Modality-specific Motivational Approaches

• TWELVE-STEP APPROACHES
  
  • "Is AA For Me?" pamphlet (12 questions)
  • "Frequently Asked Questions About A.A." booklet
  • "Am I An Addict" handout (NA)

Mental Health/Co-Occurring Disorders and M.E.

• Motivational Enhancement for Dually Diagnosed Consumers (Squires & Moyers)
• Enhancing Readiness-to-Change Substance Abuse in Persons with Schizophrenia: A Four-Session Motivation-Based Intervention (Carey et al, 2001)
• A Randomized Pilot Study of Motivation Enhancement Therapy to Increase Utilization of Cognitive–Behavioral Therapy for Social Anxiety (Buckner & Schmidt, 2009);
  Modality-specific Motivational Strategies
  1. COGNITIVE-BEHAVIORAL APPROACHES
     
     • Cognitive-behavioral sequence handout
     • Chain Analysis worksheet
  2. TWELVE-STEP APPROACHES
     
     • Dual Recovery Anonymous Questions & Answers
  3. MOTIVATIONAL ENHANCEMENT APPROACHES
     
     • "Stages of Change" model
     • "How People Change" pie chart

Primary Healthcare and M.E.

• Motivational Interviewing in Primary Care (Anstiss, 2009);
• Motivational Interviewing in Health Care Settings: Opportunities and Limitations (Emmons & Rollnick, 2001);

Legal/Probation and M.E.

• Motivating Offenders to Change: A Guide for Probation and Parole (2007);
• Motivational Interviewing for Probation Staff: Increasing the Readiness to Change (Clark, 2006);
• Motivational Interviewing for Probation Officers: Tipping the Balance Toward Change (Clark et al, 2008);

Recommended Books

• Changing for Good: A Revolutionary Six-Stage Program for Overcoming Bad Habits and Moving Your Life Positively Forward by James O. Prochaska, John C. Norcross, and Carlo C. DiClemente
• William Miller & Stephen Rollnick's most recent text, Motivational Interviewing, Third Edition: Helping People Change
• David B. Rosengren's Building Motivational Interviewing Skills: A Practitioner Workbook
• Mary Velasquez et al's Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual
• Sylvie Naar-King & Mariann Suarez's Motivational Interviewing with Adolescents and Young Adults
• Hal Arkowitz, Henny Westra, William Miller & Stephen Rollnick's (Eds.) Motivational Interviewing in the Treatment of Psychological Problems
• Stephen Rollnick, William Miller & Christopher Butler's Motivational Interviewing in Health Care: Helping Patients Change Behavior