Motivational Interviewing
Motivational interviewing (MI) was developed in 1983 from a personal experience of one of the therapist, and it has been used since then. The definition of MI changed over the years. Currently, it is an evidence-based practice in the treatment of substance abuse users. This method focuses on establishing a collaborative guideline, based on patient’s values, to motivate the person for internal exploring of the issue and resolving it (MI, n.d)
Besides substance abuse, MI is a good method to include in the plan of care for patients with chronic health issues. Many of these chronic diseases such as diabetes can lead to mortality and can increase the cost of the health care as a whole. At the same time, many of these diseases
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Then professional coaches who were trained for MI programs started to coach participants mostly via telephone communication with the option of face to face interactions upon participants’ requests. The initial session was 30–40 minutes with follow-up sections lasting about 10–20 minutes. The number of follow-up sections was not limited and was based on participant’s risk profile, requirements and interests. The topic of discussion on each section was chosen by the participant from the menu that was created by the therapist based on participant’s risk profile. There was also a category named “other” on the menu which would give the participant the autonomy to choose a topic that was not on the menu but would be helpful increasing intrinsic motivation, self-efficacy, and patient activation and readiness to change (Linden, Butterworth, & Prochaska, 2010, p. 167).
Description of How Were the Participants Tested The study tested several outcomes including self-efficacy for managing chronic illness, the patient activation measure (PAM), perceived global health status score, self-assessment of most important behavior change for participant’s health or quality of life, and risk status in this identified area based on readiness to change. Each participant took a survey twice before and after the program, and the scores were subtracted from each other. Then the net result was used for comparison between the participants and non-participant (Linden, Butterworth, & Prochaska, 2010, p. 168).
Description of the
Fortinash, K. M., & Holoday Worret, P. A. (Eds.). (2012). Substance-related disorders and addictive behaviors. Psychiatric mental health nursing (5th ed., pp. 319-362). St. Louis, MO: Elsevier Mosby.
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Steinglass, P. (2008). Family Systems and Motivational Interviewing: A Systemic-Motivational Model for Treatment of Alcohol and Other Drug Problems. Alcoholism Treatment Quarterly, 26(1/2), 9-29. doi:10.1300/J020v26n01_02
The definition of motivational interviewing (MI) has evolved and been refined since the first publications on its use as a way to deal with behaviour change. The technical therapeutic definition of motivational interviewing is a collaborative, and goal oriented method of communication with giving specific observation to the language of change. It is intended to reinforce an individual’s motivation for and development towards a particular objective by evoking and investigating the individual's own arguments for change (Miller & Rollnick, 2012). Motivational interviewing was created to enable clients to prepare for changing addictive behaviours like drug and alcohol abuse (Miller & Rollnick, 1991, 2002) and has been viable to lessen other harmful behaviours including tobacco, drugs, alcohol, gambling, treatment
I met with Christine, an acquaintance I know through members of a twelve step program. We met for about 20 minutes over coffee. As we spoke, I asked the questions that I prepared, omitting some and adding others based on the responses given. The list of questions in reproduced in the last section of this work. Christine works at an inpatient drug and alcohol rehabilitation center in New Jersey, the specifics of which have been intentionally omitted. Her interest in the field is identical to mine; she has a personal history of substance abuse. After obtaining sobriety, she wished to help others with her experience. This similarity is the primary reason I wanted to discuss this topic with her.
The Motivational Interviewing film was very informative. I was able to get a clear understanding of what is to be expected by the therapist during a session. The film explained the therapist should engage in reflective listening, develop a growing discrepancy, avoid arguing with clients, roll with resistance and support self-advocacy. Miller believed that this approach was far more effective than traditional methods, where the therapist pushed for change. In contrast, Miller explained that motivational interviewing focused on empowerment and helping clients to become motivationally driven to change. Also, Miller stressed the importance of working alongside clients, a term he referred to as dancing. The process in which the client leads
The case scenario is of a homeless young guy named Jim who appears to have an intellectual disability. Jim is addicted to marijuana and abuses alcohol and has suicidal thoughts. He has anger control issues where he is known to verbally threaten others. He currently has a counsellor who he had established a therapeutic relationship. From these sessions, the counsellor has learned that Jim had been physically abused by his stepfather. From reading this case scenario about Jim, it is evident that he would benefit from several different approaches or interventions including motivational interviewing and cognitive behavioural therapy.
Richard A. Brown, David R. Strong, Ana M. Abrantes, Mark G. Myers, Susan E. Ramsey, Christopher W. Kahler, Effects on substance use outcomes in adolescents receiving motivational interviewing for smoking cessation during psychiatric hospitalization, Addictive Behaviors, Volume 34, Issue 10, Research Advances in Comorbidity of Substance Misuse and Mental Disorders, October 2009, Pages 887-891, ISSN 0306-4603, DOI: 10.1016/j.addbeh.2009.03.003.
What is Motivational Interviewing? Motivational interviewing (MI) is a patient-centered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. What will be discussed is how can organizations help the patients change negative behavior to a positive behavioral change, diminishing the lack of motivational behavior. (Miller & Rollnick, 2002) states that we have to help clients overcome their ambivalence or lack of motivation toward changing their behavior in positive way. Also, figuring out a solution on how to overcome this negative behavioral challenge of lack of intrinsic motivation to change. How will we overcome it? by focusing on the MI (Motivational Interviewing) approach, and finding
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
Capuzzi, D., & Stauffer, M. D. (2008). Foundations of addictions counseling. Boston, M.A: Pearson Education.
People with addiction may seek counseling to help them recover from drug usage. Using motivational interviewing can help find out how motivated the client is to staying clean and what will encourage them to stay away from drugs. The clients also needs to see how the addiction is effecting their lives and the lives of their loved ones.
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
“Motivational interviewing was introduced by Dr. William R. Miller in 1983, to help problem drinkers prepare for treatment and has been developed in collaboration with Dr. Stephen Rollnick. Motivational interviewing is a client centered directive method of communication for enhancing intrinsic motivation to change by helping people to explore and work through ambivalence. (Miller &Rollnick,2002).” This definition simply means that motivational interviewing is a method that uses the techniques taught by Carl Rodgers, such as empathy, positive regard, and congruence all of which lead to a collaborative relationship between the counselor and the client. This supportive and collaborative relationship will enable the client to open up and have honest discussions with the counselor. Therefore, the counselor will be able to help the client recognize:
This paper discusses alcoholism, its behavior on individuals and its association with relevant health conditions. With the changing health care system, health care providers, nurses, and counselors have stepped into the arena of health promotion. A scenario case study was put together to depict the need for counseling individuals with risky behaviors and how it impacts their health. Recommendations and goals were incorporated into the clients counseling. Millers interviewing technique was used to guide the counseling session conducted with a person afflicted with alcoholism with the end resulting in behavior changes. Motivational interviewing is an approach based upon principles of experimental and social psychology, attribution, cognitive dissonance, and empathy placing emphasis on internal acceptance for change. Cognitive dissonance is created by contrasting the ongoing problem behavior with the behaviors negative effects. Empathy is incorporated to channel the conflict into a behavior change solution.