This one day training is for those working in integrated behavioral health practices or medical settings and applies to behavior changes of all kinds, e.g. diabetes, obesity, and cardiac problems, as well as non-compliance issues in the treatment of substance abuse and mental health treatment. It will include an overview of MI and the stages of change that will involve new learning for those already familiar with MI, but will not be inaccessible to those with no prior knowledge. It is about generic behavior changes in the service of better long term health.
Specific examples of patient-provider dialogs about health behavior changes will be provided for a range of clinical situations.
Non-compliance with treatment is a major problem for medical, mental health and chemical dependency treatment provider. MI is most often recommended for use with patients in the "pre-contemplation" and "contemplation" stages of change i.e. not ready to change (Prochaska & DiClemente, 1982). The high treatment drop out and treatment failure for these patient groups requires a different approach from those normally used: education and advice. If behavioral change is demanded or advocated too strenuously with these patients, they will argue, avoid the provider, "yes, but..." until the provider gives up, or just not at the advice, knowing their behavior will not change. MI is designed to avoid these outcomes.
Motivational Interviewing is considered an evidence-based practice for the treatment of substance abuse by SAMHSA and has been extensively applied in medical care, as well as mental health and substance abuse treatment.
Learning objectives: