Enhancing Motivation for Change in Substance Use Disorder Treatment (New Course)
Enhancing Motivation for Change in Substance Use Disorder Treatment course description, Objectives and Outline:
Motivation for change is a key component in addressing substance misuse. This Treatment Improvement Protocol (TIP) reflects a fundamental rethinking of the concept of motivation as a dynamic process, not a static client trait. Motivation relates to the probability that a person will enter into, continue, and adhere to a specific change strategy.
The motivation-enhancing approaches and strategies this TIP describes can increase participation and retention in SUD treatment and positive treatment outcomes, including:
• Reductions in alcohol and drug use.
• Higher abstinence rates.
• Successful referrals to treatment.
This TIP shows how SUD treatment counselors can influence positive behavior change by developing a therapeutic relationship that respects and builds on the client’s autonomy. Through motivational enhancement, counselors become partners in the client’s change process. The TIP also describes different motivational interventions counselors can apply.
- Discuss at least one motivation-enhancing approach and/or strategy that can increase participation and retention in treatment and positive treatment outcomes
- Describe at least two new perspectives on addiction treatment
- Describe at least two clinical advantages to risk reduction
- Explain the four processes in MI
- Describe at least two benefits of MI
- Differentiate between MI stages and describe the processes
- Explain at lest one key element in relapse prevention counseling
TIP Development Participants
Chapter 1 – A New Look at Motivation
Motivation and Behavior
Changing Perspectives on Addiction and Treatment
TIM of the SOC
Chapter 2 – Motivational Counseling and Brief Intervention
Elements of Effective Motivational Counseling Approaches
Motivational Counseling and the SOC
Special Applications of Motivational Interventions
Brief Motivational Interventions
Screening, Brief Intervention, and Referral to Treatment
Chapter 3 – Motivational Interviewing as a Counseling Style
Introduction to MI
What is New in MI
Core Skills of MI: OARS
Four Processes of MI
Benefits of MI in Treating SUDs
Chapter 4 – From Precontemplation to Contemplation: Building Readiness
Develop Rapport and Build Trust
Raise Doubts and Concerns About the Client’s Substance Use
Understand Special Motivational Counseling Considerations for Clients Mandated to Treatment
Chapter 5 – From Contemplation to Preparation: Increasing Commitment
Normalize and Resolve Ambivalence
Help Tip the Decisional Balance Toward Change
Chapter 6 – From Preparation to Action: Initiating Change
Explore Client Change Goals
Develop a Change Plan
Support the Client’s Action Steps
Evaluate the Change Plan
Chapter 7 – From Action to Maintenance: Stabilizing Change
Stabilize Client Change
Support the Client’s Lifestyle Changes
Help the Client Reenter the Change Cycle
Chapter 8 – Integrating Motivational Approaches in SUD Treatment Settings
Adaptation of Motivational Counseling Approaches
Appendix A – Blbliography
Appendix B – Screening and Assessment Instruments
Appendix C – Resources
Instructors: Nicole Hiltibran, MA LMFT; Julie Campbell, Phd
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the U.S. Department of Health and Human Services agency that leads public health efforts to reduce the impact of substance abuse and mental illness on America’s communities. An important component of SAMHSA’s work is focused on dissemination of evidence-based practices and providing training and technical assistance to healthcare practitioners on implementation of these best practices.
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