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For NBCC Counselor (NCC), click here: NCC CE Requirements.

Enhancing Motivation for Change in Substance Use Disorder Treatment

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You will need to purchase 1 unit for every 1 hour of coursework to gain access to the certificate of completion.

You will receive a certificate of completion after passing the exam, completing the course evaluation, and purchasing the appropriate number of units.  The certificate of completion will then be accessible on your myCourses page in the Your Course History section under the tab “Aspira Courses I’ve Passed”.  There will be a “Download” button under the “Certificate” column that you will be able to click on to pull up your certificate once all requirements listed above have been met.

To access the course document, click on the “View Coursework” button below (you may need to scroll down on the page). If the course is a video course the button will read “View Webinar” or “View Video”.  If the course is a Book course the button will display “Buy Book”.

Enhancing Motivation for Change in Substance Use Disorder Treatment – Online CE Course

Enhancing Motivation for Change in Substance Use Disorder Treatment course description, Objectives and Outline:

Course Description:

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.

Course Objectives:

  1. Discuss at least one motivation-enhancing approach and/or strategy that can increase participation and retention in treatment and positive treatment outcomes
  2. Describe at least two new perspectives on addiction treatment
  3. Describe at least two clinical advantages to risk reduction
  4. Explain the four processes in MI
  5. Describe at least two benefits of MI
  6. Differentiate between MI stages and describe the processes
  7. Explain at least one key element in relapse prevention counseling

Course Outline:

Executive Summary
TIP Development Participants
Publication Information

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
Workforce Development


Appendix A – Blbliography

Appendix B – Screening and Assessment Instruments

Appendix C – Resources


Instructors: Nicole Hiltibran, MA LMFT; Julie Campbell, Phd

Author: SAMHSA

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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Aspira Continuing Education has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6416. Programs that do not qualify for NBCC credit are clearly identified. Aspira Continuing Education is solely responsible for all aspects of the programs.


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  • Guam
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