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Clinical Skills Training for Substance Use Problems

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Price: $19

Motivational Interviewing

1 hr(s)
Goal: To train healthcare professionals and students in basic motivational interviewing techniques to motivate patients having problems with substance use and other health problems and facilitate patient health behavior change to improve their health.

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Activity Steps

Activity Content
Post-Assessments
Certificate

Overview

This activity is designed to change: Competence, Performance. 1hr(s)

Professional Practice Gaps

Educational Objectives:

After completing this activity participants will be able to:

  • Use a patient-centered, non-authoritarian, collaborative approach to build a therapeutic alliance with a patient who needs to make a health behavior change, recognizing the patient as the authority on their own motivations.
  • Work with patients to identify a specific health behavior change goal as the current focus for counseling.
  • Identify a patient’s current readiness to change a health behavior problem and use steps and skills of motivational interviewing that correspond to their readiness.
  • Engage patients in exploring their motivations, ambivalence, or resistance to making a health behavior change.
  • Apply motivational interviewing techniques in collaborative planning with patients to address substance use or other health problems.
  • Adapt motivational interviewing skills to different medical settings.

Modules in this Training Activity

Activity Content

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Pages Status
1

Motivational Interviewing Pre-Assessments
  • Motivational Interviewing Pre-Survey

2

Motivational Interviewing for Primary Care
  • Motivational Interviewing Module Content
  • Clinical Encounters: Josh Kilpatrick Case Simulation

Training Activity References

Audience and Accreditation

Audience: Health care professionals

Type Est. Time Released Expires
NBCC 1 hr 3/1/23 2/28/24
NYS OASAS 1 hr 3/31/20 4/1/23
FAPA 1hr 4/5/21 4/4/23
FBN CNA 1hr 4/5/21 4/4/23
DCBN 1hr 4/5/21 4/4/23
FBN 1hr 4/5/21 4/4/23
NASW 1hr 12/1/21 11/30/22
AMA PRA Category 1 Credit(s)™ 1hr 12/3/18 12/3/20

Accreditation Statement: Clinical Tools, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

State Medical Board of Ohio Accreditation Statement: Clinical Tools, Inc. is recognized by the State Medical Board of Ohio as an accredited provider of continuing medical education for physicians.

AMA Credit Designation Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 1 hour of AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

FBN Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 1 hour of FBN credit. Providers and other health professionals should claim only the credit commensurate with the extent of their participation in the activity.

NYS OASAS Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 1 hour of NYS OASAS credit. Providers and other health professionals should claim only the credit commensurate with the extent of their participation in the activity.

NBCC Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 1 clock hour of NBCC credit. Clinical Tools, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6161. Activities that do not qualify for NBCC credit are clearly identified. Clinical Tools is solely responsible for all aspects of the activity.

NASW Credit Statement: This program is Approved by the National Association of Social Workers (Approval # 886426346-9716) for 1 continuing education contact hour.

A letter of completion for 1 hour is available for non-physicians.

A score of 70% on the post-test is required to complete the activity.

Participation Requirements

Funding
Initial development of this activity was supported by a grant from the National Heart, Lung, and Blood Institute (#R44HL65885)

Authors

As an ACCME-accredited provider of continuing medical education, Clinical Tools, Inc. requires everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest to the provider. The ACCME defines ‘relevant’ financial relationships as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. Any conflicts of interest are resolved prior to the delivery of the educational activity to the learner. CTI does not permit individuals with financial conflicts of interest to participate in any stage of activity development.

Karen Rossie, DDS, PhD (Research Scientist, Clinical Tools, Inc. )
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.
Read Bio
Karen Rossie, DDS, PhD, directs projects at Clinical Tools. She majored in biology at Cleveland State University and studied dentistry at Case Western Reserve University followed by completing an MS in pathology at Ohio State University, and later, a PhD in Psychology from the Institute of Transpersonal Psychology. She taught and practiced oral pathology and oral medicine for 15 years at the Ohio State University and the University of Pittsburgh, doing research in autoimmune disease, bone marrow transplantation, oral cancer, salivary gland disease, candidiasis, and diabetes. She has used this diverse background to lead or contribute to CTI projects related to tobacco cessation, opioid abuse treatment, anxiety, dementia care, alcohol use disorder, screening and brief interventions for substance abuse, obesity, pain and addiction, burnout, and vaping.

Reviewers

Steve Applegate, MEd, MEd (President, Applegate Consulting, )
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.
Read Bio
Mr. Applegate has experience in substance use counseling, state initiatives impacting substance use, and professional training. His prior positions include director of higher education and instructional design at the North Carolina Governor’s Institute on Alcohol and Substance Abuse, project director of the North Carolina Initiative of the Mid-Atlantic Addiction Technology Transfer Center, and program director of the Addiction Sciences Center (an outpatient substance abuse treatment center at the University of Virginia Health Sciences Center). Mr. Applegate works as an on-site consultant and travels to the Clinical Tools (CTI) office on a monthly basis from his office in Richmond, VA. Mr. Applegate helped design the CTI Instructional Manual and works to continue to revise it as we expand our Instructional Design methodology. Mr. Applegate has extensive experience with online education and training, especially in the area of substance abuse. He often pushes the envelope of technology and brainstorms with Clinical Tools how we can utilize new technology in our products. He helped guide the development of the curriculum plan and assessments in Phase I of the current project.

Most Recent Reviews

CTI Content Review: Mon, 2/27/2023
CTI Editorial Review: Wed, 3/2/2023

Funding Information Development of this website was funded entirely by grant #R44DA12066 and contract #HHSN271200655304C from the National Institute on Drug Abuse (NIDA) at the National Institutes of Health. The website contents are solely the responsibility of the authors and do not necessarily represent the official views of NIDA. Ongoing development and maintenance is funded by the training fee and Clinical Tools, Inc. No commercial support is received.
Clinical Tools is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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Professional Practice Gaps

Motivational interviewing (MI) is a set of structured counseling skills that are an effective means of motivating patients to make health-related behavior change (Miller, 2018; Miller & Rollnick, 2013). MI has been effective in improving addictive behavior, depression symptoms, and making dietary and physical activity improvements (Rahm et al., 2014, Keeley, 2018, Morton, 2015).

Motivational Interviewing has been used successfully in primary care for the brief intervention phase of addiction treatment (D’amico, 2018, VanBuskirk & Wetherell, 2014) and provides an effective means for motivating patients to use other substance use therapies (Frost, 2018; Luty, 2018).

Despite the demonstrated effectiveness of these interventions, primary care providers on average do not routinely provide interventions that go beyond basic screening (Schlesinger et al., 2017). Primary care professionals vary a great deal with respect to their self-efficacy in counseling skill (Midboe, et al., 2011; Saitz, 2013). However, MI is a trainable skill (Miller, 2019).

Training physicians in motivational interviewing skills will prepare them to initiate effective substance use interventions for patients. Instruction on the steps involved in motivational interviewing will improve their foundation for building self-efficacy and interactive case scenarios will help providers develop competence in motivational interviewing skills learned.

 

Practice Gap References

    • D’Amico EJ, Parast L, Shadel WG, Meredith LS, Seelam R, Stein BD. Brief Motivational Interviewing Intervention to Reduce Alcohol and Marijuana Use for At-Risk Adolescents in Primary Care. Journal of Consulting and Clinical Psychology. 2018;86(9):775-786. 10.1037/ccp0000332
    • Frost, H., Campbell, P., Maxwell, M., O’Carroll, R. E., Dombrowski, S. U., Williams, B., Cheyne, H., Coles, E., & Pollock, A. (2018). Effectiveness of Motivational Interviewing on adult behaviour change in health and social care settings: A systematic review of reviews. PLOS ONE, 13(10), e0204890. https://doi.org/10.1371/journal.pone.0204890
    • Keeley R, Engel M, Reed A, Brody D, Burke BL. Toward an Emerging Role for Motivational Interviewing in Primary Care. Curr Psychiatry Rep. 18 2018;20(6):41. doi:10.1007/s11920-018-0901-3. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29777318.
    • Luty, J., & Iwanowicz, M. (2018). Motivational interviewing: Living up to its promise? BJPsych Advances, 24, 46–53. https://doi.org/10.1192/bja.2017.7
    • Magill M, Apodaca TR, Borsari B, et al. A Meta-Analysis of Motivational Interviewing Process: Technical, Relational, and Conditional Process Models of Change. J Consult Clin Psychol. 2018;86(2):140-157. doi:10.1037/ccp0000250. https://www.ncbi.nlm.nih.gov/pubmed/29265832
    • Midboe AM, Cucciare MA, Trafton JA, et al.. Implementing motivational interviewing in primary care: the role of provider characteristics. J Behav Med. 2014; 37(4): 768-80. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3717678/ Accessed on: 2018-02-22.
    • Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. The Guilford Press. 2013. Available at: http://www.amazon.com/Motivational-Interviewing-Third-Edition-Applications/dp/1609182278 Accessed on: 2014-10-10.
    • Miller WR. 2018 MINT Plenary – Bill Miller – NOLA. MINT MINT Excellence in Motivational Interviewing; https://vimeo.com/316279712February 9, 2019.
    • Morton K, Beauchamp M, Prothero A, et al. The Effectiveness of Motivational Interviewing for Health Behaviour Change in Primary Care Settings: A Systematic Review. Health Psychol Rev. 2015;9(2):205-223. doi:10.1080/17437199.2014.882006. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26209209
    • Rahm AK, Boggs JM , Martin C, et al.. Facilitators and barriers to implementing SBIRT in primary care in integrated health care settings . Subst Abus. 2015. Available at: https://www.ncbi.nlm.nih.gov/pubmed/25127073 Accessed on: 2015-05-27.
    • Saitz R. Addressing Unhealthy Alcohol Use in Primary Care. Springer. 2013. Available at: https://www.amazon.com/Addressing-Unhealthy-Alcohol-Primary-Care/dp/146144778X Accessed on: 2017-07-26.
    • VanBuskirk KA, Wetherell JL. Motivational interviewing with primary care populations: a systematic review and meta-analysis.. J Behav Med. 2014; 37(4): 768-80. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118674/ Accessed on: 2018-02-22.
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Training Activity References
  • BoiseCoE. Motivational Interviewing — OARS Skills. BoiseCoE. 2012. Available at: https://youtu.be/_KNIPGV7Xyg Accessed on: 2015-10-06.
  • Butler C, Rollnick S, Cohen D, Russell I, Stott N. Motivational counseling versus brief advice for smokers in general practice: a randomized trial. BR J Gen Pract. 1999; 49: 611-616. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1316198/ Accessed on: 2013-10-25.
  • Carey KB. Substance use reduction in the context of outpatient psychiatric treatment: a collaborative, motivational, harm reduction approach. Community Mental Health Journal. 1996; 32: 291-306. Available at: https://www.ncbi.nlm.nih.gov/pubmed/8790970 Accessed on: 2013-10-28.
  • Clinical Tools, Inc.. Motivational Interviewing. Clinical Tools, Inc.. 2016. Available at: https://www.youtube.com/embed/4_q9WPTnO4k Accessed on: 2016-01-08.
  • Clinical Tools, Inc.. Motivational Interviewing: Managing Challenging Patient Behavior. Clinical Tools, Inc.. 2016. Available at: https://www.youtube.com/embed/4_q9WPTnO4k Accessed on: 2016-01-08.
  • Community Care of North Carolina. CCNC Motivational Interviewing Resource Guide. . 2013. Available at: https://www.communitycarenc.org/media/files/mi-guide.pdf Accessed on: 2015-06-11.
  • Copeland L, McNamara R, Kelson M, et al. Mechanisms of change within motivational interviewing in relation to health behaviors outcomes: A systematic review. Patient Educ Couns. 2015; 98(4): 401-11. Available at: https://www.ncbi.nlm.nih.gov/pubmed/25535015 Accessed on: 2015-09-29.
  • DiLillo V , West DS. Motivational interviewing for weight loss . Psychiatric Clinics of North America . 2011; 34: 861-869. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22098809 Accessed on: 2015-05-27.
  • Emmons K, Rollnick S. Motivational interviewing in health care settings: Opportunities and limitations. Am J Prev Med. 2001; 20(1): 68-74. Available at: https://www.ncbi.nlm.nih.gov/pubmed/11137778 Accessed on: 2013-10-24.
  • Engle B. Motivational Interview with “Resistant” Heavy Drinker. . 2012. Available at: https://youtu.be/eNfy-FVvnRs Accessed on: 2015-10-06.
  • Glynn LH, Moyers TB. Chasing change talk: the clinician’s role in evoking client language about change. Journal of Substance Abuse Treatment. 2010; 39(1): 65-70. Available at: http://www.journalofsubstanceabusetreatment.com/article/S0740-5472(10)00073-5/abstract Accessed on: 2015-10-06.
  • Ingersoll KS, Wagner CC, Gharib S. Motivational groups for community substance abuse problems. Mid-Atlantic Addiction Technology Transfer Center, Center for Substance Abuse Treatment. 2000. Available at: http://people.uncw.edu/ogler/MI%20Groups%20for%20Com%20SA%20Prog.pdf Accessed on: 2013-10-24.
  • Lundal B, Moleni T, Burke B L, et al. Motivational Interviewing in Medical Care Settings: A systematic review and meta-analysis randomized controlled trials. Patient Education and Counseling. 2013; 93(2): 157-68. Available at: https://www.ncbi.nlm.nih.gov/pubmed/24001658 Accessed on: 2015-09-29.
  • Lyme A. Motivational Interviewing – Good Example. TheIRETAchannel. 2013. Available at: https://youtu.be/67I6g1I7Zao Accessed on: 2015-10-06.
  • Marlatt GA. Harm Reduction: come as you are. Addict Behav. 1996; 21: 779-88. Available at: https://www.ncbi.nlm.nih.gov/pubmed/8904943 Accessed on: 2013-10-25.
  • Miller W. Motivational interviewing with problem drinkers. Behav Psych. 1983; 11: 147-172. Available at: https://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=5845668 Accessed on: 2013-10-25.
  • Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. Applications of Motivational Interviewing Series. New York: Guilford Press.. 2012; 3rd edition: . Available at: https://www.guilford.com/books/Motivational-Interviewing/Miller-Rollnick/9781609182274 Accessed on: 2014-07-08.
  • Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. The Guilford Press. 2013. Available at: http://www.amazon.com/Motivational-Interviewing-Third-Edition-Applications/dp/1609182278 Accessed on: 2014-10-10.
  • Miller WR, Rollnick S. Motivational interviewing: preparing people to change addictive behavior.. New York, NY; Guilford Press. 1991. Available at: http://www.amazon.com/Motivational-Interviewing-Preparing-Addictive-Behavior/dp/089862469X Accessed on: 2013-10-24.
  • Moyers TB. The Relationship in Motivational Learning. Psychotherapy (Chic). 2014; 51(3): 358-63. Available at: https://www.ncbi.nlm.nih.gov/pubmed/25068193Accessed on: 2015-09-29.
  • Pirlott AG, Kisbu-Sakarya Y, Defrancesco CA, et al. Mechanisms of Motivational Interviewing in Health Promotion: A Bayesian mediation analysis. Int J Behav Nutr Phys Act. 2012; 9(1): 69. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22681874 Accessed on: 2015-09-29.
  • Prochaska JO, DiClemente CC. Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research and Practice. 1982; 19: 276-288. Available at: http://psycnet.apa.org/journals/pst/19/3/276/ Accessed on: 2013-10-25.
  • Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. American Journal of Health Promotion. 1997; 12: 38-48. Available at: https://www.ncbi.nlm.nih.gov/pubmed/10170434 Accessed on: 2013-10-25.
  • Rahm AK, Boggs JM , Martin C, et al.. Facilitators and barriers to implementing SBIRT in primary care in integrated health care settings . Subst Abus. 2014. Available at: https://www.ncbi.nlm.nih.gov/pubmed/25127073 Accessed on: 2015-05-27.
  • Rollnick S, Butler CC, Stott N. Helping smokers make decisions: the enhancement of brief interventions for general medical practice. Patient Educ Couns. 1997; 31: 191-203. Available at: https://www.ncbi.nlm.nih.gov/pubmed/9277242 Accessed on: 2013-10-25.
  • Rollnick S, Mason P, Butler C. Health behavior change: a guide for practitioners. Churchill Livingstone. 2003. Available at: https://books.google.com/books?id=iWjZQAAACAAJ&lr= Accessed on: 2013-10-25.
  • Rollnick S, Miller WR. What is motivational interviewing?. Behav Cognitive Psychother. 1995; 23: 325-334. Available at: http://www.motivationalinterview.net/clinical/whatismi.html Accessed on: 2013-10-24.
  • Rosengren D, Wagner CC. Motivational interviewing: shall we dance? . In: Coombs R, ed. Addiction Recovery Tools: A Practitioner’s Handbook. Sage Publications. 2001. Available at: https://us.sagepub.com/en-us/nam/addiction-recovery-tools/book9537 Accessed on: 2015-11-11.
  • Rounsaville BJ. Using motivational interviewing in routine care. Paper presented at: National Institute on Drug Abuse Conference–Blending Clinical Practice and Research. March 14, 2002. Available at: http://archives.drugabuse.gov/pdf/blending/Rounsaville.pdf Accessed on: 2010-06-15.
  • U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010 . 7th Edition, Washington, DC: U.S. Government Printing Office. 2010. Available at: https://www.cnpp.usda.gov/sites/default/files/dietary_guidelines_for_americans/PolicyDoc.pdf Accessed on: 2014-09-23.
  • van der Wouden JC, Rietmeijer C. Motivational Interviewing in the Medical Care Setting. Patient Education Counseling . 2014; 96(1): 142. Available at: https://www.ncbi.nlm.nih.gov/pubmed/24856448 Accessed on: 2015-09-29.
  • Wagner C, Conners W. Interaction techniques. Mid-Atlantic Addiction Technology Transfer Center. 2003c. Available at: http://www.ourdailybreadmissions.org/Philosophy%20of%20MI.htm Accessed on: 2005-08-22.
  • Wagner C, Conners W. Motivational interviewing principles. Motivational Interviewing Website. 2003b. Available at: http://www.ourdailybreadmissions.org/Philosophy%20of%20MI.htm Accessed on: 2005-08-22.
  • Westar HA , Aviram A. Core Skills in Motivational Interviewing. Psychotherapy (Chic). 2013; 50(3): 273-8. Available at: https://www.ncbi.nlm.nih.gov/pubmed/24000834 Accessed on: 2015-09-29.
  • Westra HA. Motivational interviewing in the treatment of anxiety . The Guilford Press. 2012. Available at: https://www.guilford.com/books/Motivational-Interviewing-in-the-Treatment-of-Anxiety/Henny-Westra/9781462525997 Accessed on: 2015-06-25.
Participation Requirements

Activity Credit: Obtaining credit for participation in this activity requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the activity, you will be instructed on how to print out a certificate for your records.

Time Requirement: Keep track of the amount of time it takes you to complete this activity. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.

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