The Influence of Counselor Characteristics on Use of Motivational Interviewing

The Influence of Counselor Characteristics on Use of Motivational Interviewing
Author: Elisa Vinson
Publisher:
Total Pages: 394
Release: 2010
Genre:
ISBN:

Preliminary research exists indicating the importance of counselor attitudes and organizational features as influencing use of evidence-based practices (EBPs). Conceptual models of evidence-based practice implementation posit relationships among factors theoretically associated with use of an EBP, yet little research exists that explores how a constellation of counselor characteristics relate to counselors' use of evidence-based practices. Research is also lacking on the role of counselor characteristics in use of motivational interviewing, a specific evidence-based practice. In addition to identifying counselor characteristics associated with use of MI, this study explores how counselor characteristics directly and indirectly affect implementation relationships for MI. The study sample comes from a larger study testing how organizational facilitation influences outpatient substance abuse counselors' use of MI, and client outcomes. Multiple regression was used to explore the contribution of counselor characteristics (amount of MI training, MI skill level, motivation to use MI, supportive attitudes toward MI, perception of organizational climate and MI skill level) on reported use of MI. Analyses with each dependent variable had different sample sizes: N=76 for relationships tested between counselor characteristics and use of MI and N=46 for relationships tested between counselor characteristics and MI skill level. Results suggest that among these characteristics, supportive attitudes related to MI and motivation to use MI significantly contribute to counselors' use of MI with clients. Further, supportive attitudes related to MI and motivation to use MI each partially mediates the relationship between amount of MI training and counselor use of MI. But, findings are tempered by a sample comprised of relatively low levels of training and low MI skill level. Despite having very little training, and low skill levels, high usage of MI was reported by counselors. More empirical research utilizing larger samples with higher training levels is needed to better understand how counselor characteristics may affect EBPs implementation in order to promote the effective use of evidence-based practices.

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)
Author: U.S. Department of Health and Human Services
Publisher: Lulu.com
Total Pages: 208
Release: 2019-11-19
Genre: Reference
ISBN: 1794755136

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.

Motivational Interviewing, Second Edition

Motivational Interviewing, Second Edition
Author: William R. Miller
Publisher: Guilford Press
Total Pages: 428
Release: 2002-04-12
Genre: Psychology
ISBN: 9781572305632

This bestselling work has introduced hundreds of thousands of professionals and students to motivational interviewing (MI), a proven approach to helping people overcome ambivalence that gets in the way of change. William R. Miller and Stephen Rollnick explain current thinking on the process of behavior change, present the principles of MI, and provide detailed guidelines for putting it into practice. Case examples illustrate key points and demonstrate the benefits of MI in addictions treatment and other clinical contexts. The authors also discuss the process of learning MI. The volume’s final section brings together an array of leading MI practitioners to present their work in diverse settings.

Enhancing Motivation for Change in Substance Abuse Treatment

Enhancing Motivation for Change in Substance Abuse Treatment
Author: William R. Miller
Publisher: DIANE Publishing
Total Pages: 270
Release: 1999
Genre: Change (Psychology)
ISBN: 0756701635

This report is based on a rethinking of the concept of motivation, which is redefined here as purposeful, intentional, & positive -- directed toward the person's best interests. This report shows how substance abuse treat. staff can influence change by developing a therapeutic relationship that respects & builds on the client's autonomy & makes the treat. clinician a partner in the change process. Describes motivational interventions that can be used at all stages of the change process, from pre-contemplation & preparation to action & maintenance, & informs readers of the research, results, tools, & assessment instruments related to enhancing motivation.

The SAGE Encyclopedia of Theory in Counseling and Psychotherapy

The SAGE Encyclopedia of Theory in Counseling and Psychotherapy
Author: Edward S. Neukrug
Publisher: SAGE Publications
Total Pages: 1275
Release: 2015-02-12
Genre: Social Science
ISBN: 1483346498

The SAGE Encyclopedia of Theory in Counseling and Psychotherapy is a two-volume source that traces theory and examines the beginnings of counseling and psychotherapy all the way to current trends and movements. This reference work draws together a team of international scholars that examine the global landscape of all the key counseling and psychotherapy theories and the theorists behind them while presenting them in context needed to understand their strengths and weaknesses. This is a quick, one-stop source that gives the reader the “who, what, where, how, and why” of contemporary counseling and psychotherapy theory. From historical context in which the theories were developed to the theoretical underpinnings which drive the theories, this reference encyclopedia has detailed and relevant information for all individuals interested in this subject matter. Features & Benefits: Approximately 335 signed entries fill two volumes available in a choice of print or electronic formats. Back matter includes a Chronology of theory within the field of counseling to help students put individual theories within a broader context. A Master Bibliography and a Resource Guide to key books, journals, and organizations guide students to further resources beyond the encyclopedia. The Reader’s Guide, a detailed Index and the Cross References combine for effective search-and-browse in the e-version and helps students take the next steps in their research journeys. This reference encyclopedia serves as an excellent source for any individual interested in the roots of contemporary counseling and psychotherapy theory. It is ideal for the public and professionals, as well as for students in counselor education programs especially those individuals who are pursuing a Masters level degree.

Motivational Interviewing

Motivational Interviewing
Author: William R. Miller
Publisher: Guilford Publications
Total Pages: 354
Release: 2023-08-23
Genre: Medical
ISBN: 146255279X

Now in a fully rewritten fourth edition, this is the authoritative presentation of motivational interviewing (MI), the powerful approach to facilitating change. It has been updated and streamlined to be even more user-friendly as a practitioner guide and course text. MI originators William R. Miller and Stephen Rollnick elucidate the four tasks of MI--engaging, focusing, evoking, and planning--and vividly demonstrate what they look like in action. A wealth of vignettes and interview examples illustrate the dos and don'ts of successful implementation in diverse contexts. The book reviews the evidence base for the approach and covers ways to assess the quality of MI. The companion website provides reflection questions, annotated case material, and additional helpful resources. New to This Edition *Most of the book is entirely new. *Addresses the breadth of MI applications not only in counseling and psychotherapy, but also in health care, education, coaching, management, and other contexts. *Discusses delivering MI remotely, simple versus complex affirmations, strategic use of directional questions, ethical considerations, and other new or expanded topics. *Increased emphasis on using MI throughout a client's process of change and growth, not just in the preparatory stage. Pedagogical Features *New or updated online materials, including reflection questions and annotated cases. *Key points at the end of each chapter. *"Personal Perspective" and "For Therapists" boxes in every chapter. *Extensive glossary. *New self-assessment tool that targets the component skills of MI. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Motivational Interviewing with Adolescents and Young Adults

Motivational Interviewing with Adolescents and Young Adults
Author: Sylvie Naar
Publisher: Guilford Publications
Total Pages: 242
Release: 2021-07-20
Genre: Psychology
ISBN: 1462547109

The significantly revised second edition of this unique practitioner guide features 65% new material and a new organizing structure. The authors show how to use motivational interviewing (MI) to have productive conversations about behavior change with adolescents and young adults in any clinical context. Noted for its clarity, the book includes extended case examples, sample dialogues, quick-reference tables, and "dos and don'ts." It provides vital tools for helping young people open up about their struggles, explore alternatives, and make healthier choices around such concerns as substance use, smoking, anxiety, medication adherence, and obesity. New to This Edition *More integrative and cohesive: every chapter weaves in diverse clinical issues, replacing the prior edition's population-specific chapters. *Chapters on MI in groups and involving caregivers in treatment. *Restructured around the current four-process model of MI, and proposes maintenance of change as a fifth process. *Incorporates the rapidly growing research base on MI with youth. *Reflects the ongoing refinement of the authors' training approach; includes skill-building activities at the end of each chapter. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Master Therapists

Master Therapists
Author: Thomas M. Skovholt
Publisher: Oxford University Press
Total Pages: 229
Release: 2017-02-07
Genre: Medical
ISBN: 0190496584

In this 10th Anniversary text, Thomas M. Skovholt and Len Jennings paint an elaborate portrait of expert or "master" therapists. The book contains extensive qualitative research from three doctoral dissertations and an additional research study conducted over a seven-year period on the same ten master therapists. This intensive research project on master therapists, those considered the "best of the best" by their colleagues, is the most extensive research on high-level functioning of mental health professionals ever done. Therapists and counselors can use the insights gained from this book as potential guidelines for use in their own professional development. Furthermore, training programs may adopt it in an effort to develop desirable characteristics in their trainees. Featuring a brand new Preface and Epilogue, this 10th Anniversary Edition of Master Therapists revisits a landmark text in the field of counseling and therapy.

Motivational Interviewing

Motivational Interviewing
Author: William R. Miller
Publisher: Guilford Press
Total Pages: 497
Release: 2012-09-01
Genre: Psychology
ISBN: 1609182278

This is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing (MI), the powerful approach to facilitating change. The book elucidates the four processes of MI -- engaging, focusing, evoking, and planning -- and vividly demonstrates what they look like in action. A wealth of vignettes and interview examples illustrate the "dos and don'ts" of successful implementation in diverse contexts. Highly accessible, the book is infused with respect and compassion for clients. The companion Web page provides additional helpful resources, including reflection questions, an extended bibliography, and annotated case material. New to This Edition: Reflects major advances in understanding and teaching MI. Fully restructured around the new four-process model. All chapters now authored by Miller and Rollnick. Additional case examples and counseling situations. Reviews the growing evidence base and covers ways to assess MI fidelity. Pedagogical Features Include: Online reflection questions and annotated cases, ideal for classroom discussion. Bulleted key points at the end of each chapter. Engaging boxes with special topics and personal reflections. Extended bibliography and quick-reference glossary. This title is part of the Applications of Motivational Interviewing Series, edited by Stephen Rollnick and William R. Miller.

Motivational Interviewing in Health Care

Motivational Interviewing in Health Care
Author: Stephen Rollnick
Publisher: Guilford Press
Total Pages: 224
Release: 2012-03-07
Genre: Medical
ISBN: 1462507085

Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.