Motivational Interviewing > Introduction

Motivational Interviewing

Presented by
Lance J. Parks, LCSW


Upon completion of this course the participant will receive 6 CE Credits/Contact Hours.


CALIFORNIA: This course meets the criteria and is accepted by the California Board of Behavioral Sciences for continuing education hours for Social Workers, Marriage and Family Therapists, Professional Counselors, and Educational Psychologists. (See Nursing Approval below)

TEXAS: This course meets the criteria for acceptable continuing education as defined by the Texas State Board of Professional Counselors, Marriage and Family Therapists and Social Workers.

Note:  The CA BBS and TX Boards no longer directly approve providers of continuing education; however, this course meets their criteria for acceptable continuing education.


This course is accepted/approved by the following for continuing education credits/contact hours: 

The California Board of Registered Nursing # CEP 14462

The National Board for Certified Counselors (NBCC) # 6412 
The Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling #50-14000 
The California Consortium of Addiction Programs and Professionals: CCAPP-IE Provider # 1N-16-256-0822

The California Associations of Alcohol and Drug Educators (CAADE) #Cp20 977 H 0422

 It is the responsibility of the participant to check with their board regarding specific CE requirements.


At the end of the course, the participant will be able to:

1)  Identify and discuss what is Motivation and Behavior change
2)  Identify the Changing Perspectives on Addiction and Treatment
3)  Identify the Elements of Effective Motivational Counseling Approaches
4)  Explain Motivational Interviewing as a Counseling Style
5)  Recognize the Four Processes of MI
6)  Discuss the Benefits of MI in Treating SUDs
7)  Evaluate the Preparation to Action in initiating Change
8)  Discuss the impact of maintenance in stabilizing Change

Course Outline:

  • Chapter 1

    • A New Look at Motivation
    • Motivation and Behavior Change

      • The Nature of Motivation

      • Why Enhance Motivation

    • Changing Perspectives on Addiction and Treatment

      • Earlier Perspectives
      • A New Perspective

        • Focus on client strengths
        • Individualized and person-centered treatment
        • A shift away from labeling
        • Therapeutic partnerships for change
        • Use of empathy, not authority and power
        • Focus on early and brief interventions
        • Recognition of a continuum of substance misuse
        • Recognition of multiple SUDs
        • Acceptance of new treatment goals
        • Focus on risk reduction
        • Integration of addiction, behavioral health, and healthcare services
        • TTM of the SOC
      • Natural Change
    • Conclusion

  • Chapter 2. Motivational Counseling and Brief Intervention

    • Elements of Effective Motivational Counseling Approaches

      • FRAMES Approach

      • Feedback

      • Responsibility

      • Advice

      • Menu of Options

      • Self-efficacy

      • Decisional Balancing

      • Developing Discrepancy

      • Flexible Pacing

      • Maintaining Contact With Clients

      • Motivational Counseling and the SOC

    • Catalysts for Change

      • Counselor Focus in the SOC

      • Special Applications of Motivational Interventions

      • Cultural Responsiveness

      • Adults With COD

    • Conclusion
  • Chapter 3

    • Motivational Interviewing as a Counseling Style

      • Introduction to MI

      • The Spirit of MI

      • Ambivalence

      • Sustain Talk and Change Talk

    • A New Look at Resistance

      • Asking Open Questions

      • Affirming

    • Reflective Listening

      • Types of Reflective Listening

      • Forming complex reflections

      • Summarizing

    • Four Processes of MI

      • Engaging

      • Opening strategies

      • Avoiding traps

      • Focusing

      • Deciding on an agenda

      • Identifying a target behavior

      • Evoking

      • Developing discrepancy: A values conversation

      • Evoking hope and confidence to support self-efficacy

      • Recognizing signs of readiness to change

      • Planning

      • Strengthening Commitment to Change

    • Benefits of MI in Treating SUDs
    • Conclusion
  • Chapter 4

    • From Precontemplation to Contemplation: Building Readiness

      • Develop Rapport and Build Trust

      • Elicit the Client’s Perception of the Problem

      • Explore the Events That Led to Entering Treatment

      • Assess the Client’s SOC and Readiness to Change

      • The Importance and Confidence Rulers

      • Identification of the client’s style of Precontemplation

    • Readiness assessment instruments

      • Commend the Client for Coming to Treatment

      • Agree on a Direction

      • Raise Doubts and Concerns About the Client’s Substance Use

      • Provide Information About the Effects and Risks of Substance Misuse

      • Evoke Concern About the Client’s Substance Use

      • Involve Significant Others

      • Express Concern, and Leave the Door Open

    • Conclusion
  • Chapter 5

    • From Contemplation to Preparation: Increasing Commitment

      • Normalize and Resolve Ambivalence

      • Shift the Focus From Extrinsic to Intrinsic Motivation

      • Summarize Client Concerns

      • Help Tip the Decisional Balance Toward Change

      • Assess Where the Client Is on the Decisional Scale

      • Explore the Pros and Cons of Substance Use and Behavior Change

      • Reexplore Values in Relation to Change

      • Emphasize Personal Choice and Responsibility

      • Explore the Client’s Understanding of Change and Expectations of Treatment

      • Reintroduce Feedback

      • Summarize Change Talk

    • Enhance Commitment to Change
    • Conclusion
  • Chapter 6

    • From Preparation to Action: Initiating Change

      • Explore Client Change Goals

      • Clarify the Client’s Goals

      • Elicit Change Strategies From the Client

      • Offer a Menu of Change Options

      • Negotiate a Behavioral Contract

      • Explore and Lower Barriers to Action

      • Enlist Social Support

      • Support the Client’s Action Steps

      • Evaluate the Change Plan

    • Conclusion
  • Chapter 7

    • From Action to Maintenance: Stabilizing Change

      • Stabilize Client Change

      • Engage and Retain Clients in SUD Treatment

      • Build a strong counseling alliance

      • Inform clients about program rules and expectations

      • Address client expectations about treatment

      • Explore and resolve barriers to completing treatment

      • ncrease congruence between intrinsic and extrinsic motivation

      • Explore client nonadherence

      • Reach out and follow up

      • Create a Coping Plan

      • Assess and enhance self-efficacy

      • Identify high-risk situations and coping strategies

      • Help the clients practice new coping skills

    • Identify New Behaviors that Reinforce Change

      • Identify Recovery Capital

      • Reinforce Family and Social Support

      • Help the Client Reenter the Change Cycle

      • Provide Relapse Prevention Counseling

      • C-TRAPS

      • Relapse management strategies

      • Reenter the Cycle of Change

    • Conclusion
  • Chapter 8

    • Integrating Motivational Approaches in SUD Treatment Settings

      • Adaptations of Motivational Counseling Approaches

      • Group Counseling

    • Technology Adaptations

      • MI and CBT

    • Blended Counseling Approaches

      • MIA

      • MI and CBT

      • MI and RMC

      • Workforce Development

      • Training

      • Supervision and Coaching

      • Supervision in MI should be competency based.

Motivational Interviewing > Introduction
Page Last Modified On: November 12, 2020, 04:12 PM