Damara gutnick, md medical director montefiore hudson. Integrating motivational interviewing into a basic counseling. Damaragutnick motivational interviewing network of trainers mint. The ethnogeriatrics steering committee o f the a merican geriatrics so ciety. Psychiatryonline subscription options offer access to the dsm5 library, books, journals, cme, and patient resources. Sep 01, 2012 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. Gutnick spent over 18 years working in primary care at bellevue hospitals ambulatory care clinic in new york city. Bap is an innovative, evidencebased, efficient and effective selfmanagement support tool and technique based on the principles and practice of motivational interviewing mi 2. The operational assumption in motivational interviewing is that ambivalence or lack of resolve is the principal obstacle to be overcome in triggering change. Motivating tobacco users to become and stay tobacco free patricia bax, rn, ms, tts, cc. Peer health coaches also use the motivational interviewing concept of change talk to.
In this concise book, the author teaches you the mindset and methodologies of motivational interviewing and how to use the simple but powerful techniques to elicit clients own motivation for change. The unexpected challenge of motivational interviewing. Miller, 9781609182274, available at book depository with free delivery worldwide. Sometimes we feel responsible for our clients and the outcome and react by trying to ix the problem.
Health it in the patient centered medical home samhsahrsa. Pdf motivational interviewing and the stages of change. These processes help practitioners use oars skills in a strategic and purposeful way to have a conversation about change in a way that creates. John baer dave rosengren jennifer hettema bill miller terri moyers vaughn keller jacque elder dub wright. Gutnick stressed, is a skill that takes a lot of practice and related coaching to do well. A presentation discussing the basics of motivational interviewing. Creating a culture of sustainability allison mcguire, mph executive director damara gutnick, md medical director. We feel that mi may offer some useful resources for busy cf clinicians. Bap is a useful selfmanagement support technique for busy medical practices to promote health behavior change and build patient selfefficacy for improved longterm clinical outcomes in chronic. This document overviews the key learnings ive gathered along the way specific to the process of teaching mi in group settings. How and why it works for people with diabetes jan kavookjian, phd, mba associate professor of health outcomes research and policy harrison school of pharmacy auburn university marc steinberg, md, faap motivational interviewing trainer thegroup4qualitycare. Requires more of a response than a simple yes or no encourages student to do most of the talking helps us avoid premature judgments. Supplementary materials for motivational interviewing.
However, damara and gutnick, who are both members of the motivational interviewing network of trainers, advise that these modalities are best used as an introduction, and that ongoing training is a. There are many ways physicians can familiarize themselves with motivational interviewing skills, including articles, online modules, and workshops. The brief action planning guide a selfmanagement support. Being person centered about things that matter the right person the right question at the right time patient satisfaction. 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. Damara gutnick mike clark e cloyhcta ken kraybill jeremy evenden debra myers keri oetzel pam smithstan kathylynn northrupsnyder and many others who have led the way.
She is the medical director for the montefiore hudson valley collaborative mhvc and a member of team, dr. To describe brief action planning bap, a structured,steppedcareselfmanagementsupport techniquefor chronicillnesscare and diseaseprevention. On a scale of 0 to 10, with 10 being very interested, how interested are you in changing targeted behavior. Motivational interviewing mi is an alternative approach for raising problem awareness and facilitating change exploration with individuals who may be reluctant, stuck, or not yet ready to make behavioral changes. Rolling with resistance and skillfully working to elicit the clients own motivation to change are more effective. Shift the direction of conversations that have become stuck. Effectiveness of motivational interviewing in a wic clinic. The va new york harbor healthcare system manhattan campus and four montefiore medical group. Interviewing to promote healthy weight see page 32. Pdf brief action planning to facilitate behavior change and support. Motivational interviewing mi is a counseling approach developed in part by clinical psychologists william r. Damara gutnick, md, kathy reims, md, connie davis, mn, arnp. Motivational interviewing summaries summaries can be used for multiple purposes.
Gutnick et al conclude through their research that bap is a useful self management support technique for busy medical practices to. This treatment guide will give an overview of the theory and implementation of motivational interviewing. Empowering adults with chronic spinal cord injury to. It is grounded in the principles and practice of motivational interviewing and evidencebased constructs. Miller and rollnick, 1991 motivational interviewing is a technique in which you become a helper in the change process and express acceptance of your client. Stephen rollnick and a great selection of similar new, used and collectible books available now at great prices. Ccnc motivational interviewing mi resource guide community. Motivational interviewing involves no training of clients in behavioral coping skills, although the two approaches not incompatible. Template for corporate and internal documents it manual, board. Focus on whats important to the patient regarding behavior, health, and welfare. Brief action planning bap 1, the foundational eight core competencies of comprehensive motivational interventions cmi, was developed by steven cole, with contributions from mary cole, connie davis, damara gutnick, and kathy reims. One approach many experts encourage physicians to use is motivational interviewing mi, a series of techniques to get at the root of patient concerns and help encourage them to make healthy behavior changes. Mi is a collaborative, personcentered counseling style intended to elicit and explore clients personal.
In collaboration with ccmi and several other organizations dr. Helping people change, written with stephen rollnick, in 1991. Motivational interviewing for busy clinicians video. Apr 12, 2002 since the initial publication of this breakthrough work, motivational interviewing mi has been used by countless clinicians.
Debartolo, susan edgmanlevitan, lindsay gainer, damara gutnick. Damaragutnick motivational interviewing network of. Communicate interest and understanding of an individuals. Gutnick contributed to the development of the included video on selfmanagement support. The book elucidates the four processes of mi engaging, focusing, evoking, and planning and vividly demonstrates what they look like in action. Motivational interviewing mi rolling with resistance what. By march, 12 trainers will complete motivational interviewing.
Preparing people to change health behaviors tips sheet five general principles of motivational interviewing. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Gem is a clusterrandomized controlled trial of a 12month weight management intervention for primary care patients who have obesity. Dont give up on patient selfmanagement acp internist. Helping people change, 3rd edition applications of motivational interviewing 9781609182274 by william r. Mi practice includes an indispensable humanistic spirit that contains four components. Brief action planning cmi comprehensive motivational. Miller later teamed up with stephen rollnick to write a book on the subject, which. You may think you are drawing attention to the resistance when you want to minimize it. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients.
Around seven years ago i read a wonderful book called motivational interviewing in health care. Tnt manual 2014 d10 20150205 motivational interviewing. Motivational interviewing resources for trainers from the motivational interviewing network of trainers updated. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Motivational interviewing is a participantcentered approach that intentionally directs participants to examine, explore, and resolve the. Caring about what is important to another person and feeling moved to help. Deconstructing connecting with patients november 2018 christopher lillis, md facp uc davis health. Motivational interviewing treatment fidelity in thailand. The motivational interviewing network of trainers mint is an international organization of trainers in motivational interviewing, incorporated as a 501 c 3 taxexempt nonprofit charitable organization in the state of virginia, usa. Workshop1website handouts only motivational interviewing. Bap functions as a short form of mi and is appropriate to use for initial motivational work with all individuals, regardless of readiness for change. The spirit of motivational interviewing the spirit of motivational interviewing underlies brief action planning. Protocol for a clusterrandomized controlled trial of a.
Motivational interviewing in the treatment of psychological. Motivational interviewing techniques that help physicians. The art of teaching motivational interviewing a resource for mi trainers a 20year retrospective of key learnings for the past two decades ive been guiding the learning of motivational interviewing mi. A movement built on the spirit of motivational interviewing short share rik bes implementing mi in the middle east ralf demmel verena zimmer motivational interviewing in the treatment of personality disorders moria golan live demonstration of supervision using mi and a reflecting team. Brief action planning to facilitate behavior change and. Integrating mi skills into mindfulness based third wave. Support selfefficacy responses that are not reflective listening. When this happens, it is easy for any of us to try to persuade or even argue with clients.
Motivational interviewing, third edition book depository. Empowering adults with chronic spinal cord injury to prevent. Brief action planning was developed by steven cole, damara gutnick, kathy reims and connie davis. Peer health coaches also use the motivational interviewing concept of change talk to gauge a consumers readiness to make a healthrelated action plan. I mean i love to read a book to the end, and id love to know which way you are going to go from. View damara gutnick, mds profile on linkedin, the worlds largest professional community. Mint motivational interviewing network of trainers motivational interviewing. Damara gutnick, md is the medical director of the montefiore hudson valley collaborative mhvc where she is responsible for guiding systems and practice transformation efforts to support the transition to valuebased payment across. Bap is founded in the concepts of motivational interviewing with particular emphasis on the spirit of mi and is easily implemented in primary care settings. Bap is an innovative, evidencebased, efficient and effective selfmanagement support tool and technique based on the principles and practice of. Strategies of motivational interviewing oars strategies description examples openended questions elicits descriptive information tell me about or describe. Set a day to check in, so theres a sense of accountability, she advised, and celebrate any positive steps. Since 2011, motivational interviewing mi has been a key focus within ccnc. Highlight both sides of an individuals ambivalence about change.
See the complete profile on linkedin and discover damaras. Motivational interviewing is a style of therapy that helps people achieve deeper clarity about the pros and cons of behavior change and illuminates where people are and are not ready to focus. Because motivational interviewing is so commonly associated with substance use and addictions, they will be the focus of examples for the rest of the guide. Best practices to support selfmanagement damara gutnick, md medical director, montefiore hudson valley collaborative 10. See the complete profile on linkedin and discover damara.
Chapter 3motivational interviewing as a counseling style. Chapter 3motivational interviewing as a counseling style motivational interviewing is a way of being with a client, not just a set of techniques for doing counseling. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Motivational interviewing began from applications in the addiction and substance abuse fields. Motivational interviewing tools to try tools to try. Having evolved originally from clinical experience inthe treatmentof problemdrinking, motivational interviewing was first described by miller 1983.
Consider following spirit and using principles of motivational interviewing andor brief action planning uspstf, ann intern med. Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change. Theory and methods have evolved apace, reflecting new knowledge on the process of behavior change, a growing body of outcome research, and the development of new applications within and beyond the addictions field. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and.
This book of expert contributions coedited by william miller, the originator of motivational interviewing, is a very welcome textthe chapters are structured in a very readable fashion, providing a basic introduction and rationale to how and why motivational interviewing might be used in combination with existing approaches. A wealth of vignettes and interview examples illustrate. It is a directive, clientcentered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Quality improvement technical assistance initiative. Motivational interviewing and brief action planning for. Health it in the patient centered medical home october 2010.
Bap is an innovative, evidencebased, efficient and effective selfmanagement support tool and. The trainers come from diverse backgrounds and apply mi in a variety of settings. Motivational interviewing, third edition by william r. The video is geared toward patients and providers and closely aligns with dsrip patient engagement goals. Gutnick is a founding member and director of quality and research at the non. Motivational extra step that would facilitate client involvement, active participation, increase motivation, and provide coaching to achieve desirable, measurable behavioral change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion. However rolling with resistance techniques reduce the likelihood that the client will continue in a resistant stance. Motivational interviewing has become widely adopted as a counseling style for facilitating behavior change. Motivational interviewing is a theorybased communication skills set with an established evidence base for its potential to affect patient outcomes in comprehensive disease management, even during brief encounters. Motivational interviewing mi is a therapeutic strategy for facilitating behaviour change. The book elucidates the four processes of miengaging, focusing, evoking, and planningand vividly demonstrates what they look like in action. Anyone who works with people, including doctors, psychologists, counselors of all kinds, addiction specialists, nurses, life coaches, dietitians.
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