MIA - Motivational interviewing

1 MIA:A product of theNIDA-SAMHSAB lending InitiativeMIA:STEPMOTIVATIONALINTERVIEWI NGA SSESSMENT:SupervisoryTools forEnhancingProficiencyMIAiiMIA:STEPMIA: STEPM otivational interviewing Assessment: Supervisory Tools for Enhancing ProficiencyPublished in 2006 by theNorthwest Frontier Addiction Technology Transfer CenterDepartment of Public Health and Preventive MedicineOregon Health and Science University810 D Street NESalem, Oregon 97301 This publication was prepared by the Addiction Technology Transfer Center (ATTC) Network under acooperative agreement from the Substance Abuse and Mental Health Services Administration s (SAMHSA)Center for Substance Abuse Treatment (CSAT) and the National Institute on Drug Abuse (NIDA).

2 Do notreproduce or distribute this publication for a fee without specific, written authorization from the NorthwestFrontier ATTC. For more information on obtaining copies of this publication, call material appearing in this publication except that taken from copyrighted sources is in the publicdomain and may be reproduced or copied without permission from SAMHSA/CSAT or the of the source is appreciated. Suggested format for the citation is:Martino, S., Ball, , Gallon, , Hall, D., Garcia, M., Ceperich, S., Farentinos, C., Hamilton, J., andHausotter, W. (2006) Motivational interviewing Assessment: Supervisory Tools for Enhancing Proficiency.

3 Salem,OR: Northwest Frontier Addiction Technology Transfer Center, Oregon Health and Science the time of publication, Charles, G. Curie, MA, ACSW served as the SAMHSA Administrator. Clark, MD, JD, MPH, served as CSAT Director, Cathy Nugent served as the CSAT Project Officer,and Nora D. Volkow, MD, served as the Director of opinions expressed herein are the views of the ATTC Network and do not reflect the official positionof the Department of Health and Human Services (DHHS), SAMHSA or CSAT. No official support orendorsement of DHHS, SAMHSA/CSAT, or NIDA for the opinions described in this document is intendedor should be :STEPM otivational interviewing Assessment: Supervisory Tools for Enhancing ProficiencyMIA:STEPM otivational interviewing Assessment:Supervisory Tools for Enhancing ProficiencyMIA:STEPTABLE OF to the Motivational interviewing Blending for MIA:STEP product Package Summary: The Motivational interviewing .

4 STEP Toolkit in Motivational with an Agency Treatment Slide of the Motivational InterviewingAssessment of the NIDA Clinical Slide Style and Assessment Your of Change Readiness to Skill Style and a Collaborative :STEPMIA:STEPM otivational interviewing Assessment: Supervisory Tools for Enhancing ProficiencyFSelf-Assessment Skill Summaries (continued) to , Cons and Problem Discussion and Interview Rating Guide and Rating MI Interview Rating Worksheet .. Adherence and Competence Feedback ..129c. MI Skills Development Plan ..130d. MI Clinician Session Report.

5 131 HTranscripts and Ratings of Demonstration and Andrew (English)..141a. MI Interview Rating Worksheet .. Adherence and Competence Feedback ..145c. MI Skills Development Plan ..146d. Rated Transcript .. and Karen (English)..163a. MI Interview Rating Worksheet .. Adherence and Competence Feedback ..166c. MI Skills Development Plan ..168d. Rated Transcript .. and Sofia (Spanish)..195a. MI Interview Rating Worksheet .. Adherence and Competence Feedback ..200c. MI Skills Development Plan ..201d. Transcript .. and Billy Bob (Spanish)..211a. MI Interview Rating Worksheet .. Adherence and Competence Feedback.

6 216c. MI Skills Development Plan ..217d. Transcript ..219 ITraining Syllabus .. Instructions .. A: to the MI Blending .. for MIA:STEP Product Dissemination ..52 Section A: OverviewMIA:STEPMIA:STEPM otivational interviewing Assessment: Supervisory Tools for Enhancing ProficiencySection A: Overview3 MIA:STEPM otivational interviewing Assessment: Supervisory Tools for Enhancing ProficiencyMIA:STEPI ntroducingTHE Motivational INTERVIEWINGBLENDING PACKAGEThe NIDA/SAMHSA Blending Team on Motivational interviewing (MI) is pleasedto provide you with a new package of tools for improving client engagement andretention.

7 The Motivational interviewing Assessment: Supervisory Tools forEnhancing Proficiency (MIA: STEP) package is a collection of tools for mentoringcounselors and other clinicians in the use of MI skills during clinical the NIDA clinical trials research the MI assessment protocol improved both clientattendance and retention during the first four weeks of outpatient care. The researchersalso discovered that the development and maintenance of MI skills was a challenge for thecounselors engaged in the study. Participating in workshop training was not sufficientpreparation. On going feedback and mentoring were needed in order for most counselorsto use MI skillfully.

8 This package of products is meant to be used in the context of clinicalsupervision or mentoring. Use of these tools can help enhance both counselor MI skillsand the quality and nature of the mentoring process. It s a win-win for clients and agencystaff first section of the package includes briefing materials to assist in introducing theMIA: STEP products to State or County authorities, treatment agency administrators, andclinical supervisors. Included are:An announcement template for introducing MIA: STEP,An executive summary of the MI assessment,An overview of the MIA: STEP Toolkit, andA brief interview with an agency treatment rest of the package includes a more thorough description of the MI assessmentinterview, results of the NIDA clinical trials research, a number of teaching tools, aninterview tape rating guide, demonstration tapes, rating forms, learning plans and atraining curriculum for preparing supervisors in the use of the MIA: STEP suggestions for the dissemination and promotion of this package are offered later inthis A: OverviewMIA.

9 STEPMIA:STEPM otivational interviewing Assessment: Supervisory Tools for Enhancing ProficiencyACKNOWLEDGEMENTSThe NIDA/SAMHSA Motivational interviewing Blending Team, representing participantsfrom the NIDA National Drug Abuse Treatment Clinical Trials Network (CTN) protocolteam and the SAMHSA Center for Substance Abuse Treatment Addiction TechnologyTransfer Centers (ATTC), developed this package. Members included:Steve Gallon, ChairJohn Hamilton, LPCS amuel Ball, Hausotter, MPHS herry Ceperich, Martino, del Mar Garcia, MSW, MHSEdna Quinones, Hall, LPC, NCCMany others contributed to the development of this package.

10 We gratefully acknowledge theauthors of the original interview rating system (Samuel Ball, , Steve Martino, , JoanneCorvino, , Jon Morgenstern, , and Kathleen Carroll, ). We also want to thankthe community treatment program directors and staff members at the Chesterfield Substance AbuseServices in Virginia, Lower East Side Service Center in New York, and ADAPT Inc., ChangePoint,Inc., and Willamette Family Treatment Services, Inc. in Oregon. Without their MI protocolinvolvement, the development of the MIA: STEP tool kit would not have been want to specifically acknowledge Kathleen Carroll, , the MI Protocol Lead Investigator, for herleadership in transforming the research results into practical products for improving clinical are indebted to the MI trainers and site supervisors who prepared the agencies to participate in theclinical trials and helped refine the tape rating system, including Deborah Van Horn, - DelawareValley Node; Charlotte Chapman, MS, MAC, LPC, and Denise Hall, LPC, NCC - Mid-Atlantic Node.