Fundamentals of Motivational Interviewing

Tips and Strategies for Addressing Common Clinical Challenges

Julie A. Schumacher and Michael B. Madson

Highlights helpful tips, strategies, and examples that are accessible and easy to apply
Addresses common clinical challenges in MI encountered across disciplines and settings
Can be used as a quick reference for providers who don't normally use MI but are interested in applying it to manage certain challenges, like no-shows
Appropriate as a course text for its detailed coverage of MI as well as its easy-to-grasp takeaways

Fundamentals of Motivational Interviewing

Tips and Strategies for Addressing Common Clinical Challenges

Julie A. Schumacher and Michael B. Madson

Description

Motivational interviewing (MI) is an evidence-based communication style that has applicability to diverse professions ranging from mental and physical healthcare to criminal justice. Professionals use MI to help patients/clients harness their own internal motivations for change and become active partners in developing plans for change. Using MI, a professional can guide patients/clients to make positive changes in life areas such as substance abuse, criminal activity, anxiety and mood problems, poor cardiovascular health, and more.

Fundamentals of Motivational Interviewing provides a straightforward, common-language, and user-friendly guide to key concepts in MI. The clinical challenges addressed are ubiquitous across helping professions, and this book is unique in its focus on providing practical guidance on what to do when confronted with each challenge. Based on the authors' years of experience providing training and supervision in MI, this book answers one of the questions most frequently asked by those they have trained: "How can I use MI to address [insert clinical challenge]?"

Fundamentals of Motivational Interviewing is an accessible and easy-to-use resource organized and written with the busy provider in mind. It is appropriate for all skill levels ranging from the MI novice with no prior training, to the experienced MI provider seeking to gain new knowledge and skills. Throughout the book the authors use boxes and case examples to clearly illustrate and emphasize key points. The authors also provide clear examples of the sometimes subtle distinction between MI-consistent and MI-inconsistent use of the communication skills and strategies. Professionals from diverse disciplines including medicine, allied health, criminal justice, psychology, counseling, social work, marriage and family therapy, as well as MI trainers working with all of these disciplines will find this book a useful resource, and it would be an appropriate text for any class that seeks to build MI and other psychotherapeutic skills.

Fundamentals of Motivational Interviewing

Tips and Strategies for Addressing Common Clinical Challenges

Julie A. Schumacher and Michael B. Madson

Contents

Part I. Motivational Interviewing Overview

Chapter 1: Introduction
Chapter 2: Foundational Concepts and Skills
Chapter 3: The Four Processes of MI

Part II. Motivational Interviewing for Clinical Challenges

Chapter 4: Less Ready to Change
Clinical Challenge: No Shows
Clinical Challenge: Non-adherence
Clinical Challenge: Client Involved in the Legal System

Chapter 5: Loss of Momentum
Clinical Challenge: Slow Progress
Clinical Challenge: Lapse and Relapse
Clinical Challenge: Overly Ambitious Expectations

Chapter 6: Psychiatric Symptoms and Disorders
Clinical Challenge: Depression
Clinical Challenge: Anxiety
Clinical Challenge: Psychotic Symptoms

Chapter 7: Working with Multiple Individuals
Clinical Challenge: Parents
Clinical Challenge: Groups

Chapter 8: Learning to Use and Implement MI
Training Challenge: Clients who Frustrate You
Training Challenge: Clients Like You
Conclusion

References
About the Authors
Index

Fundamentals of Motivational Interviewing

Tips and Strategies for Addressing Common Clinical Challenges

Julie A. Schumacher and Michael B. Madson

Author Information

Julie A. Schumacher, PhD, is an Associate Professor and Vice Chair for Professional Education and Faculty Development in the Department of Psychiatry at the University of Mississippi Medical Center and Director of the Mississippi Psychology Training Consortium. She is actively involved in Motivational Interviewing practice, training, supervision, dissemination, and research and has received multiple NIH grants for her work in this area.

Michael B. Madson, PhD, is an Associate Professor in Psychology at the University of Southern Mississippi. He is actively involved in training, supervising and researching Motivational Interviewing as part of health and harm reduction interventions. His work has been funded by multiple agencies including NIH and the American Psychological Foundation.

Fundamentals of Motivational Interviewing

Tips and Strategies for Addressing Common Clinical Challenges

Julie A. Schumacher and Michael B. Madson

Reviews and Awards

"Written for the practicing clinician, this volume reflects an impressive integration of clinical experience and supporting evidence for enhancing client motivation to change. Of particular importance is that the authors are very much in touch with clinical reality and offer invaluable guidelines for overcoming motivational problems that can interfere with therapeutic change."--Marvin R. Goldfried, PhD, Distinguished Professor of Psychology, Stony Brook University, and Past-President, Society for the Exploration of Psychotherapy Integration (SEPI)

"This is a great sourcebook for practitioners interested in learning about the spirit and skills of MI. The authors have made creative use of case illustrations and vignettes in demonstrating clinical challenges encountered in effectively applying MI strategies with diverse clients. The book serves as an added resource for individuals undergoing MI training in skill-building workshops."--Allen Zweben, PhD, Senior Associate Dean for Academic Affairs and Research and Professor, School of Social Work, Columbia University

"This remarkable and easily accessible volume is destined to become a well-thumbed reference on the desks of counselors and clinical researchers alike. While it comprehensively summarizes the knowledge base surrounding MI, it even more uniquely pursues, in a very systematic and effective manner, the actual application of the principles and concepts of MI in clinical practice. It is rare to come across a volume that so carefully and adeptly communicates why and how to apply MI in a wide range of therapy scenarios."--Gerard J. Connors, PhD, Senior Research Scientist, Research Institute on Addictions, University at Buffalo

"Madson and Schumacher focus beyond simply learning how to do MI, broadening out into real challenges practitioners face in implementing MI within their clinical work. [...] This book is an essential for any practitioner who is learning MI, as well as more experienced MI practitioners who continue to evaluate and learn from their own practice."--Claire Lane, PhD, ClinPsyD, Clinical Psychologist, Specialist Weight Management Service, Gloucestershire Hospitals NHS Foundation Trust, UK, and The Family Psychologist, Worcestershire, UK