COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Motivational Interviewing
• Motivational interviewing/counseling:
An approach to counseling that helps to enhance motivation.
Vignette # 2
Techniques can be used to help consumers to become motivated
for mental health TX, or to make other changes in their lives.
Is a consumer-centered counseling approach that aims to help
individuals who aren't yet ready to change.
Consumers can be seen NOT as "resistant" or "in denial" of their
substance abuse or of their need for mental health TX but as
needing help to increase their readiness to change behavior by
linking change to their life goals.
Results in remission of substance abuse for the majority of
consumers who receive the TX.
SAMHSA Integrated Dual Disorders Treatment Toolkit
Principles of Motivational
Interviewing
Principles of Motivational
Interviewing
• Motivational interviewing uses five principles, which are always kept in
mind during interactions with the consumer:
Express empathy: actively listening without offering judgment,
criticism, or advice.
Develop discrepancy: identify and amplify discrepancy between
behavior and goals through clarifying life goals and understanding
the pros and cons to using that interferes with achieving goals.
Avoid argumentation: the principle is to avoid arguments in general,
with the assumption that arguments simply strengthen people's
beliefs, rather than helping them change their beliefs.
Roll with resistance:
It is important to let the consumer express his/her differing
opinions and to "roll with it" instead of trying to fight it.
Support self-efficacy:
Self-efficacy is the belief that one can succeed at change. The
final principle in motivational interviewing is to support the client's
self-efficacy. This is particularly critical for people who are
demoralized, depressed, or hopeless.
SAMHSA Integrated Dual Disorders Treatment Toolkit
SAMHSA Integrated Dual Disorders Treatment Toolkit
Harm Reduction Housing
Vignette # 3
• No eject, no reject
• Housing for housing sake
• Stage-wise treatment and supports
• Safe, affordable
• Stage specific (wet and damp,
substance free)
7