Lessons learned about the dissemination of motivational interviewing

Apodaca, Timothy R.

doi:10.1111/add.13268

Addiction

2016

DOI: 10.1111/add.13268

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Lessons learned about the dissemination of motivational interviewing

Timothy R. Apodaca

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“…Miller & Moyers acknowledge that what constitutes ‘beginning’ proficiency in MI was determined through an arbitrary cut‐point along a continuum of skills and that MI Spirit is only one marker of fidelity. Apodaca questions whether behaviour counts of MI‐consistent behaviour are preferable to the global measure of MI Spirit. In fact, we would argue that including both constitutes a comprehensive outcome measure.…”

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Continuing the conversation: 30 years of motivational interviewing dissemination

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when services only offer training in MI to those practitioners who express an interest in taking their careers in this direction?Much of this discussion occurs against a background of relative ignorance about what actually happens in everyday practice, surely an area in need of closer scrutiny? One of us (S.R.) has recently returned to working in the addictions field and one conclusion seems striking: it is messy; not a matter of using this or that discrete form of treatment, but integrating one approach with another, balancing the need for service requirements such as assessment and safeguarding with those of the client. What if the agenda for research was driven more by questions from practitioners in the field?Finally, Hall et al. raise the question of how to integrate MI into a service culture. The practice of MI rests upon a set of values that champion engagement with clients as a platform for all else, and doing things with them, not to or on them. Paradoxically, the less clientcentred the environment, the more might MI be useful, and the less likely it will be to flourish, to begin with. How to improve matters is not a matter of 'disseminating' treatments but integrating the findings of research into everyday practice. Declaration of interestsS.R. is a co-founder of motivational interviewing and has authored numerous texts on MI. Both authors provide MI training and consultancy.

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Continuing the conversation: 30 years of motivational interviewing dissemination

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Lessons learned about the dissemination of motivational interviewing

Cited by 1 publication

References 6 publications

Continuing the conversation: 30 years of motivational interviewing dissemination

Continuing the conversation: 30 years of motivational interviewing dissemination

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