SAMHSA TIP 35 Enhancing Motivation for Change in …
Enhancing Motivation for Change in
Substance Use Disorder Treatment
UPDATED 2019
TREATMENT IMPROVEMENT PROTOCOL
TI P 35
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TIP 35
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TIP 35
Contents
Foreword
viii
Executive Summary
ix
TIP Development Participants
xv
Publication Information
xxi
Chapter 1¡ªA New Look at Motivation
1
4
6
13
16
Motivation and Behavior Change
Changing Perspectives on Addiction and Treatment
TTM of the SOC
Conclusion
Chapter 2¡ªMotivational Counseling and Brief Intervention
Elements of Efective Motivational Counseling Approaches
Motivational Counseling and the SOC
Special Applications of Motivational Interventions
Brief Motivational Interventions
Screening, Brief Intervention, and Referral to Treatment
Conclusion
Chapter 3¡ªMotivational Interviewing as a Counseling Style
Introduction to MI
What Is New in MI
Ambivalence
Core Skills of MI: OARS
Four Processes of MI
Benefts of MI in Treating SUDs
Conclusion
Chapter 4¡ªFrom Precontemplation to Contemplation: Building Readiness
Develop Rapport and Build Trust
Raise Doubts and Concerns About the Client¡¯s Substance Use
Understand Special Motivational Counseling Considerations for Clients Mandated to
Treatment
Conclusion
Chapter 5¡ªFrom Contemplation to Preparation: Increasing Commitment
Normalize and Resolve Ambivalence
Help Tip the Decisional Balance Toward Change
Conclusion
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