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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