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A Brief Introduction To Motivational Interviewing
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This document serves as an introduction to Motivational Interviewing (MI) within the framework of community support for substance use disorders, particularly focusing on the assistance provided by the Opioid Response Network (ORN). The ORN supports communities by offering resources and technical assistance to tackle the opioid and stimulant crisis, providing trained local consultants who implement evidence-based practices.<br /><br />Motivational Interviewing is highlighted as a key communication strategy centered on supporting change by fostering a partnership between counselor and client. Key components of this methodology include empathy, respect for autonomy, and promoting the client's own capacity for change. The technique encourages understanding the client's perspective and evoking intrinsic motivation, rather than directing or persuading clients how to change. <br /><br />The document emphasizes the spirit of MI, which encompasses four key tasks—engaging, focusing, evoking, and planning—and stresses the importance of “change talk” where clients express their desire, ability, reason, and need to change. Core communication skills known as OARS (Open-ended questions, Affirmations, Reflections, and Summaries) are essential in MI practices. These skills help keep clients engaged and empowered, allowing them to lead the conversation and foster change from within.<br /><br />A persuasive exercise contrasts traditional advice-giving, often leading to negative reactions like defensiveness, with MI’s approach that helps clients feel understood, respected, and more open to change. This compassionate approach encourages self-motivated change rather than external pressure.<br /><br />Oriented towards enhancing skills, the text prompts practitioners to partake in exercises and reflections to differentiate directive approaches from MI, thus facilitating more effective and empathetic client interactions. Further, a survey link is provided to gauge satisfaction with the training, maintaining ORN funding.
Keywords
Motivational Interviewing
Opioid Response Network
substance use disorders
evidence-based practices
communication strategy
intrinsic motivation
change talk
OARS skills
empathetic client interactions
community support
The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.
Funding for this initiative was made possible by cooperative agreement no. 1H79TI086770 and grant no. 1H79TI085588 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
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