Portland Community College | Portland, Oregon

Upon completion of this course students should be able to:

1. Describe the philosophy and research that supports the efficacy of motivational interviewing.
2. Apply the spirit, skills, and process of motivational interviewing to a substance use counseling session that explores loss of control as an identifying characteristic of addiction.
3. Evaluate a counseling session to determine its compliance with the method of motivational interviewing.

Students will demonstrate via recordings and through the creation of transcripts their ability to apply motivational interviewing in a counseling session with a client that presents with a substance use concern.  Students will evaluate their own ability and the ability of their peers to provide addiction specific counseling.

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·       The following assessment strategies will be employed:

·       1. Objective tests will be utilized, focusing on intended outcomes imbedded in lectures, readings, and other multimedia presentations.

·       2. The Brief Motivational Interviewing Treatment Integrity (B-MITI) will be used to assess other students and to self-assess level of adherence to the motivational interviewing method of counseling.

·       3. Analysis of video segments that attempt to portray the targeted skills.

1. History of confrontation and persuasion as counseling strategies

2. Motivational Interviewing (Miller)

      A) Spirit (attitude toward the interview)

            1) Partnership

            2) Acceptance

            3) Compassion

            4) Evocation

      B) Skills (techniques)

                        1) Open Questions

                        2) Reflections

            3) Affirmations

            4) Summarizing

            5) Advice with permission

            C)  Process (structure)

                        1) Engaging

                        2) Focusing

                        3) Evoking

                        4) Planning

3. "Loss of Control" as an identifying characteristic of addiction per the Diagnostic Statistical Manual (DSM-5), pp. 490-491

4.  Brief Motivational Interviewing Treatment Integrity Scale (B-MITI)

5.   Peer review as adjunct to skill mastery