NHS FORTH VALLEY. Motivational Interviewing Training Pathway

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1 NHS FORTH VALLEY Motivational Interviewing Training Pathway Date of First Issue 20/09/2015 Approved 20/09/2015 Current Issue Date 20/09/2015 Review Date 20/09/2016 Version 1.0 EQIA Not required Author / Contact Jenny Svanberg Group Committee Final Approval Psychological Therapies Clinical Governance Group This document can, on request, be made available in alternative formats Version th September 2015 Page 1 of 5

2 Management of Policies Procedure control sheet (Non clinical documents only) Name of document to be loaded Area to be added to From front cover * see areas available on the policy web-page Type of document Priority Policy Guidance Protocol Other (specify) Immediate 2 days 7 days 30 days Questions Understanding Yes No Options Where to be published External and Internal Internal only Target audience NHSFV wide Specific Area / service Consultation and Change Record for ALL documents Contributing Authors: Consultation Process: Distribution: Change Record Date Author Change Version Version th September 2015 Page 2 of 5

3 1. Introduction Condition: Aimed at mild to moderate/moderate to severe alcohol use problems; mild to moderate substance use problems. Motivational enhancement therapy is also recommended for moderate to severe anorexia nervosa. Motivational interviewing is also recommended in a number of general medical and health psychology settings to enhance behaviour change. Motivational Interviewing (MI) is a directive, service user-centred counselling style for eliciting health-related behaviour change by helping service users to explore and resolve ambivalence. It is based on a psychological model of behaviour change. Compared to non-directive counselling, MI is more focussed and goal-directed. The examination and resolution of ambivalence is its central purpose, and the counsellor or therapist is intentionally directive in pursuing this goal (Miller & Rollnick, 1995). It is frequently used for those in treatment for substance use and alcohol use disorders, and is recommended as a component of care in other settings seeking to influence health-related behaviour change (The Matrix, 2011; NICE guidance for alcohol, 2011; SIGN management of diabetes, 2010 etc.). For existing competency frameworks for MI see Routes to Recovery: Psychosocial Interventions for Drug Misuse (National Treatment Agency, 2010; Appendix 1). Motivational Interviewing (MI) is a directive, service user-centred counselling style for eliciting health-related behaviour change by helping service users to explore and resolve ambivalence. It is based on a psychological model of behaviour change. Compared to non-directive counselling, MI is more focussed and goal-directed. The examination and resolution of ambivalence is its central purpose, and the counsellor or therapist is intentionally directive in pursuing this goal (Miller & Rollnick, 1995). It is frequently used for those in treatment for substance use and alcohol use disorders, and is recommended as a component of care in other settings seeking to influence health-related behaviour change. For existing competency frameworks for MI see Routes to Recovery: Psychosocial Interventions for Drug Misuse (National Treatment Agency, 2010). Intensity of Intervention: MI is recommended as a low intensity intervention in the treatment of drug and alcohol use disorders, and a component of recovery-oriented keyworking in addiction treatment settings. It is a directive counselling style rather than a standardised intervention, and can therefore be adopted by a range of professionals in different health settings. Motivational Enhancement Therapy is defined as a single minute session, with a further 3-4 follow up sessions if required. MI Assessment has been designed as a way to integrate MI with existing service assessments, by including MI-consistent strategies during the initial 20 minutes and final 20 minutes of an initial assessment interview. MI can also be used as a component of high intensity therapies e.g. for moderate to severe anorexia nervosa, or in diabetes care (Matrix, 2011). Version th September 2015 Page 3 of 5

4 Level 1: Increasing awareness and knowledge base for MI Education required: Introductory seminar or knowledge-based workshop. The knowledge basis for MI should include an overview of the basic principles and practices of MI. Current training options include the NES e-learning module in MI, or Scottish Drugs Forum introductory training in MI for all staff within drug and alcohol services. This knowledge basis should be a prerequisite for further practice-development training. Level 2: Practitioner apprenticeship Training required: Minimum 2-day training covering MI principles, style, description and demonstration of MI-consistent methods, skill building practice exercises and roleplaying, e.g. NES Winter School, MINT (MI Network of Trainers) skill-building workshop. Level 3: Supervisor or MI Coach Training Recommended Supervision: For MI practitioners, attendance at monthly practice development group facilitated by an experienced MI practitioner or coach, lasting hours, is a mandatory requirement. This will involve use of competency rating e.g. MIA-STEP protocols to ensure MIconsistent practice. Level 4: Ongoing practice development Supervision groups provide a CPD function. Groups will include learning through discussion of cases, preferably using recorded practice samples. Groups may also enable dissemination of research etc. Version th September 2015 Page 4 of 5

5 Publications in Alternative Formats NHS Forth Valley is happy to consider requests for publications in other language or formats such as large print. To request another language for a patient, please contact For other formats contact , text , fax or - fv-uhb.nhsfv-alternativeformats@nhs.net Version th September 2015 Page 5 of 5

These core elements are included in three increasingly detailed levels of definition:

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