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Miller has changed the way clinicians think about the nature of substance use disorders, their treatment and the means to effect change in patients.Early in his career, he emphasized that not all alcohol problems are severe and tested briefer interventions for mid-range problem drinkers.
Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick.It is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.
The National Institute on Drug Abuse (NIDA) recommends detoxification followed by both medication (where applicable) and behavioral therapy, followed by relapse prevention. According to NIDA, effective treatment must address medical and mental health services as well as follow-up options, such as community or family-based recovery support ...
Similar to MET, motivational interviewing finds 'change talk' very important and the clinician interacts with the patient through open-ended questions, affirmations, reflections, and summaries. There are three key elements that build the foundation of motivational interviewing; collaboration, evocation and autonomy.
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Motivational enhancement therapy (MET) is a time-limited, four-session adaptation used in Project MATCH, a U.S.-government-funded study of treatment for alcohol problems, and the "Drinkers' Check-up", which provides normative-based feedback and explores client motivation to change in light of the feedback.
This research led to the development of reliable screening tools for substance use, such as the Michigan Alcohol Screening Test, the CAGE, and the Drug Abuse Screening Test. [ 10 ] Research also extended to understanding the best mode of administration of such screening assessments, as part of a clinician interview via a questionnaire, or ...
Brief interventions are based on motivational interviewing techniques. Motivational interviewing is a technique which aims to be both non-judgmental and non-confrontational. Its success depends largely on the presentation of objective feedback based on information provided by an individual.