MACS for MOMs webinar: Motivational Interviewing for Pregnant Patients Living with Substance Use Disorder-6.6.23 MACS for MOMs webinar slides

6.6.23 MACS for MOMs webinar slides

Pdf Summary

This document provides a brief history of motivational interviewing (MI) and discusses its application in peripartum patients living with substance use disorder. MI is a collaborative conversation style that aims to strengthen a person's own motivation and commitment to change. It is based on the assumption that people can change and that ambivalence is a normal part of the change process. MI focuses on different stages of change, including precontemplation, contemplation, preparation, action, and maintenance. <br /><br />The document highlights common reasons for ambivalence in patients, such as the positive and negative effects of substance use. Resistance is viewed as a normal part of change and is influenced by the therapist's response and the patient's relationship with the therapist. The goals of MI are to reduce the desirability of problem behaviors, address ambivalence, recognize the cost of the problem behavior, address barriers to change, recognize the benefits of change, and achieve a sense of self-efficacy. The spirit of MI includes partnership, acceptance, compassion, and evocation.<br /><br />MI employs various processes, including engaging, focusing, evoking, and planning, and is guided by principles such as rolling with resistance, expressing empathy, avoiding argumentation, developing discrepancy, and supporting self-efficacy. Techniques used in MI include open-ended questions, affirmations, reflective listening, and summarizing. Change talk, which includes desire, ability, reasons, need, commitment, and actuation statements, can be elicited through evocative questions, importance rulers, exploring the decisional balance, and exploring goals and values.<br /><br />The document also provides resources for further information and assistance, including a toll-free helpline, education and training opportunities, addiction and behavioral health resources and referrals, and teleECHO clinics for collaborative medical education.

Keywords

motivational interviewing

peripartum patients

substance use disorder

collaborative conversation style

ambivalence

stages of change

resistance

goals of MI

spirit of MI

techniques in MI