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CE Course Description

Motivation for change is a key component in addressing substance misuse.  This CE course shows how SUD treatment counselors can influence positive behavior change by developing a therapeutic relationship that respects and builds on the client’s autonomy.  Different motivational interventions counselors can apply to all stages in the Stages of Change (SOC) model related to substance misuse and recovery from addiction are also described.

Author: Substance Abuse and Mental Health Services Administration. Enhancing Motivation for Change in Substance Use Disorder Treatment. Treatment Improvement Protocol (TIP) Series No. 35. SAMHSA Publication No. PEP19-02-01-003. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2019.

Recommended Citation: Substance Abuse and Mental Health Services Administration (SAMHSA). Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders. SAMHSA Publication No. PEP21-06-02-001 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2021.

References / Contributions by:

1. Ainscough, T. S., McNeill, A., Strang, J., Calder, R., & Brose, L. S. (2017). Contingency management interventions for non-prescribed drug use during treatment for opiate addiction: A systematic review and meta-analysis. Drug and Alcohol Dependence, 178, 318?339. https://pmc.ncbi.nlm.nih.gov/articles/PMC5558146/  
2. Bedard-Gilligan, M., Garcia, N., Zoellner, L. A., & Feeny, N. C. (2018). Alcohol, cannabis, and other drug use: Engagement and outcome in PTSD treatment. Psychology of Addictive Behaviors, 32(3), 277–288. https://pubmed.ncbi.nlm.nih.gov/29595297/ 
3. Gates, P. J., Sabioni, P., Copeland, J., Foll, B. L., & Gowing, L. (2016). Psychosocial interventions for cannabis use disorder. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd005336.pub4 https://pmc.ncbi.nlm.nih.gov/articles/PMC5811668/ 

Retrieved from:  https://store.samhsa.gov/product/TIP-35-Enhancing-Motivation-for-Change-in-Substance-Use-Disorder-Treatment/PEP19-02-01-003

CE Course Objectives

1. Describe three core counseling skills of motivational interviewing.
2. Determine the core characteristic of motivational interviewing that differentiates it from other counseling methods.
3. Explain a key strategy in helping clients move from the Precontemplation stage to contemplating change.
4. Identify what counselor behavior is key to enhancing clients’ motivation to change.
5. Provide three strategies for emphasizing client responsibility.
6. Summarize the key to using feedback to enhance motivation.

CE Outline with Main Points

1.  A New Look at Motivation
a.  Motivation and Behavior Change
b.  Changing Perspectives on Addiction and Treatment
c.  TTM of the SOC
2.  Motivational Counseling and Brief Intervention
a.  Elements of Effective Motivational Counseling Approaches
b.  Motivational Counseling and the SOC
c.  Special Applications of Motivational Interventions
d.  Brief Motivational Intervention
e.  Screening, Brief Intervention, and Referral to Treatment
3.  Motivational Interviewing as a Counseling Style
a.  Introduction to MI
b.  What Is New in MI
c.  Ambivalence
d.  Core Skills of MI: OARS
e.  Four Processes of MI
f.  Benefits of MI in Treating SUDs
4.  From Precontemplation to Contemplation: Building Readiness
a.  Develop Rapport and Build Trust
b.  Raise Doubts and Concerns About the Client’s Substance Use
c.  Understand Special Motivational Counseling Considerations for Clients
d.  Mandated to Treatment
5.  From Contemplation to Preparation: Increasing Commitment
a.  Normalize and Resolve Ambivalence
b.  Help Tip the Decisional Balance Toward Change
6.  From Preparation to Action: Initiating Change
a.  Explore Client Change Goals
b.  Develop a Change Plan
c.  Support the Client’s Action Steps
d.  Evaluate the Change Plan
7.  From Action to Maintenance: Stabilizing Change
a.  Stabilize Client Change
b.  Support the Client’s Lifestyle Changes
c.  Help the Client Reenter the Change Cycle
8.  Integrating Motivational Approaches in SUD Treatment Settings
a.  Adaptations of Motivational Counseling Approaches
b.  Workforce Development
9.  Screening and Assessment Instruments
a.  U.S. Alcohol Use Disorders Identification Test (AUDIT)
b.  Drug Abuse Screening Test (DAST-10)
c.  Drinker Inventory of Consequences (DrInC)(Lifetime)
d.  What I Want From Treatment (2.0)
e.  Readiness to Change Questionnaire (Treatment Version)(RCQ-TV)(Revised)
f.  Stages of Change Readiness and Treatment Eagerness Scale - Alcohol (SOCRATES 8A)
g.  Stages of Change Readiness and Treatment Eagerness Scale - Drug (SOCRATES 8D)
h.  University of Rhode Island Change Assessment (URICA) Scale
i.  Alcohol and Drug Consequences Questionnaire (ADCQ)
j.  Alcohol Decisional Balance Scale
k.  Drug Use Decisional Balance Scale
l.  Brief Situational Confidence Questionnaire (BSCQ)
m.  Alcohol Abstinence Self-Efficacy Scale (AASES)
n.  Motivational Interviewing Knowledge Test

https://store.samhsa.gov/product/TIP-35-Enhancing-Motivation-for-Change-in-Substance-Use-Disorder-Treatment/PEP19-02-01-003

Social Work Approval

Social Work CE Credit for this course is offered with the following approvals. Many state boards of social work will accept the approvals listed. Provider Approvals by state and license type can be found here.

• Quantum Units Education is approved by the California Association of Marriage and Family Therapists, CAMFT Provider #89970, to sponsor continuing education for LMFTs, LCSWs, LPCCs, and/or LEP. Quantum Units Education maintains responsibility for this program/course and its content.
• Florida board for Social Workers CE Provider #50-8650 (Quantum 'immediately' reports CE Credits to Florida licensees) 
• Illinois Department of Professional Regulation, License No. 159.001261 approved CE Sponsor
• Ohio CSWMFTB #RCST091701 approved CE Provider
• Texas Board of SWE #5070 approved CE Provider
• Quantum Units Education, #1289, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 01/03/2023 - 01/03/2026. Social workers completing this course receive 8.00 'Clinical' continuing education credits.

To see other approvals in your state, see our state by state provider approval listings here.

Course Development: Each course is identified and reviewed by the appropriate Quantum Units Education consultant with professional and licensed expertise in the various disciplines we serve. Our professional consultants oversee course development to satisfy the needs of various professionals based on their board requirements, rate course degrees of difficulty and ensure the course content and exam questions are appropriate, relevant and comprehensive. See our professional staff and their bios here.

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Added On: 10/01/2019