MI Effectiveness across Multiple Populations and Systems

Innovative Conversations Session 16 – Recorded  March 2024

Entitled Motivational Interviewing (MI): Effectiveness Across Multiple Populations and Systems, focuses on the collaborative conversation style that Care Coordinators can use to assist children, youth, and families in identifying their own reasons for and pathways toward change. The skills in Motivational Interviewing can be quite helpful in engaging and assisting kids and families in exploring and even resolving their ambivalence about change. Patrick welcomes Jeremy Evenden, with Center for Evidence-Based Practices (CEBP) and Mike Fox, with the Center for Innovative Practices (CIP), both a part of the Begun Center at Case Western Reserve University.

Ambivalence is a natural state of uncertainty that each of us experiences throughout most change processes (e.g., dieting; exercising; maintaining health; restructuring an organization). Ambivalence occurs because of conflicting feelings about the process and outcomes of change.

View video of Session 16 here.

Learn more about the upcoming CIP CCOE Introduction to Motivational Interviewing trainings:
April 15, 2024 | May 1, 2024 | June 5, 2024Click on image right to enlarge and learn more.

Although ambivalence is natural, many of us are not aware of it. In addition, many service providers have not been trained to respond to people who are ambivalent about change, and most service programs are not designed to accept and work with people who are ambivalent. Yet, there is a solution. Change your service approach and the culture of your organization with MI. (Continued below…)

Listen to audio of session below.

Motivational Interviewing (MI) is an evidence-based treatment that addresses ambivalence to change. MI is a conversational approach designed to help people with the following: Discover their own interest in considering and/or making a change in their life (e.g., diet, exercise, managing symptoms of physical or mental illness, reducing and eliminating the use of alcohol, tobacco, and other drugs). It allows a client to express in their own words their desire for change (i.e., “change-talk”); examine their own ambivalence about the change; and plan for and begin the process of change.

Along the way, MI has shown to increase positive treatment outcomes, consumer quality-of-life, consumer engagement and retention, and staff recruitment, satisfaction, and retention.

Meanwhile, MI decreases staff burn-out and attrition confrontations with consumers, and ccnsumers not-showing up and/or dropping-out. (Continued below…)

Motivational Interviewing (MI) was developed and is studied by William R. Miller, PhD, and Stephen Rollnick, PhD. According to Miller and Rollnick, “MI is a collaborative, person-centered form of guiding to elicit and strengthen motivation for change” (Motivational Interviewing Network of Trainers (MINT) 2009).
Resources and Tools. It is a core component of evidence-based practices, emerging best practices, and clinical competencies for the following:

As it is a style of communication built on partnership, it increases opportunities for engagement – and this may be the most vital measure in all supportive roles. If children, youth, and families do not engage with services, the possibilities for supported change are lost. Therefore, the skills that support initial and sustained engagement may be the foundation upon which all supported changes are built.

Related Resources

Motivational Interviewing: Fundamental Considerations : Working Collaboratively with Parents and Caregivers
Foundations 1 | Foundations 2 | Foundations 3 |









Jeremy Evenden, MSSA, LISW-S
Senior Consultant & Trainer, Center for Evidence-Based Practices and its Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence (Ohio SAMI CCOE) initiative.

Jeremy provides technical assistance (program consultation, clinical consultation, and training) to service systems and organizations that are implementing evidence-based practices, emerging best practices, and other strategies that improve quality of life and other outcomes for people diagnosed with severe mental illness and substance use disorders. He is also  an adjunct instructor at the Mandel School of Applied Social Sciences at Case Western Reserve University, where he teaches motivational interviewing to master’s-level social work students. Prior to joining the Center, he worked in community mental health as a case manager, therapist, and clinical supervisor and obtained experience implementing IDDT, MI, Supported Employment (SE), and Dialectical Behavior Therapy (DBT).

Mr. Evenden is a member of the Motivational Interviewing Network of Trainers (MINT), an international organization of trainers in motivational interviewing. He earned a bachelor’s degree in social work from Ohio University in Athens, Ohio, and a Master of Social Science Administration from the Mandel School of Applied Social Sciences at Case Western Reserve University in Cleveland in 2003.

Michael Fox, MA, PCC-S, LCDC-III, ICT Consultant & Trainer, Center for Innovative Practices, combines experiences from mental health and substance abuse direct treatment, systemic and contextual coordination, and teaching with research-driven data, Mike works with demonstrated practices to assist professionals and communities decrease risk to individuals and help families.

He provides educational training and consultation to professionals working with youth and families with co-occurring mental health and substance abuse issues, including the Integrated Co-Occurring Treatment Model (ICT) model developed by the Center for Innovative Practices.

Previously, Mike worked in the addictions field of counseling with adults and later provided treatment to co-occurring youth in home-based settings. Mike also teaches college courses in psychology, addictions and human development.

Reminder | Upcoming CIP CCOE Introduction to Motivational Interviewing trainings:
April 15, 2024 | May 1, 2024 | June 5, 2024
This 3-hour introduction is designed to provide a broad overview of the spirit, concepts and skills of Motivational Interviewing. It is intended to suggest ideas for support professionals about arranging conversations to strengthen a person’s own reasons for and commitment to change. Proficiency in using these skills requires significant time and supported practice investments. While some skills, or thoughts about different ways engaging with others, will be immediately useful, this training is a necessary and introductory first step to more fully incorporating Motivational Interviewing skills in helping relationships.

WraparoundOhio.org is presented by The Center for Innovative Practices (CIP)
and the Child and Adolescent Behavioral Health Center of Excellence (CABH COE)
Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
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