Enhancing Motivation for Change in Substance Use Disorder Treatment Part 1 (5 credit hours)

Program Summary:  This course is Part 1 of a two-part series exploring strategies for increasing motivation to change substance use behaviors.  The five stages in the SOC model are highlighted including precontemplation, contemplation, preparation, action, and maintenance.  Motivational counseling and various interventions that can help strengthen client commitment to change are explored.  This course includes Chapter 1- A New Look at Motivation, Chapter 2- Motivational Counseling and Brief Intervention, Chapter 3- Motivational Interviewing as a Counseling Style, and Chapter 4- From Precontemplation to Contemplation:  Building Readiness.

This course is recommended for social workers, counselors, and therapists and it is appropriate for beginning and intermediate levels of practice.  

Reading:  Enhancing Motivation for Change in Substance Use Disorder Treatment:  Chapters 1-4

Find the reading at:  https://www.freestatesocialwork.com/articles/TIP35-EnhancingMotivationforChange-Ch1-4.pdf

Publisher:  Substance Abuse and Mental Health Services Adminstration

Course Objectives: To enhance professional practice, values, skills, and knowledge by exploring strategies to increase motivation for change in substance use disorder treatment.

Learning Objectives:   Identify the five stages of the SOC model.  Describe the FRAMES approach.  Provide examples of change talk and sustain talk.  Describe the core counseling skills of motivational interviewing (MI).  Identify counseling strategies for precontemplation.

Review our pre-reading study guide.

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1: Chapter 1//  Which of the following are examples of intrinsic motivation?
 
 
2: Motivational interviewing is a counseling approach that emphasizes enhancing ___________ motivation to change.
 
 
3: Contingency management is a counseling strategy that can reinforce _________ motivation.
 
 
4: Motivation can be
 
 
 
 
5: Using Exhibit 1.1, which of the following models of addiction use abstinence and will power as preferred treatment approaches?
 
 
 
 
6: Which treatment approach is not supported by research?
 
 
 
 
 
7: Which of the following is not an example of recent changes in addiction treatment?
 
 
 
 
8: Today, the focus of treatment has shifted to
 
 
9: Many people with SUDs enter the healthcare system through general medical settings.
 
 
10: Using exhibit 1.2, which of the following is an example of a common natural change?
 
 
 
 
 
11: Individuals in this SOC stage often are not convinced that their pattern of use is problematic:
 
 
 
 
 
12: An individual in this SOC stage may remain in this stage for extended periods, often for years, vacillating between wanting and not wanting to change:
 
 
 
 
 
13: Most people who misuse substances progress through the SOC stages in a ___________ pattern.
 
 
14: In the SOC model, recurrence is viewed as
 
 
 
15: Chapter 2// Miller and Sanchez (1994) identified six common elements of effective motivational counseling, which are summarized by the acronym:
 
 
 
 
16: Comparing a client's standardized scores with normative data from the general population illustrates which motivational counseling element?
 
 
 
 
 
 
17: Which motivational counseling element reinforces personal autonomy?
 
 
 
 
 
 
18: Making suggestions and providing information illustrates which motivational counseling element?
 
 
 
 
 
 
19: Offering choices to facilitate treatment initiation and engagement illustrates which motivational counseling element?
 
 
 
 
 
 
20: Expressing optimism and confidence in a client's ability to change illustrates which motivational counseling element?
 
 
 
 
 
 
21: Helping clients recognize any gap between their future goals and their current behavior is an example of:
 
 
 
 
22: Allowing clients as much or as little time as they need to address the essential tasks of each stage in the SOC is an example of:
 
 
 
 
23: Experiential catalysts are linked more frequently with __________ SOC phases.
 
 
24: Normalizing ambivalence and tipping balance toward change is the overarching counseling focus for
 
 
 
 
 
25: Exhibit 2.4 offers the following mnemonic for cultural responsiveness:
 
 
 
 
26: Expert Comment:  MI for Adults with COD// When a client said, "I'm better now, I don't need aftercare,' the treatment team would try to avoid which of the following comments?
 
 
 
 
27: Expert Comment:  BI in the Emergency Department//  When I apply an MI style in my practice of emergency medicine, more often than not I ask
 
 
28: SBIRT was specifically developed for ____________ treatment settings.
 
 
29: Chapter 3//  MI is particularly helpful when readiness to change is __________.
 
 
30: The spirit of MI is comprised of four elements and to remember the four elements, use the acronym:
 
 
 
 
31: Carl Rogers' theory of the 'critical conditions for change' states that clients change when they are engaged in a therapeutic relationship in which the counselor
 
 
 
 
32: Using Exhibit 3.1, in the updated version of MI, resistance is
 
 
33: Using Exhibit 3.2, which of the following is a misconception of MI?
 
 
34: Clients who are stuck in ambivalence will engage in a lot of
 
 
35: In MI, your main goal is to evoke
 
 
36: The acronym for change talk in MI is
 
 
 
 
37: "I love how cocaine makes me feel," is an example of
 
 
38: "I only had one drink with dinner on Saturday," is an example of
 
 
39: MI views resistance as
 
 
 
40: To remember the core counseling skills of MI, use the acronym
 
 
 
 
41: When affirming, frame your affirming statements with
 
 
42: With reflective listening, your attitude should be one of
 
 
 
 
43: According to Exhibit 3.5, which of the following is one of Gordon's Roadblocks to Active listening?
 
 
 
 
44: A ____________ ratio of reflections to questions consistently predicts positive client outcomes.
 
 
45: The key to expressing accurate empathy through reflective listening is your ability to be an
 
 
46: Within the context of the counseling relationship, MI has moved toward
 
 
47: "Jerry, thanks for coming in," is an example of
 
 
 
 
 
48: "Your wife worries a lot about the drinking," is an example of
 
 
 
 
 
49: The 'righting reflex,' the natural impulse to jump into action and direct the client toward a specific change may be symptomatic of
 
 
 
 
50: MI is essentially a conversation you and the client have about
 
 
 
 
51: Evoking shapes conversations in ways that encourages _______________ to argue for change.
 
 
52: When clients start to express change talk, this is a signal that their ambivalence about change is
 
 
53: Which of the following is a strategy for evoking change talk?
 
 
 
 
54: "You're worried that you won't be able to quit all at once, and you want your baby to be born healthy" is an example of
 
 
 
55: "It's really up to you.  No one can make that decision for you" is an example of
 
 
 
 
56: When clients recognize discrepancies in their values, goals, and hopes for the future, their motivation to change
 
 
57: "Would it be okay if I shared some information with you about the health risks of using heroin? is an example of
 
 
 
58: A person's confidence in his or her ability to change a behavior refers to
 
 
 
 
59: Which of the following is not a sign of readiness to change?
 
 
 
 
60: A change plan is like a treatment plan but broader, and the ______________ is the driver of the planning process.
 
 
 
61: Chapter 4// A client in Precontemplation is often moved to enter the cycle of change by extrinsic sources of motivation such as:
 
 
 
 
62: An individual will be better motivated to abstain from or moderate his or her substance use if concerned others offer relevant information in a
 
 
63: The Importance and Confidence Rulers can assess the client's
 
 
 
 
64: Using Exhibit 4.2, a client who thinks they have all the answers and that substance use may be a problem for others but not for them is expressing
 
 
 
 
65: "It took you a lot of effort to get here" is an example of
 
 
 
 
66: Which of the following is not a recommendation for providing clients with information about the effects and risks of substance misuse?
 
 
 
 
67: Asking clients to describe a typical day can
 
 
 
 
68: Supportive significant others can increase clients' readiness to change by
 
 
 
 
 
69: Before involving an SO in the client's treatment,
 
 
 
 
 
70: In the initial engagement and assessment phase, if the client remains in Precontemplation and you cannot mutually agree on treatment goals, then
 
 
 
 
71: Evidence shows that clients mandated to treatment tend to engage in a great deal of
 
 
72: When working with clients who are mandated to treatment, counselors should
 
 
 

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Free State Social Work, LLC, provider #1235, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Free State Social Work, LLC maintains responsibility for this course. ACE provider approval period: 9/6/2018 - 9/6/2021. Social workers completing this course receive 5 continuing education credits.

Free State Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6605. Programs that do not qualify for NBCC credit are clearly identified. Free State Social Work is solely responsible for all aspects of the programs.

G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course.  She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience.  She has lived and worked as a social worker in Chicago, Boston, and Kansas City.  She currently practices in the area of hospital/medical social work.  The reading materials for this course were developed by another organization.