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

“Book  Open the Course Reading Here.

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.

Course Available Until: October 31, 2024.

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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 of the following is not an example of recent changes in addiction treatment?
7: Today, the focus of treatment has shifted to
8: Individuals in this SOC stage often are not convinced that their pattern of use is problematic:
9: 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:
10: Most people who misuse substances progress through the SOC stages in a ___________ pattern.
11: In the SOC model, recurrence is viewed as
12: Chapter 2: Miller and Sanchez (1994) identified six common elements of effective motivational counseling, which are summarized by the acronym:
13: Comparing a client's standardized scores with normative data from the general population illustrates which motivational counseling element?
14: Which motivational counseling element reinforces personal autonomy?
15: Offering choices to facilitate treatment initiation and engagement illustrates which motivational counseling element?
16: Helping clients recognize any gap between their future goals and their current behavior is an example of:
17: Experiential catalysts are linked more frequently with __________ SOC phases.
18: Normalizing ambivalence and tipping balance toward change is the overarching counseling focus for
19: Exhibit 2.4 offers the following mnemonic for cultural responsiveness:
20: 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?
21: 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
22: Chapter 3: MI is particularly helpful when readiness to change is __________.
23: The spirit of MI is comprised of four elements and to remember the four elements, use the acronym:
24: 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
25: Using Exhibit 3.1, in the updated version of MI, resistance is
26: Using Exhibit 3.2, which of the following is a misconception of MI?
27: In MI, your main goal is to evoke
28: The acronym for change talk in MI is
29: "I love how cocaine makes me feel," is an example of
30: "I only had one drink with dinner on Saturday," is an example of
31: To remember the core counseling skills of MI, use the acronym
32: When affirming, frame your affirming statements with
33: According to Exhibit 3.5, which of the following is one of Gordon's Roadblocks to Active listening?
34: A ____________ ratio of reflections to questions consistently predicts positive client outcomes.
35: The key to expressing accurate empathy through reflective listening is your ability to be an
36: "Jerry, thanks for coming in," is an example of
37: "Your wife worries a lot about the drinking," is an example of
38: Evoking shapes conversations in ways that encourages _______________ to argue for change.
39: Which of the following is a strategy for evoking change talk?
40: "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
41: "It's really up to you.  No one can make that decision for you" is an example of
42: When clients recognize discrepancies in their values, goals, and hopes for the future, their motivation to change
43: "Would it be okay if I shared some information with you about the health risks of using heroin? is an example of
44: A person's confidence in his or her ability to change a behavior refers to
45: A change plan is like a treatment plan but broader, and the ______________ is the driver of the planning process.
46: Chapter 4: A client in Precontemplation is often moved to enter the cycle of change by extrinsic sources of motivation such as:
47: The Importance and Confidence Rulers can assess the client's
48: 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
49: "It took you a lot of effort to get here" is an example of
50: Asking clients to describe a typical day can
51: Supportive significant others can increase clients' readiness to change by
52: Before involving an SO in the client's treatment,
53: In the initial engagement and assessment phase, if the client remains in Precontemplation and you cannot mutually agree on treatment goals, then
54: Evidence shows that clients mandated to treatment tend to engage in a great deal of
55: When working with clients who are mandated to treatment, counselors should

In order to purchase or take this course, you will need to log in. If you do not have an account, you will need to register for a free account.

After you log in, a link will appear here that will allow you to purchase this course.


Free State Social Work, LLC, provider #1235, 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: 9/6/2021 - 9/6/2024. Social workers completing this course receive 5 clinical 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 has practiced for many years in the area of hospital/medical social work.  The reading materials for this course were developed by another organization.