Motivational enhancement therapy manual
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The National Institute on Alcohol Abuse and Alcoholism has made this therapist manual available to the general public in order to enable replication of the treatment protocols used in Project MATCH, a multisite clinical trial of patient-treatment matching funded by the National Institute on Alcohol Abuse and Alcoholism. It refers to Motivational Enhancement Therapy (MET), which is based on motivational psychology concepts and aimed at achieving rapid, self-motivated improvement. The manual starts with an introduction to MET and a rundown of the general concepts that will be used. How to include a significant other in MET is discussed in detail in a separate section. The four MET sessions are then structured according to unique guidelines. Finally, suggestions are made for dealing with specific issues that can occur when conducting MET. There are also appendices and copies of materials given to MET clients (authors).
Essential counseling skills
Motivational interviewing (MI) is a short, person-centered clinical technique for increasing clients’ motivation and dedication to change. Miller (1983) described it as a method for dealing with people who have drug use problems, but it has since been used in health care, corrections, mental health, and social work. It’s best for clients who are afraid of change, ambivalent about it, or defensive about it. MI is deeply rooted in Carl Rogers’ work, but it is strategically goal-directed to promote a particular change. MI has a collaborative and empathic overall spirit, and it usually takes 1-4 sessions to complete. MI tries to elicit the client’s own desires, talents, and resources rather than operating from a deficiency paradigm in which the therapist offers what the client lacks (e.g., skills, perspective, knowledge). In MI, particular aspects of client speech that predict subsequent change are given special attention, based on the psycholinguistics of change. To alleviate resistance and defensiveness, the therapist elicits and discusses the client’s own motivations for change in an accepting environment.
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This useful manual has been reprinted due to the popularity of Motivational Enhancement Therapy (MET) as a successful out-patient addiction treatment plan. MET is a variation of the Motivational Interviewing (MI) therapy technique founded by clinical psychologists Professor William R. Miller, PhD and Professor Stephen Rollnick, PhD. MI was pursued by Project MATCH in 1989 to compare its effectiveness for treating patients with alcohol and drug abuse. It is known for its unique method of promoting and engaging inherent motivation within the individual to improve behavior.
MET strategies can be highly beneficial to behavioral therapists and social workers who work with people who have addiction issues, particularly if step-programs have failed. The Motivational Enhancement Therapy Manual instructs therapists on how to improve the five components of MET that make it suitable for individualized treatment:
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Motivational enhancement therapy (MET) is a four-session time-limited adaptation used in Project MATCH, a US government-funded review of alcohol treatment, and the “Drinkers’ Check-up,” which offers normative-based guidance and examines client motivation to improve in light of it. Motivational interviewing and motivational coaching have evolved into this. It specializes in the management of alcohol and other drug addictions. The aim of counseling is to instigate inwardly motivated change rather than to direct the patient through the recovery process. The process consists of two parts: an initial battery assessment session and two to four individual therapy sessions with a therapist. By giving input to the initial evaluation, the professional encourages dialogue on the patient’s interactions with drug abuse and elicits self-motivational comments during the first session. To improve motivation and establish a strategy for more improvement, MET principles are used; coping mechanisms are also presented and addressed with the patient. The therapist monitors changes in the patient’s behavior and reviews the cessation techniques used in subsequent sessions, where patients are motivated to maintain abstinence and progress. 1st