Motivational Enhancement Therapy Manual

Will permit replication of the treatment procedures employed in a multisite clinical trial of patient-treatment matching. Covers: clinical considerations, and practical strategies. Appendices: assessment feedback procedures, MET in the aftercare setting, and therapist selection, training, and supervision in the clinical trial. Reading and additional resources.

The success of Motivational Enhancement Therapy (MET) as an effective out-patient treatment plan for addiction has brought this valuable manual back in print. MET is an adaptation of the counseling approach known as Motivational Interviewing (MI) that was developed by clinical psychologists Professor William R. Miller, PhD and Professor Stephen Rollnick, PhD. Known for its unique method of facilitating and engaging intrinsic motivation within the client to change behavior, MI was pursued by Project MATCH in 1989 to compare its efficacy for treating patients of alcohol and substance abuse. Behavioral therapists and social workers who care for clients with addiction problems will find the MET techniques extremely helpful, particularly if step-programs have proven unsuccessful. The "Motivational Enhancement Therapy Manual" guides therapists in developing the five components of MET that make it ideal for personalized treatment: Empathy Goal Making Avoidance of Arguments Rolling with Resistance Supporting Self-Efficacy In this four-session, 90-day recovery plan, the success lies in the cultivation of a client's inner willingness to overcome previous ambivalence toward treatment.

The success of Motivational Enhancement Therapy (MET) as an effective out-patient treatment plan for addiction has brought this valuable manual back in print. MET is an adaptation of the counseling approach known as Motivational Interviewing (MI) that was developed by clinical psychologists Professor William R. Miller, PhD and Professor Stephen Rollnick, PhD. Known for its unique method of facilitating and engaging intrinsic motivation within the client to change behavior, MI was pursued by Project MATCH in 1989 to compare its efficacy for treating patients of alcohol and substance abuse. Behavioral therapists and social workers who care for clients with addiction problems will find the MET techniques extremely helpful, particularly if step-programs have proven unsuccessful. The Motivational Enhancement Therapy Manual guides therapists in developing the five components of MET that make it ideal for personalized treatment: Empathy Goal Making Avoidance of Arguments Rolling with Resistance Supporting Self-Efficacy In this four-session, 90-day recovery plan, the success lies in the cultivation of a client's inner willingness to overcome previous ambivalence toward treatment.

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.