Motivational interviewing in substance abuse: applications for occupational medicine.
Motivational interviewing has been proven to increase the motivation of individuals who need to change substance abuse and other health behaviors. This article explores a descriptive model of change and describes how motivational interviewing fits in this larger context. The theoretical assumptions of motivational interviewing are described, including controversies surrounding denial and resistance in ambivalent individuals. Specific and concrete strategies are provided for occupational medicine settings and various combinations of motivational interviewing with feedback and other treatments are described.
Miller
Joseph H
JH
University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions, Albuquerque 87106, USA.
Moyers
Theresa
T
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D009042:Motivation; D009516:New Mexico; D009787:Occupational Medicine / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010358:Patient Participation; D010565:Persuasive Communication; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D016896:Treatment Outcome