Motivational Interviewing in Health Care, Second Edition

"Whether you are a health care professional-in-training or an experienced practitioner, this book is for you! The second edition is chock-full of information on current everyday challenges in a busy practice, including medication adherence, pain management, vaccine hesitancy, weight loss, addressing multiple behavior changes, working with hostile patients, and using MI remotely. The book weaves together the spirit of MI and micro-skills with newer processes of engaging, focusing, evoking, and planning, which are essential to facilitating behavior change. Highlights include practitioners' reflections, practical exercises, annotated clinical scenarios, and sample open-ended questions for each process. This book can help you rediscover the joys of clinical work and prevent burnout by using MI to create more satisfying, efficient, and effective patient conversations."--Melanie A. Gold, DO, DMQ, Professor of Pediatrics and Population and Family Health, Columbia University Irving Medical Center "We use this book as one of the texts in our Advanced Health Promotion and Disease Prevention course, which introduces MI skills to advanced practice registered nurses. The students learn to see patients as people first, and to achieve better outcomes by using partnership, acceptance, compassion, and empowerment. The text has simple instructions with practical tools for application. This book fits into the classroom and practice setting as a resource for many health care disciplines."--Melanie Markham, MSN-ED, RN, Adjunct Faculty, School of Nursing, Regis College "Health care has been stuck in the 'righting reflex,' trying to fix patients by projecting science onto them. But to truly shift towards healthy outcomes, patients want our hearts and our ears before our science. This book guides us toward a process of care that is more effective for those we serve and more rewarding for ourselves. The second edition thoroughly updates this classic resource for delivering value-based care."--David Rakel, MD, Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health "Full of helpful tips to help clinicians guide their patients to achieve better health outcomes. I have been using the principles of MI since I first had the pleasure to learn this impactful approach more than 20 years ago. Each section of the book describes a step in the journey of helping people change their behavior by having constructive conversations during brief clinical visits. The second edition revisits and refines MI techniques in a practical, teachable format. All providers should become familiar with these critical elements of behavior change."--Robert A. Gabbay, MD, PhD, FACP, Chief Scientific and Medical Officer, American Diabetes Association; Associate Professor of Medicine, Harvard Medical School "Rollnick, Miller, and Butler do a terrific job of breaking down MI skills for students and practitioners using MI for health behavior change. The case examples are a wonderful tool to help the reader understand key concepts. In all aspects of health care, we come across clients who could benefit from changing behaviors, and this book is instrumental as a guide. In the second edition, I especially enjoyed the new chapter on MI for administrators and managers and the case study on vaccine hesitancy."--Toby Spiegel, PsyD, School of Health Sciences, California Southern University of Health Sciences "An essential handbook for any practitioner who strives to have a positive impact on people's health and well-being. Written with the busy clinician in mind, this second edition guides you through the spirit and skills in a way that makes MI feel accessible and easy to implement in high-pressure environments. I will keep this book by my side in every meeting with clients. I cannot think of a single area in health care where this book would not be needed."--Orla Adams,

Stephen Rollnick, PhD, is Honorary Distinguished Professor in the School of Medicine at Cardiff University, Wales, United Kingdom. He is a cofounder of motivational interviewing, with a career in clinical psychology and academia that focused on how to improve conversations about change, and helped to create the Motivational Interviewing Network of Trainers (www.motivationalinterviewing.org). He has worked in diverse fields, with special interests in mental health and long-term health conditions like diabetes, heart disease, and HIV/AIDS. Dr. Rollnick has published widely in scientific journals and has written many books on helping people to change behavior. He is coauthor (with William R. Miller) of the classic work Motivational Interviewing: Helping People Change, now in its third edition. He has traveled worldwide to train practitioners in many settings and cultures, and now works as a trainer and consultant in health care and sports. His website is www.stephenrollnick.com. William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Fundamentally interested in the psychology of change, he is a cofounder of motivational interviewing and has focused particularly on developing and testing more effective treatments for people with alcohol and drug problems. Dr. Miller has published over 400 scientific articles and chapters and 60 books, including the groundbreaking work for professionals Motivational Interviewing, Third Edition. He is a recipient of the international Jellinek Memorial Award, two career achievement awards from the American Psychological Association, and an Innovators in Combating Substance Abuse Award from the Robert Wood Johnson Foundation, among many other honors. The Institute for Scientific Information has listed him as one of the world's most highly cited researchers. Christopher C. Butler, MD, is Professor of Primary Care at the Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom, and Professorial Fellow at Trinity College. He is Clinical Director of the University of Oxford Primary Care Clinical Trials Unit, and chairs the Longitude Prize Advisory Panel. Dr. Butler was for many years a general practitioner in South Wales. He was named the Wales Royal College of General Practitioners patient-nominated GP of the Year in 2019 and received the Royal College of General Practitioners Research Paper of the Year Award in 2020. His main research interests are in common infections, and health care communication and behavior change. He has led, or helped lead, over 30 clinical trials and published over 400 peer-reviewed papers.

Prologue I. Introduction to Motivational Interviewing 1. Good Practice: The Compassionate Guide 2. Motivational Interviewing II. Skills 3. Asking 4. Listening 5. Affirming 6. Summarizing III. Motivational Interviewing in Practice 7. Connecting with a Person: Engaging 8. Finding Direction: Focusing 9. Addressing the Why and How of Change: Evoking 10. Heading Into Action: Planning IV. Everyday Challenges 11. Offering Advice and Information 12. MI Briefly 13. MI and Assessment 14. MI in Groups 15. MI Remotely 16. MI for Administrators and Managers V. Inside Motivational Interviewing 17. Vaccine Hesitancy: A Case Study 18. MI in Depth: What Would You Say Next? Appendix. A Practitioner's Guide to Motivational Interviewing Research References Index