When using motivational interviewing, it can be helpful to consider the stage a client currently is in regarding potential change. Prochaska and colleagues have identified five general stages of change—precontemplation, contemplation, preparation, action, and maintenance. Addiction specialists often include a sixth stage—recurrence (relapse). A guide to the use of motivational interviewing at different stages of change is provided in Table 1.
The use of stage-based interventions is widespread and generally well-accepted. This stated, there currently is limited empirical evidence indicating its effectiveness in practice.
Please watch the videos that include a presentation on motivational interviewing and a mock session demonstrating the use of the technique.
Enhancing Motivation for Change in Substance Abuse Treatment discusses how substance abuse treatment staff may influence change by developing a therapeutic relationship that respects and builds on the client´s autonomy and, at the same time, makes the treatment clinician a partner in the change process.