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Personalised, interactive, and motivational approaches dominate in this study of the effectiveness of single-session brief interventions for heavy-drinking college students. But, overall the effects of brief interventions remain modest in clinical terms.
The probation arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of offenders drinking at risky levels fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer alternatives.
REVIEW 2014 HTM file
Interventions to reduce substance misuse among vulnerable young people
In this evidence update, the National Institute for Health and Care Excellence assess new evidence relevant to its earlier public health guidance on interventions to reduce substance misuse among vulnerable young people.
‘Do just the minimum’ seems the message of the emergency department arm of the largest alcohol screening and brief intervention study yet conducted in Britain; the proportion of risky drinkers fell no less after a brief warning than after more sophisticated and longer interventions.
US trauma centres dealing with serious and often alcohol-related injuries ought to offer an environment conducive to brief alcohol interventions, but this first multi-site trial found motivational counselling more effective than minimal advice only when combined with a follow-up ‘booster’ phone call.
Swiss study of brief alcohol interventions with a representative sample of heavy drinking young men exposed the determining influence on later drinking of the practitioner’s competence in motivational interviewing and how they behave in the session.
Evidence that nine sessions of intensive motivational interviewing may help alleviate psychiatric problems among people with methamphetamine dependence.
DOCUMENT 2013 HTM file
When confrontation was challenged
Focus is on a seminal study from motivational interviewing’s originator which more than any other heightened the profile of the therapist’s interpersonal style in substance use counselling, seeming to confirm that heavy drinkers react best to non-confrontational nudging rather than the more bludgeoning style typical of the time.
DOCUMENT 2013 HTM file
Sometimes best to break the rules
Motivational interviewing’s ‘Do not dos’ like avoiding confrontation were intended to sidestep the traps which provoke clients to dig in their heels or disengage. Imagine then the upset of discovering that in certain circumstances, the opposite is the case; the explanation appeared to lie in coming across as ‘genuine’.
REVIEW 2013 HTM file
Meta-analysis of the effects of MI training on clinicians’ behavior
The first analysis to amalgamate findings on training clinicians in motivational interviewing finds training does develop competence, especially when reinforced by supervision or coaching based on feedback on trainees’ actual performance. For some trainees there may be no need for initial training to be face-to-face; books and videos may do as well.
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