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Evaluation ViewAttendees 3

Mini Workshop

Treatment - CBT

Mini Workshop 1 - Ambivalent No More: An Integrated MI-CBT Intervention for a Wide Range of Disorders Marked by Low Motivation or Poor Community Functioning

Friday, November 15, 2024
8:30 AM – 10:00 AM EST
Location: Grand Ballroom B, Level 5, Downtown Marriott
Earn 1.5 Credit
Keywords: Motivational Interviewing, Treatment, Severe Mental Illness
Level of Familiarity: Basic to Moderate
Recommended Readings: Reddy LF, Glynn SM, McGovern JE, Sugar CA, Reavis EA, Green MF. A Novel Psychosocial Intervention for Motivational Negative Symptoms in Schizophrenia: Combined Motivational Interviewing and CBT. Am J Psychiatry. 2023 May 1;180(5):367-376.,   Catalano LT, Green MF. Social Motivation in Schizophrenia: What's Effort Got to Do With It? Schizophr Bull. 2023 Sep 7;49(5):1127-1137.,   Randall CL, McNeil DW. Motivational Interviewing as an Adjunct to Cognitive Behavior Therapy for Anxiety Disorders: A Critical Review of the Literature. Cogn Behav Pract. 2017 Aug;24(3):296-311.,   ,  
Daily functioning is often suboptimal among individuals with histories of serious mental illness, incarceration, homelessness, or PTSD. Despite efficacy of pharmaceutical treatments, building and maintaining meaningful daily lives can be out of reach for many of these individuals. Research suggests that recovery-oriented psychosocial interventions that focus on simultaneously building motivation, skills, and confidence promote functional gains that are meaningful and lasting.
We developed a novel recovery-oriented psychosocial intervention aimed at reducing motivation deficits and improving community functioning. The intervention integrates two evidence-based practices, Motivational Interviewing and Cognitive Behavior Therapy (MI-CBT) and is delivered in 12-15 sessions that focus on personally meaningful goals for each participant. In recent years, we have expanded the protocol to be applied in diverse settings including group and one-on-one sessions with different kinds of providers, and for a range of diagnoses that are characterized by motivation deficits.
Learners in this workshop will be guided in strategies to integrate Motivational Interviewing and CBT with diverse and challenging patient populations that may have strong motivation deficits or few past experiences of success. Presenters will use case vignettes to model identifying a recovery goal and consolidating commitment to change. Strategies for adjusting goal setting to retain the essence of what is meaningful to the client while also landing on objectives that are realistic and measurable will be described. Participants will have opportunities to practice MI, cognitive restructuring, and peer-facilitated group discussions on facilitators and barriers of progress. Participants will become acquainted with the MI-CBT manual and the online guide with tutorials, sample sessions, and printable worksheets for delivering the intervention. Presenters will discuss recommended assessment tools to measure motivation, functional gains, defeatist beliefs, and stages of change.

Outline
• Review of prevalence of functional deficits in those with SMI, PTSD, substance abuse, which are often accompanied by challenging socioeconomic circumstances
• Outline the role of transdiagnostic interventions to build motivation, skills, and confidence to promote functional gains in these individuals with complex needs
• Introduce the MI-CBT program which integrates Motivational Interviewing and Cognitive Behavioral Therapy into an intervention that targets improving functioning and achieving personally relevant goals
• Articulate the key features of MI and CBT that are essential to a recovery-oriented intervention
• Provide effective strategies to support MI-CBT participants in identifying personally meaningful recovery goal and consolidating sometimes variable commitment to these goals
• Describe the content and structure of the MI-CBT intervention including viewing session videos
• Recommend resources, including measures to assess treatment effects and intervention fidelity, and a training website
• Present adaptations for non-research clinical settings

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Define the 5 Stages of Change in Motivational Interviewing.
  2. Identify different clinical populations that may struggle with low motivation, poor functioning, and defeatist performance beliefs.
  3. List three appropriate MI strategies to help a client identify and commit to a personally meaningful goal.
  4. Identify and challenge defeatist performance beliefs using cognitive restructuring.
  5. Identify the relationship between thoughts, emotions, and behaviors related to motivational and behavioral change.
  6. Long-term Goal: the skills and confidence to navigate the website and accompanying MI-CBT materials.
  7. Long-term Goal: deliver MI-CBT intervention in group or individual therapy format to assist a wide range of patient populations with motivational deficits to achieve meaningful change in daily functioning.