Screening, Brief Intervention and Referral to Treatment (SBIRT) Part 2 Course-Screening, Brief Intervention and Referral to Treatment (SBIRT) Part 2 Course

Screening, Brief Intervention and Referral to Treatment (SBIRT) Part 2 Course

Video Transcription

Video Summary

Rachel Duncan, a clinical pharmacist, presents an overview of motivational interviewing (MI), a patient-centered, collaborative approach that strengthens intrinsic motivation for behavior change. She explains MI’s spirit, including empathy, autonomy, partnership, and alignment with self-determination theory. MI is especially useful in addiction care, helping patients explore ambivalence, set realistic goals, and engage in recovery or safer-use plans.<br /><br />The talk covers the four MI processes: engage, focus, evoke, and plan. Key communication skills include ORS: open-ended questions, affirmations, reflective listening, and summaries. She emphasizes building rapport, listening without interruption, using change talk, resisting the “righting reflex,” and supporting self-efficacy through small achievable goals and confidence scaling.<br /><br />Several case examples illustrate MI in practice: working with a patient using methamphetamine, revisiting long-term opioid therapy with a guarded patient, addressing chronic pain and discord, and discussing opioid tapering in a patient with sleep apnea and fatigue. Across cases, the goal is not to force change, but to understand the patient’s perspective, reduce resistance, and open the door to future change through curiosity, validation, and collaboration.

Asset Subtitle

SBIRT-2

Keywords

motivational interviewing

patient-centered care

addiction treatment

change talk

reflective listening

self-efficacy

opioid tapering