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

Video Transcription

Video Summary

The transcript is a CME-style presentation by clinical pharmacist Rachel Duncan on motivational interviewing (MI), a patient-centered, collaborative approach that strengthens intrinsic motivation for behavior change. She explains MI’s core spirit: partnership, autonomy, empathy, and helping patients unlock their own motivation rather than being pressured by clinicians. Key frameworks discussed include self-determination theory, the transtheoretical model, and MI’s four processes: engage, focus, evoke, and plan.  <br /><br />She reviews essential communication skills using ORS: open-ended questions, affirmations, reflective listening, and summaries. The talk emphasizes building rapport, eliciting change talk, exploring ambivalence, creating discrepancy between current behavior and personal goals, and supporting self-efficacy through small, achievable steps and confidence scaling.  <br /><br />MI is shown as especially useful in addiction care, opioid taper discussions, safer use or abstinence planning, and early recovery support. Several patient cases illustrate how MI can be applied with patients using methamphetamine, long-term opioid therapy, chronic pain, and opioid use with sleep apnea risk. Across these examples, Duncan stresses avoiding the “fixing reflex,” asking permission before giving advice, repairing discord, and reinforcing patient strengths. She concludes that MI is teachable, evidence-supported, and practical for everyday clinical care.

Asset Subtitle

SBIRT-2

Keywords

motivational interviewing

patient-centered communication

intrinsic motivation

change talk

open-ended questions

opioid tapering

addiction care