Using Motivational Interviewing with Serious Mental illness to Address Medication Non-Adherence, Create Change and Enhance Stability-Presentation Slides

Presentation Slides

Pdf Summary

This document is a summary of the content from a presentation on using Motivational Interviewing (MI) with individuals with serious mental illness (SMI) to address medication non-adherence. The presentation is part of the Clinical Support System for Serious Mental Illness (CSS-SMI) initiative funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and implemented by the American Psychiatric Association (APA). The goal of the initiative is to enhance stability and improve outcomes for individuals with SMI.<br /><br />The presentation covers various topics related to medication non-adherence and MI. It defines medication non-adherence as the suboptimal taking of medication by patients and distinguishes between intentional and unintentional non-adherence. It also explores factors involved in non-adherence, such as culture, and the effects of non-adherence on individuals with SMI, including exacerbation of symptoms, reduced effectiveness of treatment, and overall poor quality of life.<br /><br />The presentation emphasizes the use of MI as an approach to address medication non-adherence. It highlights the evidence of effectiveness for MI in improving medication adherence but also acknowledges that research in this area is limited. The presentation provides an overview of the key components of MI, including the spirit of MI, the four processes of MI (engaging, focusing, evoking, and planning), and the use of change talk and sustain talk in MI sessions.<br /><br />The presentation also addresses adaptations of MI for individuals with positive and negative symptoms associated with SMI. It outlines the clinical issues and challenges that may arise when using MI with this population and provides recommended modifications for effectively working with these individuals. Additionally, the presentation introduces the concept of value-card sorting as a tool to evoke change talk and enhance stability. It describes how the value-card sorting exercise can help individuals determine their values and goals, and how it can be integrated into MI sessions.<br /><br />Finally, the presentation offers suggestions for implementing MI in practice, including the importance of training, developing specific MI skills, and utilizing external aids such as visual aids. It also addresses the question of when MI may not be appropriate for individuals with SMI.<br /><br />Overall, the presentation highlights the potential of MI as an approach to address medication non-adherence in individuals with SMI and provides guidance and resources for healthcare professionals working with this population.

Keywords

Motivational Interviewing

Serious Mental Illness

Medication non-adherence

Substance Abuse and Mental Health Services Administration

American Psychiatric Association

Enhancing stability

Improving outcomes

Intentional non-adherence

Unintentional non-adherence

Change talk