Medication non-adherence can be conceptualized as a choice to not take psychotropic medications as prescribed, and non-adherence is currently estimated at approximately 49% in the Serious Mental Illness (SMI) population. Consequences of non-adherence include: re-hospitalization, lower quality of life, relapse of symptoms, increased co-morbid medical conditions, and increased suicidality. This webinar will review the effectiveness of Motivational Interviewing (MI) as an evidence-based, brief intervention to increase medication adherence. Special emphasis will be placed on application of the most current practice of MI including adaptations of skills to work more effectively with both positive and negative symptoms present within SMI and the use of value-card sorting to evoke change and enhance overall stability.
Format
Recorded webinar, non-interactive, self-paced distance learning activity with post-test.
This presentation was recorded on November 19, 2020.
Learning Objectives
- Explain medication non-adherence through the MI specific lens of ambivalence regarding motivation to not take psychotropic medications as prescribed
- Summarize adaptations of MI to effectively work with consumers experiencing positive and/or negative symptoms, which are often associated with SMI
- Describe how the use of value-card sorting within the context of an Motivational Interviewing session can assist in the evocation of change talk and enhance stability.
Outline
- Definition, types, culture, and effects of medication non-adherence on SMI
- Components of motivational interviewing
- Addressing medication non-adherence through motivational interviewing
- Clinical issues, challenges, and recommendations for motivational interviewing to address SMI
- Presenter Q&A
Target Audience
Counselor, Nurse/Nurse Practitioner, Psychiatrist, Psychologist, Peer Specialist/Peer Support, Social Worker
Instructional Level
Intermediate
Estimate Time to Complete
Estimated Duration: 1.0 hour
Program Start Date: November 19, 2020
Program End Date: November 19, 2023
Ongoing Interdisciplinary Discussion Board
After completing the course, engage with colleagues in the mental health field through SMI Adviser's Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™, CE credit for psychologists, CE credit for social workers, or a certificate of participation may do so by completing all sections of the course, including viewing the full video (60 minutes) and submitting an evaluation. A multiple-choice quiz is provided based on the content. A passing score of 75% must be achieved. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), CE certificate (social workers), or certificate of participation (other disciplines) showing the completion date and hours/credits earned.
Continuing Education Credit
Physicians
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Psychologists
The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content.
Social Workers
American Psychiatric Association, provider #1743, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. American Psychiatric Association maintains responsibility for this course. ACE provider approval period: 05/18/2020-05/18/2021 and 05/18/2021-05/18/2024. Social workers completing this course receive 1.0 (clinical) continuing education credits.
Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.
Faculty and Planner Disclosures
Instructors
- Christopher Link, LCSW, A.M., is Owner of Traversing Change LLC. He is a member of the Motivational Interviewing Network of Trainers (MINT) and has focused and specialized in the practice and art of providing trainings in MI across a range of organizational settings over the last 13 years, and more than seven years' experience working with individuals with serious mental illness. Mr. Link reports no financial relationships with commercial interests.
Planners
- Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.
- Amy N. Cohen, PhD, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Sherin Khan, LCSW, Thresholds. Reports no financial relationships with commercial interests.
Reviewers
- Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests. (Reviewed on 10/17/2023)
- Amy N. Cohen, PhD, American Psychiatric Association. Reports no financial relationships with commercial interests. (Reviewed on 10/4/2023)
- John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. (Reviewed 9/23/2023)
- Sherin Khan, LCSW, Thresholds. Reports no financial relationships with commercial interests. (Reviewed on 10/4/2023)
Accessibility for Participants with Disabilities
The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.
Technical Requirements
This internet-based CME activity is best experienced using any of the following:
- The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
- Internet Explorer 11+
This website requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.
Optimal System Configuration:
- Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
- Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
- Internet Connection: 1 Mbps or higher
Minimum Requirements:
- Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
- Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content
For assistance: Contact educme@psych.org for questions about this activity | Contact SMIadviserhelp@psych.org for technical assistance