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

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Video Summary

In the webinar titled "Using Motivational Interviewing with Serious Mental Illness to Address Medication Nonadherence, Create Change, and Enhance Stability," Christopher Link, a motivational interviewing expert, explores using motivational interviewing (MI) as a tool to address medication nonadherence in patients with serious mental illnesses (SMI). Link outlines MI's core processes which include engaging, focusing, evoking, and planning, emphasizing the importance of building a trusting relationship and understanding ambivalence. He highlights that MI seeks to evoke a person's own reasons and motivations for change through collaboration, autonomy, and empathy.<br /><br />The webinar addresses nonadherence, distinguishing between intentional (active decisions based on perceived pros and cons) and unintentional nonadherence (forgetfulness or lack of understanding). Link identifies various factors influencing medication nonadherence like cognitive impairments, substance use, socioeconomic barriers, and cultural beliefs. He stresses the importance of understanding these factors, alongside empathic communication and relationship building, to address adherence issues effectively.<br /><br />Link also reviews existing literature on MI's role in medication adherence, noting mixed findings but acknowledging MI's potential when combined with other therapeutic modalities. The session further delves into adapting MI strategies for populations experiencing positive or negative symptoms of SMI. Furthermore, it discusses practical approaches like value card sorting to connect adherence with patients' values, promoting meaningful change. Lastly, the session encourages ongoing MI training and skill refinement through practice, feedback, and professional resources.

Keywords

Motivational Interviewing

Serious Mental Illness

Medication Nonadherence

Christopher Link

Core Processes

Empathy

Cognitive Impairments

Substance Use

Socioeconomic Barriers

Value Card Sorting