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
Target Audience
Psychiatrist, Nurse, Nurse Practitioner, Psychologist, Counselor/Therapist, Social Worker, Peer Specialist
Instructional Level
Intermediate
Estimate Time to Complete
Estimated Duration: 1.0 hour
Program Start Date: July 30, 2025
Program End Date: July 30, 2028
Ongoing Interdisciplinary Discussion Board
After completing the course, engage with colleagues in the mental health field through the 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
After completing the evaluation, participants will have the opportunity to claim their hours of participation and download the appropriate certificate. Physicians may obtain an official CME certificate, other healthcare professionals may receive a CE certificate (as applicable), and all other attendees may generate a certificate of participation. Each certificate will reflect the event date and total hours earned.
Continuing Education Credit
In support of improving patient care, American Psychiatric Association (APA) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians
The APA designates this live event for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Psychologists
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
Social Workers
As a Jointly Accredited Organization, American Psychiatric Association (APA) 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 under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. APA maintains responsibility for this course. Social workers completing this course receive up to 1.00 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
The American Psychiatric Association adheres to the ACCME's Standards for Integrity and Independence in Accredited Medical Education. Any individuals in a position to control the content of a CME activity - including faculty, planners, reviewers, or others - are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Faculty
- 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
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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)
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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
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