Academic Psychiatry

, Volume 35, Issue 1, pp 46–50 | Cite as

Using Motivational Interviewing to Meet Core Competencies in Psychiatric Resident Training

  • Sebastian Kaplan
  • Harold Elliott
Original Article



The authors propose that motivational interviewing (MI), a brief intervention designed to manage ambivalence regarding complex behavior change, is well suited for integration into psychiatric residency training programs.


The authors provide a brief description of MI. In addition, based on a review of the literature the authors explore which core competencies the empirically validated, client-centered, and directive method of MI would address.


The authors argue that psychiatric residency programs can effectively address several core competencies through the addition of MI training in their curricula, including Brief Psychotherapy, Patient Care, and Interpersonal and Communication Skills.


The implementation of MI training offers psychiatric residency programs potential benefits in several key areas. However, the authors provide guidance for important research questions to more confidently ascertain whether MI training for psychiatric residents is worthwhile.


Medical Student Motivational Interview Academic Psychiatry Core Competency Motivational Interview 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Miller WR: Motivational interviewing with problem drinkers. Behav Psychother 1983; 11:147–172CrossRefGoogle Scholar
  2. 2.
    Knight KM, McGowan L, Dickens C, et al: Systematic review of motivational interviewing in physical health care settings. Br J Health Psychol 2006; 11:319–332PubMedCrossRefGoogle Scholar
  3. 3.
    Hettema J, Steele J, Miller WR: Motivational interviewing. Annu Rev Clin Psychol 2005; 1:91–111PubMedCrossRefGoogle Scholar
  4. 4.
    Poirier MK, Clark MM, Cerhan JH, et al: Teaching motivational interviewing to first-year medical students to improve counseling skills in health behavior change. Mayo Clin Proc 2004; 79:327–331PubMedCrossRefGoogle Scholar
  5. 5.
    White LL, Gazewood JD, Mounsey AL: Teaching students behavior change skills: description and assessment of a new motivational interviewing curriculum. Med Teach 2007; 29: 67–71CrossRefGoogle Scholar
  6. 6.
    Renner JA: How to train residents to identify and treat dual diagnosis patients. Biol Psychiatry 2004; 56:810–816PubMedCrossRefGoogle Scholar
  7. 7.
    Scal P, Hennrikus D, Ehrlich L, et al: Preparing residents to counsel about smoking. Clin Pediatr (Phila) 2004; 43:703–708CrossRefGoogle Scholar
  8. 8.
    Greenberg WM, Ritvo JI, Fazzio L, et al: A survey of addiction training programming in psychiatry residencies. Acad Psychiatry 2002; 26:105–109PubMedCrossRefGoogle Scholar
  9. 9.
    The Mid-Atlantic Addiction Technology Transfer Center: Motivational Interviewing: Resources for Clinicians, Researchers, and Trainers. Available at
  10. 10.
    Miller WR, Rollnick S: Motivational Interviewing: Preparing People for Change, 2nd ed. New York, NY, Guilford, 2002Google Scholar
  11. 11.
    Andrews LB, Burrus JW: Core Competencies for Psychiatric Education: Defining, Teaching, and Assessing Resident Competence. Washington, DC, American Psychiatric Publishing, 2004Google Scholar
  12. 12.
    Dunn C, Deroo L, Rivara FP: The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction 2001; 96:1725–1742PubMedCrossRefGoogle Scholar
  13. 13.
    Handmaker N, Packard M, Conforti K: Motivational interviewing in the treatment of dual disorders, in Motivational Interviewing: Preparing People For Change, 2nd ed. Edited by Miller WR, Rollnick S. New York, NY, Guilford, 2002, pp 362–376Google Scholar
  14. 14.
    Swartz HA, Zuckoff A, Grote NK, et al: Engaging depressed patients in psychotherapy: integrating techniques from motivational interviewing and ethnographic interviewing to improve treatment participation. Prof Psychol: Res Pract 2007; 38:430–439CrossRefGoogle Scholar
  15. 15.
    Westra HA, Dozois DJA: Preparing clients for cognitive behavioral therapy: a randomized pilot study of motivational interviewing for anxiety. Cogn Ther Res 2006; 30:481–498CrossRefGoogle Scholar
  16. 16.
    Naar-King S, Lam P, Wang B, et al: Brief report: maintenance of effects of motivational enhancement therapy to improve risk behaviors and HIV-related health in a randomized controlled trial of youth living with HIV. J Pediatr Psychol 2008; 33:441–445PubMedCrossRefGoogle Scholar
  17. 17.
    Channon SJ, Huws-Thomas MV, Rollnick S, et al: A multi-center randomized controlled trial of motivational interviewing in teenagers with diabetes. Diabetes Care 2007; 30:1390–1395PubMedCrossRefGoogle Scholar
  18. 18.
    Angelino AF, Treisman GJ: Issues in co-morbid severe mental illnesses in HIV-infected individuals. Int Rev Psychiatry 2008; 20:95–101PubMedCrossRefGoogle Scholar
  19. 19.
    Banerjea R, Sambamoorthi U, Smelson D, et al: Chronic illness with complexities: mental illness and substance use among veteran clinic users with diabetes. Am J Drug Alcohol Abuse 2007; 33:807–821PubMedCrossRefGoogle Scholar
  20. 20.
    Moyers TB, Martin T, Manuel JK, et al: Motivational Interviewing Treatment Integrity 3.0 (MITI 3.0) (Coding Manual). Albuquerque, NM, University of New Mexico, Center on Alcoholism, Substance Abuse and Addictions (CASAA), 2007Google Scholar
  21. 21.
    Kemp R, Kirov G, Everitt B, et al: Randomized controlled trial of compliance therapy: 18-month follow-up. Br J Psychiatry 1998; 172:413–419PubMedCrossRefGoogle Scholar
  22. 22.
    Grote NK, Swartz HA, Geibel SL, et al: A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal depression. Psychiatr Serv 2009; 60:313–321PubMedCentralPubMedCrossRefGoogle Scholar
  23. 23.
    Zerler H: Motivational interviewing and suicidality, in Motivational Interviewing in the Treatment of Psychological Problems. Edited by Arkowitz H, Westra HA, Miller WR, et al. New York, NY, Guilford, 2008, pp 173–193Google Scholar
  24. 24.
    Mojtabai R, Olfson M: National trends in psychotherapy by office-based psychiatrists. Arch Gen Psychiatry 2008; 65: 962–970PubMedCrossRefGoogle Scholar
  25. 25.
    Committee on Graduate Medical Education: Psychiatric Residents as Teachers: A Practical Guide. Arlington, Va, American Psychiatric Association, 2002Google Scholar

Copyright information

© Academic Psychiatry 2011

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral MedicineWake Forest University School of MedicineWinston-Salem

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