Third Printing in paper form is now out of print.

The manual can be ordered on CD in Adobe PDF format.




The Mid-ATTC announces the availability of Motivational Groups for Community Substance Abuse Programs, authored by Karen Ingersoll, Christopher Wagner and Sandra Gharib. This 127 page manual is intended to provide guidance to the substance abuse treatment counselor working in public sector settings who wants to use motivational techniques in a group treatment modality. The guide is divided into four parts. The first three sections are aimed primarily at the clinician, and include an introduction to the philosophy of Motivational Interviewing, the techniques and skills needed to practice motivational counseling, guidelines on converting individually-based motivational counseling techniques for use in groups, format and content for motivational groups, and tips on implementing motivational groups and services. Part Four discusses various methods for employing motivational counseling services in community agencies, and will be useful for clinicians, supervisors, and program planners.


Guide Contents


Part 1: Background and Theory

Motivational Elements of Models of Treatment and Recovery
The Transtheoretical Model of Change
Assumptions behind Motivational Approaches
Making a Choice to Use A Motivational Approach


Part 2: Practicing Motivational Counseling

Motivational Principles
Motivational Skills and Techniques
FRAMES Skills and Techniques
Techniques that Reduce Resistance
Conceptualizing the Phases of Motivational Interventions
Learning Motivational Counseling
Motivational Services in Community Agencies


Part 3: Groups

The Group Therapy Modality
Psycho-educational Groups
Psychotherapeutic Groups
Motivational Groups
Integrating Group and Individual Treatment
Suggested Formats for Motivational Groups
Designing a Motivational Group
Providing Structure for the Group
Model 1: Core Motivational Group
Topic 1: Introduction to Group and Exploration of Lifestyles
Topic 2: The Stages of Change
Topic 3: Raising Awareness: The Good Things and Not-So-Good Things
Topic 4: Looking Forward
Topic 5: Decisional Balance: Pros and Cons of Changing and Staying the Same
Topic 6: Exploring Values
Topic 7: Supporting Self-Efficacy: Change Success Stories
Topic 8: Supporting Self Efficacy: Exploring Strengths
Topic 9: Planning for Change
Topic 10: Exploring Importance, Confidence, and Desire for Change
Model 2: Single Session Motivational Group


Part 4: Implementing Motivational Services

Technology Transfer Principles
Some Comments on Implementation
Assessing Agency Readiness
Increasing Agency Readiness
Working with Polarized Staff
A Sample Model of Integrated Services
Adding Motivational Services to your Continuum of Care: Some Lessons from the Substance Abuse Treatment Field
Special Populations
Some Motivational Issues of Selected Special Populations


Part 5: References and Resources

Some Recommended Readings
Demonstration Videotapes
Obtaining Training
The "SATOE" Model
SATOE Work Group
The Mid-Atlantic ATTC and other ATTC resources


About the authors.....

Karen S. Ingersoll Ph.D. is a Clinical Health Psychologist and Assistant Professor of Psychiatry and Internal Medicine at Virginia Commonwealth University's Medical College of Virginia. Her clinical practice is in the areas of behavioral medicine and substance abuse treatment, with an emphasis on perinatal addiction and chronic illness. She trains medical and community-based clinicians in effective approaches with substance users and problem health behaviors. Her research interests include HIV treatment adherence, brief intervention for women, and psychotherapy and substance abuse treatment outcome.


Christopher C. Wagner, Ph.D. is a Licensed Clinical Psychologist and Assistant Professor of Rehabilitation Counseling, Psychiatry, and Psychology at Virginia Commonwealth University. He provides training on various substance abuse treatment issues, including Motivational Interviewing, and consults with community-based agencies regarding program development and evaluation. Research interests include interpersonal aspects of substance use and mental disorders, interpersonal processes in counseling and psychotherapy, and group motivational counseling. His clinical practice has focused on an array of mental health, behavioral health, and substance use disorders. Dr. Wagner hosts the Motivational Interviewing Network of Trainers (MINT) listserv and the MI website.

Sandra Gharib, M.A., is an outpatient substance abuse clinician at Henrico Area Mental Health and Retardation Services whose practice is largely based on the Motivational Interviewing model. She has designed and implemented motivational counseling programs for public-sector outpatient substance abuse programs.

For further information about the guide, read the authors' preface.


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