RE: motivational interviewing

["Andrew Percy" <a.percy@xxxxxxxxx>]

Sean

While the basic tenet of Bill Miller's work - that denial is a 
process created by client/therapist interactions and not a 
personality trait or defense mechanism of the client - is likely 
to apply across a wide range of human services I am unsure of 
how transferable motivational interviewing will be from the 
addiction field into CW. 


MINT assumes that specific cognitive structures underpins the 
addictive behaviour and by reshaping these, motivation for 
behaviour change can be improved. However, our knowledge of 
the cognitive processes underlying child maltreatment or poor 
parenting are less well developed. For example, MINT requires an 
increase in self-efficacy. It is my understanding that the 
empirical research on parenting self-efficacy or self-efficacy 
and child maltreatment is limited. I am uncertain as to what 
techniques are required to improve parenting self-efficacy and 
how effective they are. Are they the same as those presented in 
the addictive behaviour model of MINT?

Also, MINT assumes that the decision to change is the 
responsibility of the client, that the client has real choices, 
and accessible and effective means of behaviour change can be 
offered. Within CW this may not always be the case, rather 
protection plans may be required, in which the client has little 
choice. I am not sure how this effects MINT. 

However, I do agree with the point that there is a tremendous 
potential within MINT for CW service. However, more research is 
need regarding the translation of MINT into the CW setting.


On Tue, 15 May 2001 08:21:59 -0400 "Hill, Sean" 
<shill@xxxxxxxxxxxxxxx> wrote:

> I've only found one reference to MINT and cw.  I think there is a tremendous
> amount of potential in applying MINT to child welfare cases where compliance
> with protective plans is a problem and understanding why those who
> "maltreat" cannot/will not change.
> 
> Hohman, M.M. (1998). Motivational interviewing: An intervention tool for
> child welfare case workers working with substance-abusing parents. Child
> Welfare, 77, 275-289. 
> 
> 
> 
> Sean Wolf Hill, MS LPCC
> Intersystem Coordinator
> http://www.co.greene.oh.us/fcf/fsp.htm
> Family Stability Program
> http://www.co.greene.oh.us/fcf/
> Greene County Family and Children First Dept
> http://www.wright.edu/~shill/index.htm
> 937.562.5607p
> 937.562.5601f
> 
> 
> -----Original Message-----
> From: Julia H. Littell [mailto:jlittell@xxxxxxxxxxxx]
> Sent: Monday, May 14, 2001 12:10 PM
> To: Child Maltreatment Researchers
> Subject: motivational interviewing
> 
> 
> Have there been any controlled trials of motivational interviewing other
> than in Project MATCH? (In that study, there were no clear advantages of
> "motivational enhancement" and no treatment matching effects based on
> initial motivation.) Are there any studies of MI in child welfare samples?
> What is its potential for the child maltreatment field?
> 

----------------------
Andrew Percy
Research Statistician
The Centre for Child Care Research
Queen's University Belfast
5A Lennoxvale
Belfast
BT9 5BY
Tel: (028) 9027 4610
Fax: (028) 9068 7416