Enchancing Motivation for Change in Substance Abuse Treatment (TIP 35)

Integrating Motivational Approaches Into Treatment Programs

About the Course:

This TIP embraces a fundamentally different way to conceptualize motivation. In this approach, motivation is viewed as a dynamic and changeable state rather than a static trait. This TIP shows how clinicians can influence this change process by developing a therapeutic relationship, one that respects and builds on the client’s autonomy and, at the same time, makes the treatment counselor a participant in the change process. This course covers addresses integrating motivational approaches into treatment programs. This course covers Chapter 9 only.


U.S. Department of Health and Human Services

Publication Date:




About the Author:

Enhancing Motivation for Change in Substance Abuse Treatment was published as Treatment Improvement Protocol (TIP) 35 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about integrating motivational approaches into treatment programs. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

  1. Explain the treatment continuum and the concept of stepped care.

  2. Discuss applications of motivational approaches in specific treatment settings, including the emergency department and other medical settings.

  3. Describe applications of motivational approaches to specific populations, including African-American clients, adolescents with multiple drug problems, and women with multiple vulnerabilities.

  4. Identify factors associated with the use of motivation-enhancing activities in group settings.

Exam Questions

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