SKILLS COURSE LIVE DISCUSSION: Brief Action Planning (BAP) and Motivational Interviewing (MI) for C-L Psychiatry: A Stepped-care Approach to Health Behavior Change

Click to watch the presentation recording of this session in advance of the live discussion:
https://clp21.secure-platform.com/a/solicitations/8/sessiongallery/94

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Persistent unhealthy patient behaviors, including non-adherence, unhealthy use of alcohol, tobacco, prescription and other drugs, poor nutrition/over-eating, and sedentary lifestyle account for 70-80%, or more, of the overall burden of chronic illness, disability, and death in the U.S. C-L psychiatrists grapple with these complex behavioral issues in their clinical, consultative, and educational work, but rarely receive sufficient training in targeted evidence-based medical interviewing strategies. This 4-hour course aims to provide C-L psychiatrists with conceptual models and pragmatic skills to systemically address health behavior change complexities in their roles as clinicians and teachers. Specifically, the course will present an integrative stepped-care approach, starting with the eight core competencies of Brief Action Planning (BAP) and supplementing these skills, as needed, with focused applications of concepts and skills from the field of Motivational Interviewing (MI). From MI, the course will highlight: Spirit of MI; recognizing and responding to change and sustain talk/ambivalence; and using the Four Process Model of MI for patients not ready for action planning.

BAP is a highly structured, pragmatic, and versatile MI-consistent tool to help people change and to support self-management for health. BAP was initially developed by Steven Cole, MD, and colleagues, circa 2000, as a patient self-management support tool for the Health Disparities Collaboratives in Federally Qualified Health Centers for diabetes, heart disease, depression, and asthma. Since then, BAP has been widely used in the US and internationally (e.g.16 peer-reviewed publications and thousands of “hits” on google searches).

MI is an evidence-based collaborative conversation style for strengthening a person’s own motivation and commitment to change. The core text has been translated into over 28 languages; there are over 3000 trainers in 58 languages. More than 1500 clinical trials and over 170 systematic reviews and meta-analyses have been published, with about one-third devoted to alcohol and substance use problems, demonstrating consistent small-to-medium average effect size on measures of health outcomes (d=.3 to .4).

Eight faculty, including 3 members of MINT (Motivational Interviewing Network of Trainers), from 5 academic medical centers representing 5 disciplines (psychiatry, addiction medicine, pediatrics, preventive medicine, and sociology) will present core concepts, discuss clinical and educational uses of BAP/MI in their institutions, host Zoom break out groups for participants to practice skills with feedback, and lead plenary discussions and Q and A. After completing this course, participants will be able to apply the concepts and skills of this stepped-care approach to health behavior change in their own clinical work as well as their educational work with colleagues and trainees. Should they choose to do so, participants will also be well-positioned to pursue more advanced training to facilitate health behavior change.