Sponsored by the HealthcareTrainingInstitute.org providing Quality Education since 1979
Add to Shopping Cart

Fetal Alcohol Syndrome in Children & Adults: Interventions for Families & Caregivers
Fetal Alcohol Syndrome continuing education social worker CEUs

Section 15
Preventing FAS Through Motivational Interviewing

CEU Question 15 | CEU Answer Booklet | Table of Contents | Addictions
Social Worker CEUs, Psychologist CEs, Counselor CEUs, MFT CEUs

A University of Virginia Health System researcher and colleagues have just published findings showing that just a few targeted counseling sessions had a notably positive impact on women at high risk for binge drinking, unplanned pregnancy, and exposure to alcohol during pregnancy. The counseling technique, called motivational interviewing (MI), has proven effective after just four counseling sessions. In addition, Karen Ingersoll, Ph.D., has won a grant for $1.9 million from the National Institutes of Health to study how this effective counseling technique works.

Ingersoll, a lead researcher in the UVa Department of Psychiatry and Neurobehavioral Sciences, and her colleagues found that a few nonjudgmental counseling sessions prompted women both to scale back risky drinking and practice more effective contraception. This study, called Project CHOICES, was designed to reduce the risk of alcohol-exposed pregnancy before conception, and was funded by the Centers for Disease Control and Prevention. The study took place at six sites in Virginia, Texas and Florida and enrolled 830 women from many different backgrounds.

The motivational intervention doubled the odds that binge-drinking women who were at risk for pregnancy would be successful in moving from the category of at-risk to low-risk for alcohol-exposed pregnancy. These findings, published in the American Journal of the Preventive Medicine, are noteworthy because it can be difficult for some women to reduce binge drinking, which can cause harm to their fetuses should they become pregnant.

We demonstrated that using motivational counseling can have a major impact, even on behaviors that are considered difficult to change, such as binge drinking, Ingersoll said. While our main goal was to reduce the risk of alcohol-exposed pregnancy, ours was the first multi-site study to show that motivational counseling can be effective when targeting more than one health behavior, in this case, both drinking and contraception habits, among women who were not seeking help to change.

The women, who were binge drinkers or frequent drinkers, volunteered to be in the study. All of the women were sexually active but not using reliable means to prevent pregnancy. They came from two high-risk samples in each of three cities, including Richmond, Va. During this randomized, controlled trial, the trained counselors used MI to express empathy with the individuals who come for counseling, manage resistance without confrontation, and support the self-confidence of the individual. They used counseling techniques such as open-ended questioning, reflective listening, summarizing, and affirming. Although the study targeted both behaviors (binge drinking and poor contraception use) associated with alcohol-exposed pregnancy, counselors were allowed to emphasize the target behavior favored by the participant.

Now Dr. Ingersoll and colleagues will use the new grant money to answer the question of why this form of counseling, brief as it is, can be so effective. To date, motivational interviewing research has found few links between the characteristics of the people being counseled (clients) and their outcomes.

Thus, the UVa team will look at other aspects of MI, using Project CHOICES' audiotapes of therapy sessions and its outcomes dataset. The researchers will rate audiotapes to capture therapist and client behaviors and interpersonal interactions, and merge this process data with the existing dataset. They then will test a number of hypothesized mechanisms of action during motivational interviewing. The team plans to examine therapist behaviors, client behaviors, and interpersonal interactions; and evaluate their inter-relationships and their relationships to outcomes to unlock the secrets of MI.

Our hope is to identify which aspects of this effective counseling style are most important and linked to the positive outcomes, so that we can create even more effective therapies to help people make healthy changes in problematic habits, Ingersoll said.

This project could have an impact on public health if the researchers do uncover the components of MI that will have the best impact on clinical practice. Once these components are identified, new, scientifically sound interventions could be developed for a range of health-threatening behaviors for people with chronic illnesses, including addictive disorders.
- Interviewing Technique Reduces Risk for Binge Drinking, Unplanned Pregnancies; Ascribe Newswire: Health, 1/2/2007
The article above contains foundational information. Articles below contain optional updates.

Personal Reflection Exercise #8
The preceding section contained information regarding the motivational interviewing technique.  Write three case study examples regarding how you might use the content of this section in your practice.

Online Continuing Education QUESTION 15
What effect did the motivational intervention have on the risk factor for women at-risk for alcohol exposed pregnancy? Record the letter of the correct answer the CEU Answer Booklet

 

CEU Answer Booklet for this course | Addictions
Forward to Section 16
Back to Section 14
Table of Contents
Top

5 Reasons to Stop Your Addiction Denial & Improve Your Life - November 16, 2017
Denial is a psychological defense wherein a person refuses to accept a reality that changes their view of themselves, and it is the number one obstacle to addiction recovery. Addiction denial isn’t just the refusal to recognize that there is any problem at all, it is any lie, omission, justification, exaggeration, or other kind of ...
The post 5 Reasons to Stop Your Addiction Denial & Improve Your Life appeared first on Addictions.
What Does a State of Emergency Mean for the Opioid Epidemic? - November 14, 2017
Every day, more than 140 people in the U.S. die from an opioid overdose. This means that every three weeks, America suffers a death toll equal to that caused by September 11th. The U.S. remains in the midst of a serious opioid epidemic that continues to worsen every year, and that caused over 59,000 deaths ...
The post What Does a State of Emergency Mean for the Opioid Epidemic? appeared first on Addictions.
Better Pain Management Will Remove Painkiller Addiction - November 10, 2017
The 2015 National Survey on Drug Use and Health found that 38% of Americans—that’s almost 92 million people—used prescription opioids in the previous year. Eleven and a half million of these individuals misused these painkilling drugs, and 1.9 million of them had a painkiller addiction. Misuse is defined as taking a medication that has not ...
The post Better Pain Management Will Remove Painkiller Addiction appeared first on Addictions.
Discover What Causes Addiction in Our Society - November 06, 2017
What causes addiction? Can you become addicted to drugs after just one use, or is addiction passed down through our genes? There are roughly 22.7 million Americans who suffer from substance use disorders, but not all cases can be traced back to just one cause. In reality, there are countless reasons a person might suffer ...
The post Discover What Causes Addiction in Our Society appeared first on Addictions.
Alcohol Statistics: Alcoholism Rates are Soaring in America - November 03, 2017
Over 88,000 die each year due to alcohol related fatalities, which is more than all of the opioid overdose fatalities put together. If the United States is facing an opioid addiction crisis, then there is no question that we are also facing an alcohol addiction crisis. Excessive alcohol use cost the United States 249 billion ...
The post Alcohol Statistics: Alcoholism Rates are Soaring in America appeared first on Addictions.

CEU Continuing Education for
Social Work CEUs, Psychology CEUs, Counselor CEUs, MFT CEUs


OnlineCEUcredit.com Login


Forget your Password Reset it!