Search This Blog

Friday, 14 October 2011

Where goes Motivational Interviewing After 'Payment By Results"?

I've had a fascinating three days working with some of the pilot Drug & Alcohol Services for Payment By Results (PbR). This is the government initiative designed to shift UK drugs services towards tying funding to an abstinence/recovery model accompanied by evidencing documentation - or in the words of the organisational mantra I came across "No TOPs, no clients, no job!". TOPs (Treatment Outcome Profiles) is the evidencing paperwork. Leaving aside the rights and wrongs of this policy switch within the drugs field, I'm particularly interested in it's implications for Motivational Interviewing training (www.skillsdevelopment.co.uk/seminars.php?courseid=5 )

Most managers I talked to were worried that Motivational Interviewing (MI) would be swept aside by the new recovery model. It would be seen as irrelevant in the face of increased compulsion to abstain. I disagreed. PbR is interested in abstinence outcomes and on this basis MI is one of the few games in town.Few other approaches match it's researched outcomes. Plus in the current financial climate it's important to recognise that "a sprinkling" of MI is often sufficient to effect significant changes in outcome with moderate effect sizes. The issue becomes instead whether there is a sufficient MI lobby in the UK to argue it's undoubted virtues and it's invaluable contribution to outcome or whether MI is seen as an expensive extra ignored in a race to the bottom in terms of costs.

No comments:

Post a Comment

About this Blog

This is our first attempt to join the exciting world of blogging and bring to you all the fresh and hot news about the world of psychology and, of course, about your favourite training company. This is our new enterprise and we are finding our way in this mysterious world of blogging cautiously (but surely...) :-)
We are hoping to move our popular SDS Delegate Debate into this blogging format in the future and looking forward to lively discussions here with you. We are planning to start with publishing already existing SDS Delegate Debates — with comments received from you. Then we'll move to the current news as well as will run new delegate debates there.
Feel free to leave comments to any of the posts — whether they are old debates, the news or new debates. As you can guess — every blogger loves his readers and LIVES for the comments. :-) We are just the same. You don’t need to register in order to be able to comment. You can leave your feedback as “Anonymous”, however, may we ask you to sign you name (or nick) at the end of your comment (even if you are commenting without logging in) so that we know how to address you.
Another useful tool that SDS Blog provides us with is availability of Polls that enable us to find out your views about various subjects. Polls are located on the left panel of the page and updated regularly. Please feel free to vote. You can see the results of each poll by clicking the button "Results".
If you wish to register — nothing can be easier — you just open a Google account — most of you, surely, already use one.
Your comments are read by SDS Consultants regularly and — in many cases — replied to.
The blog is moderated — mainly to protect you and other readers from spam and irrelevant comments.
All posts are tagged — hopefully it'll help you to find your way around there.
Wish us luck and please join the list of our followers.
There was an error in this gadget