MOTIVATIONAL ENHANCEMENT THERAPY
MET is the longer-term follow-up to an initial brief intervention strategy. It continues the use of motivational interviewing and moves a patient closer to a readiness to change substance use behaviors (reviewed in DiClemente et al. and Miller and Rollnick. It combines techniques from cognitive, client-centered, systems, and social-psychological persuasion approaches and may be provided by trained clinicians in substance abuse facilities, mental health clinics, and private practice offices. MET is characterized by an empathic approach in which the therapist helps to motivate the patient by asking about the pros and cons of specific behaviors, exploring the patient's goals and associated ambivalence about reaching those goals, and listening reflectively to the patient's responses. This treatment modality is effective even for patients who are not highly motivated to change, which gives it a practical advantage over other therapies for substance use disorders in many settings.
Motivation or the absence thereof is a crucial factor determining the outcome of treatment provided by Los Angeles and Orange County intensive outpatient and residential addiction treatment programs. Motivational Enhancement Therapy (MET), including motivational interviewing are critical strategies use by substance abuse facilities to treat the chronic disease of addiction and related relapse.
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