The Role of the Champion in Primary Care Change Efforts. This article from the Journal of the American Board of Family Medicine describes how "change champions" in primary care practices are important for moving new innovations through the phases of initiation, development, and implementation.
Putting a People Focus on Practice Management. Written from a business perspective, this article explains how to put the correct people in the "champion" role.
National Heart, Lung and Blood Institute (NHLBI): Publications for Patients. NHLBI, one of the NIH Institutes, provides resources for clinical practices and patients on heart, lung, blood, and sleep conditions.
Motivational Interviewing. This website provides materials designed to facilitate the dissemination, adoption and implementation of Motivational Interviewing among clinicians, supervisors, program managers and trainers, and improve treatment outcomes for patients who need to make behavioral changes.
Talking to Patients about Sensitive Topics. Curriculum module from the University of North Dakota School of Medicine & Health Sciences that explores communication techniques that decrease patient and physician anxiety and increase the accuracy and specificity of patient reporting about sensitive topics, such as substance abuse.
Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP). These empirically supported mentoring products are designed to enhance the MI skills of treatment providers, as well as provide supervisory tools to fortify a supervisor's ability to provide structured, focused, and effective clinical supervision.
Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP): Factsheet. Factsheet about the above MIA:STEP toolkit.
Prescription Drug Poster. Raises awareness of the health consequences of improper use of prescription drugs and contrasts it with the benefits of safe and proper prescription drug use.
National Institute on Aging (NIA) -- Go4Life Tip Sheets. NIA, one of the NIH Institutes, developed Go4Life tip sheets that provide a wealth of information to help patients add exercise and physical activity to their daily routine and have fun at the same time. These useful tips sheets can be shared with patients electronically or printed and placed in clinical practices. Tip sheets are also available in Spanish.
Standard Drink and Readiness for Change Chart. Resource developed by NIAAA that provides detailed standard drink measurements, safer drinking guidelines for men, women, and adults older than 65, and a ruler to assess readiness to change drinking behavior.
Encouraging Patients to Change Unhealthy Behaviors with Motivational Interviewing. This article from the American Academy of Family Physicians describes MI and how it can be used in primary care practices.
The Addiction Performance Project. The Addiction Performance Project is a unique new online program from NIDA. This module combines a reading from Eugene O'Neill's "Long Day's Journey into Night" - a play about one family's struggle with alcohol abuse and morphine addiction - with reactions from expert panelists, including family physicians and other specialists. The module is designed to help challenge us to think about how we can overcome barriers to treating patients with substance use disorder.
NIDAMED. NIDAMED is a comprehensive Physicians' Outreach Initiative that gives medical professionals tools and resources to screen their adult patients for tobacco, alcohol, illicit drug, and nonmedical prescription drug use. Developed by NIDA, NIDAMED resources include an online screening tool, a companion quick reference guide, and a comprehensive resource guide for clinicians in general medical settings.
Screening for Drug Use in General Medical Settings: Quick Reference Guide. This guide provides an abbreviated, handy version of NIDA's Drug Use Screening tool and instructions on its use.
The Readiness Ruler. The readiness ruler from the Center for Evidenced-based Practices at Case Western Reserve University is a helpful tool to support the use of MI by service providers.
Drinking Diary Card and Change Plan. Wallet card developed by the U.S. Department of Veterans Affairs where patients can record their alcohol use over a 4-week period to monitor their drinking behavior. Also includes a list of five questions for patients who are ready to make a change plan to reduce the amount they drink.
Drugs + Your Body: It Isn't Pretty. A two-sided poster developed by NIDA that can be used to educate patients about the impact of drug abuse. Using dramatic pictures, the front of the poster shows the impact of drugs on major organs and the back provides worksheets and lesson plans on drug abuse. The poster is available in English and Spanish.
Stages of Change Model/Transtheoretical Model (TTM). This review article summarizes Prochaska and DiClemente's work on TTM, including core constructs, processes, stages of change, decisional balance, self-efficacy and temptation, and model applications. A practical, one-page summary sheet.
Helping Patients Who Drink Too Much: A Clinician's Guide. NIAAA guide for both primary care and mental health clinicians.
Helping Smokers Quite: A Guide for Clinicians. A guide developed by AHRQ for clinicians to help their patients stop using tobacco.
Health Assessments in Primary Care: A How-to Guide for Clinicians and Staff. Obtaining periodic health assessments on patients provides an opportunity for primary care teams to get a snapshot on the health status and the health risks of empaneled patients. Created by AHRQ, this guide is designed to be used by a team of clinicians and staff in a practice. The guide can help practices with limited experience in implementing health assessments, that have struggled with implementing health assessments in the past, as well as practices experienced in implementing health assessments.
Patient History Chart Form. This basic patient health history form requires medical and general information for documentation.
Motivational Interviewing Skill Code (MISC). The MISC is an assessment instrument that may be used to maintain quality assurance in provision of MI.
The Spirit of MI: Motivational Interviewing. Nineteen short podcasts that feature staff members of the Center for Evidence-based Practices at Case Western Reserve University telling stories about MI from their experiences as direct-service providers, consultants, and trainers.
Planned Care 2.0 (Huddle). This PowerPoint slide set illustrates the use of huddles as a tool for planned care. Please view this slide set as a slide show, as it has animations. The slides were created by Michael A. Zimmerman, MD and used with his permission. The video (Planned Care Huddle) was also created by Dr. Zimmerman and illustrates an effective team huddle.
Huddles: Improve Office Efficiency in Minutes. Daily gatherings of your care team can help you meet daily challenges. The American Academy of Family Physicians posted this article to help physicians identify when and how to conduct a team huddle. Written by Elizabeth E. Stewart, PhD and Barbara C. Johnson, PhD.
National Institute of Alcohol Abuse and Alcoholism (NIAAA). A division of NIH, the NIAAA website has information about the impact of alcohol on human health and well-being, including research, training, and patient materials.
National Institute of Drug Abuse (NIDA). A division of NIH, the NIDA website has information about drug abuse, including research, training, and patient materials. Drug-specific information is also available.
Self-Help Strategies for Cutting Down or Stopping Substance Use: A Guide. Resource published by the World Health Organization to help adult patients who think that their substance use is putting them at risk of experiencing problems to evaluate their substance use behavior and to give them some ideas about how to change their behavior.
TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment. This TIP was developed to show how clinicians can influence the motivation to change process by developing a therapeutic relationship that respects and builds on the clientâ€™s autonomy and makes the counselor a participant in the change process. This TIP also describes different motivational interventions that can be used at all stages of change.
Integrated Behavioral Health in Primary Care. This book was developed by the American Psychological Association for clinicians, family physicians, physician assistants, nurses, healthcare educators, psychologists, and social workers. The authors provide real-world guidance on how to integrate the assessment and treatment of multiple behavioral health problems into primary care including specific assessment questions, patient resources, and scripts for providers to use with their patients. (Available for purchase.)
Motivational Interviewing in Health Care: Helping Patients Change Behavior. Written for practitioners, this concise book presents powerful tools to enhance communication with people and guide them in making choices to improve their health. Engaging dialogues and vignettes bring to life the core skills of MI and illustrate how to incorporate this evidence-based approach into any healthcare setting. (Available for purchase.)