Description: Substance use is affected by macro-level structure and forces in addition to individual factors. This macro lens is important to keep in mind when viewing cultural disparities in substance use disorders and approaching treatment models. In this workshop, Dr. Christina Lee will share her research on Motivational Interviewing which centers on the experience of diverse clients. She will highlight what works well within MI and introduce adaptations to increase engagement and impact, particularly with marginalized populations. Participants will gain insight into MI, with a focus on the spirit of MI and its capacity for strengths-based, culturally attuned, self-aware practice.
Learning objectives: By end of the workshop, participants will be able to
- Describe at least 2 ways that MI can be adapted to address macro-level stressors including discrimination
- Apply at least 2 skills that amplify client autonomy and affirm client strengths
Trainer: Christina S. Lee, Ph.D., is an associate professor in the School of Social Work at Boston University (BUSSW); addiction faculty at BU’s Grayken Center, Boston Medical Center; a Motivational Interviewing training committee member for the American Society of Addiction Medicine; and a faculty affiliate at BU’s Center for Antiracist Research. Her research bridges the areas of intervention science, addiction psychology, and health inequities. By focusing on the effects of social and environmental stressors, Dr. Lee has become an influential voice in efforts to reduce risky health behaviors among diverse, understudied groups. She is PI and co-PI on NIAAA-funded addiction treatment research with diverse populations, is on the training faculty at the Center for Alcohol and Addiction Studies at Brown University, and is research director at BUSSW’s Center for Innovation in Social Work and Health (CISWH).
References:
- Avruch, D. O., & Shaia, W. E. (2022). Macro MI: Using motivational interviewing to address socially-engineered trauma. Journal of Progressive Human Services, 33(2), 176-204. doi:https://doi.org/10.1080/10428232.2022.2063622
- Carroll, K. M., Martino, S., Ball, S. A., Nich, C., Frankforter, T., Anez, L. M., . . . Farentinos, C. (2009). A multisite randomized effectiveness trial of motivational enhancement therapy for Spanish-speaking substance users. Journal of Consulting and Clinical Psychology, 77, 993– 999. http://dx.doi.org/10.1037/a0016489
- Martin, R., Rosales, R., McCallum, T. T., Falcon, L., Almeida, J., & Cortés, D. E. (2019). A randomized controlled trial of motivational interviewing tailored for heavy drinking latinxs. Journal of Consulting and Clinical Psychology, 87(9), 815-830. https://doi.org/10.1037/ccp0000428
- Lee, C.S., Magill, M., Figuereo, V., Jackson, K., Colby, S.M. (2021). Self-exploration as a mechanism of change in motivational interviewing. Journal of Substance Abuse Treatment. https://doi.org/10.1016/j.jsat.2021.108345
- Lee CS, Rosales R, Colby SM, Martin R, Cox K, Rohsenow DJ. Addressing social stressors in a brief motivational interview improve mental health symptoms for Latinx heavy drinkers. J Clin Psychol. 2020;1–19. https://doi.org/10.1002/jclp.22976
- Nalven, T., Lee, C.S., & Spillane, N.S. (2021). Racially minoritized status and neighborhood discrimination within Latino individuals are related to hazardous drinking, depression, and anxiety symptoms: applications of Minority Stress theory. Addiction Research and Theory. https://doi.org/10.1080/16066359.2021.190028
- Oh, H., & Lee, C.S. (2016). Culture and motivational interviewing. Patient Education and Counseling, 99(11), 1914-1919.
- Petros, R., Goldsen, K. F., & Teri, L. (2021). Aging with pride: Cultural relevance of motivational interviewing for LGBTQ adults with dementia. Innovation in Aging, 5(Supplement_1), 112-113. https://doi.org/10.1093/geroni/igab046.428