SBIRT Skills Videos

Addressing risky alcohol use and promoting diabetes selfcare.

An MET approach for patients with chronic pain engaged in medication assisted treatment.

Screening for risky cannabis use and brief intervention for Cannabis .

Engaging through the SBIRT of Motivational Interviewing: Establishing a Strong Partnership. Sometimes clinicians underestimate the importance of Engagement. An intentional shift into the SPIRIT of Motivational Interviewing (MI) becomes crucial for good engagement until it becomes second nature. The SPIRIT of MI embodies the qualities of respect, honoring of autonomy, and empathy.

"We often go into our careers with great ideals about wanting to help people and save the world, and then you face the reality of addiction and you think, 'I don't know if I can really make a difference'... To me it's really important to give people tools and a framework so they can maintain hope and really engage with patients..."

"The first thing I do is to be as welcoming as possible and explain my role, and then I try to build some rapport not just around the topic of why the person came in... but to make a connection to who they are and have an understanding of what their life is like..."

"So often we're used to going to a health care setting and being told what the risks are and what that should mean to us. What you try to do with motivational interviewing is to bring it forth from the patient..."

"Building a collaboration from the get-go, showing you are interested and listening attentively to the patient... and then using well-known strategies such as open-ended questions, reflecting, affirming, summarizing, and then bringing in some of the techniques like a readiness ruler and the pros and cons - techniques that are so helpful to get people to take a look at their behaviors..."

"The BNI and MI are very different but there's a lot of overlap as well... The first step is to raise the subject and ask permission. That is our engaging step... The second one is to zero in on the main concern that the physician is having and to give some neutral, non-confrontational feedback about the downsides of that behavior and what our recommendation might be..."

"'HI, I'm Dr. Pantalon,' 'Marcus, how are you?' 'I'm doing well. How are you is the question?' 'I'm alright. Getting there. I'm here.' 'Sounds like you've been through a lot.' 'Yeah, I've been through a couple things. I'm actually a carpenter and about two years ago I was doing some work and fell off a ladder and have a herniated disc so the doctor prescribed some Percoset..."

"In any brief intervention, you want to have some motivational interviewing. We want to stick to the four main processes of motivational interviewing: engaging, focusing, evoking, and planning..."

"Mike, it was a pleasure to watch you do your work. So now I want to summarize and emphasize the strategies and techniques that you were demonstrating with each patient..."