Motivational Interviewing to Navigate Ethical Considerations for Youth Facing Stigma in Health Care Settings

Author(s):  
Siddika S. Mulchan ◽  
Amy Signore ◽  
Michael Reiss ◽  
Christy L. Olezeski ◽  
Melissa Santos
2021 ◽  
Author(s):  
Cassandra L. Boness ◽  
Mackenzie Nelson ◽  
Antoine Douaihy

SARS-CoV-2, or COVID-19, vaccination hesitancy, defined as the delay in acceptance or refusal of the COVID-19 vaccine, presents a major health threat in the midst of the current pandemic. Traditional approaches for addressing vaccine hesitancy in health care have been largely ineffective and, in some instances, have actually increased vaccine hesitancy. Thus, there is an urgent need for approaches that effectively address COVID-19 vaccine hesitancy, especially in health care settings. The current editorial highlights the need for and importance of motivational interviewing (MI), which emphasizes collaborative communication between providers and patients, in addressing vaccine hesitancy. We describe a three-step process for addressing COVID-19 vaccine hesitancy which includes using a guiding style, evoking using the MI toolbox, and responding mindfully and skillfully to the individual’s degree of hesitancy. Each step is accompanied by case examples. The discussion concludes with a consideration of possible challenges in implementing these steps when addressing and resolving COVID-19 vaccine hesitancy.


2015 ◽  
Vol 21 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Ross Crisp

This article examines whether Motivational Interviewing (MI) can be truly integrated with Carl Rogers' person-centered approach (PCA) to counselling. While the ‘spirit’ of MI has much in common with PCA, it is argued that the theory and practice of MI indicates several fundamental differences with PCA that distinguishes the ways that each perspective may contribute to rehabilitation counselling. These differences are discussed in relation to the unique aspects of their underlying assumptions, how they define clients' problems, and how they articulate the role of counsellor and successful outcome. Recent meta-analyses have indicated the beneficial aspects of both approaches. Empirical evidence for the efficacy of both MI and PCA is strong across a diverse range of client groups and health care settings. However, the highly variable effectiveness of both MI and PCA suggests that further process-outcome research is needed. Implications for rehabilitation counsellors are discussed.


2016 ◽  
Vol 1 (13) ◽  
pp. 122-129 ◽  
Author(s):  
Wendy Chase ◽  
Lucinda Soares Gonzales

This article will describe the approach to dysphagia education in a classroom setting at the University of Connecticut (UCONN), explore the disparity between student performance in schools vs. health care settings that was discovered at UCONN, and offer suggestions for practicum supervisors in medical settings to enhance student acquisition of competence.


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