Motivational Interviewing in Medical Rehabilitation

Nicole Schechter is a board-certified rehabilitation psychologist and Assistant Professor of Physical Medicine and Rehabilitation in the Johns Hopkins University School of Medicine. Her clinical activity is focused on providing psychological services to persons with traumatic injuries and chronic illness. She also focuses on developing and implementing communication interviewing training programs in healthcare organizations to improve health care professional skills, patient satisfaction, and health outcomes. Connie Jacocks is a board-certified clinical neuropsychologist and the founder of Vista Neuropsychology. She has extensive experience in neurorehabilitation having served on the faculty in the Johns Hopkins Department of Physical Medicine and Rehabilitation and the staff of Craig Rehabilitation Hospital. Clinical research interests include the integration of motivational interviewing into a variety of treatment settings and modalities to increase patient participation and engagement. Lester Butt is a Senior Psychologist at Craig Hospital and past Department Chair of the Department of Psychology Department. He is a Fellow in the Divisions of Psychotherapy, Trauma, and Rehabilitation Psychology in the American Psychological Association. His clinical foci involve neurorehabilitation with persons with spinal cord injury, treatment modalities, bioethics, and quality of life post-disability. Stephen T. Wegener is Professor of Physical Medicine and Rehabilitation and Director of the Division of Rehabilitation Psychology and Neuropsychology in the Johns Hopkins School of Medicine. He also serves as Professor of Health Policy and Management in the Johns Hopkins Bloomberg School of Public Health. His clinical activity focuses on providing psychological services to persons with traumatic injuries and chronic illness. His research focuses on theories and projects that improve function and reduce disability following injury or illness. These projects emphasize the importance of patient-centered care models, self-management by patients and the use of motivational interviewing by providers.

Section 1: Foundations

Chapter 1: Motivational Interviewing: Philosophical Underpinnings and Spirit
Lester Butt and Stephen T. Wegener

Chapter 2: Application of Motivational Interviewing in the Rehabilitation Environment: An Overview
Katherine S. Wright and Charles Bombardier

Chapter 3: Motivational Interviewing Communication Skills: An Overview
Nicole Schechter and Stephen T. Wegener

Section 2: Addressing Common Barriers to Rehabilitation Engagement

Chapter 4: Treatment Plan Participation and Adherence
Kathleen T. Bechtold and Joe Fangman

Chapter 5: Self-Management Tasks
Danbi Lee, Maureen Gecht-Silver, and Linda Ehrlich-Jones

Chapter 6: Team Dynamics
Emily Markley and Ruth Grenoble

Chapter 7: Transitions Between Treatment Settings
Sarah Horan and Allie Hamilton

Chapter 8: Anxiety and Depression
Charles H. Bombardier

Chapter 9: Substance Use
Amanda Choflet and Jen Rickard

Chapter 10: Cognitive Impairment
Connie Jacocks and Kristen Mascareñas Wendling

Chapter 11: Family and Caregiver Dynamics
Asma Ali and Connie Jacocks

Section 3: Implementation and Evaluation

Chapter 12: Training, Training Resources, and Evaluation
Nicole Schechter and Laura Torres

Chapter 13: Quality Improvement and Research
Amanda Choflet, Annette Lavezza, and Kelly Daley