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Motivational Interviewing in Addiction Services: An Exploratory Study of Training Needs
Nuri Wieland1, Helle Larsen1,2, Reinout W Wiers1,2
1Addiction, Development and Psychopathology (ADAPT) Lab, Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands.
European Addiction Research
|May 28, 2025
Summary
Motivational Interviewing (MI) is recommended for addiction treatment, but German professionals show a gap in quality-assured MI training and practice. Further training and support structures are crucial for effective MI implementation.
Area of Science:
- Addiction Treatment
- Psychological Interventions
Background:
- Motivational Interviewing (MI) is a recommended treatment for addiction and comorbid disorders across the EU.
- Limited understanding exists regarding the availability and quality of MI workforce in addiction care.
Purpose of the Study:
- To assess the training levels and MI utilization among addiction care professionals in Germany.
- To identify factors influencing the practical application of MI in German addiction treatment settings.
Main Methods:
- A quantitative, anonymous cross-sectional survey was conducted with 262 addiction care professionals.
- Data collected included MI training, knowledge, client motivation, and practical use, analyzed using SPSS.
Main Results:
- 54.8% reported at least one day of MI training; 64.3% of trained professionals felt adequately prepared.
- Only 31.0% of facilities had established further MI training or support structures.
- MI-specific training and institutional support structures significantly predicted MI use in practice.
Conclusions:
- A significant discrepancy exists between recommended MI use in addiction treatment guidelines and the actual training levels in Germany.
- Enhancing MI training and support systems is essential to align practice with evidence-based recommendations.
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