Motivational Interviewing in Pediatric Mental Health.

Rachel B Herbst, Alexandra M S Corley, Emily McTate, Julie M Gettings
Author Information
  1. Rachel B Herbst: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 3015, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Pediatrics, College of Medicine, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH 45267, USA; Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: rachel.herbst@cchmc.org.
  2. Alexandra M S Corley: Department of Pediatrics, College of Medicine, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH 45267, USA; Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: https://twitter.com/DrAlexCorley.
  3. Emily McTate: Division of Child and Adolescent Psychiatry and Psychology, Department of Psychiatry and Psychology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55906, USA; Department of Pediatric and Adolescent Medicine, Mayo Clinic, Mayo Clinic College of Medicine and Science, 200 1st Street Southwest, Rochester, MN 55905, USA.
  4. Julie M Gettings: Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, 4601 Market Street, Third Floor, Philadelphia, PA 19139, USA; Department of Clinical Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: https://twitter.com/jmgettings.

Abstract

Although many pediatric clinicians have familiarity with motivational interviewing (MI), they may have limited awareness of how it can benefit mental and behavioral health assessment and management. This article describes the spirit, tasks, and skills of MI. Cases illustrate the application of MI to common presentations of mental health concerns in pediatric primary care. These examples provide concrete guidance on how to navigate barriers to applying MI and underscore how MI aligns with the unique opportunities and values of primary care, including longitudinal relationships, opportunities to partner with families in shared decision-making, and valuing culturally-responsive, patient-centered care.

Keywords

MeSH Term

Humans
Motivational Interviewing
Child
Pediatrics
Mental Disorders
Primary Health Care
Adolescent
Mental Health
Patient-Centered Care

Word Cloud

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