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Motivational interviewing (MI): The four processes (Level 1: Part 2)



Blended learning with a 1-day Motivational Interviewing Clinic


Dates: TBD


This course is based on the four-process model of motivational interviewing based on the book, Motivational Interviewing: Helping People Change (Third edition, 2013). It prepares practitioners to implement the four-process model in diverse practice settings.​ 



This course is appropriate for health care practitioners, allied health care and peer support workers with direct client care responsibilities, who provide conversation/consultation about behavioral changes across a range of health-related issues.


Upon successful completion of  this course participants will be able to:
  •  ​discuss and critique each component of the MI four-process model  from the perspective of the client as well as the practitioner.
  • use OARS skills (open questions, affirmations, reflective statements, and summaries) to identify and explore issues to be addressed in a patient encounter, including the patient’s context and preferences
  • describe and differentiate the concepts of,  “change talk”, “sustain talk” and “discord”.
  • apply knowledge of the therapeutic strategies used in the evoking process of MI in their practice setting.
  • elicit, reinforce and respond to change talk and commitment language in a style consistent with MI in  patient consultation sessions.
  • apply six strategies to respond to sustain talk in a style consistent with MI in  patient consultation sessions.
  • apply four strategies to respond to discord in a style consistent with MI in  patient consultation sessions.
  • articulate and describe six signs of readiness for the transition of moving from the evoking process to the planning process.
  • analyze practice experience, identify practice gaps and implement changes to ensure performance improvement in the four processes of MI. ​



This course offers 35 hours of mixed mode learning, and combines four interactive online modules with 1-day motivational intervieiwng treatment development clinic and a  practice-based individual learning component.

Module titles

  •  The engaging and focusing processes
  • The evoking process
  • Responding to sustain talk and discord
  • The planning process
  • 1-day motivational interviewing treatment development clinic (Toronto)
  • Reinforcement of learning​ 



  •  ​It is expected that participants will have prior experience in counselling and clinical communication skills. The program will not teach basic counselling and therapy skills
  • Participants will also have completed introductory level training in the method and spirit of MI.​ 



Prior learning assessment and recognition (PLAR):

  • To discuss PLAR options, please contact


The course is led by CAMH staff members from diverse disciplines in health care, and who are members of the Motivational Interviewing Network of Trainers (MINT), an international collective of trainers in MI.

Cost: $795


This Group Learning program meets the certification criteria of the


  • College of Family Physicians of Canada and has been certified by Continuing Professional Development, Faculty of Medicine, University of Toronto for up to 38.5 Mainpro+ credits.
  • Royal College of Physicians and Surgeons of Canada –Section 1: approved by Continuing Professional Development, Faculty of Medicine, University of Toronto for 38.5 Section 1 Credits
  • Canadian Counselling and Psychotherapy Association: 34 continuing education hours
  • ​Canadian Addiction Counsellors Certification Federation: 34 continuing education hours
  • The Ontario Association of Consultants, Counsellors, Psychometrists and Psychotherapists (OACCPP): 35 continuing education hours/credits​​




This course is held under the auspices of the:

  • Office of Continuing Education and Professional Development, Faculty of Medicine, University of Toronto
  • Centre for Addiction and Mental Health (CAMH) in Toronto, Ontario



  • Sandra Bennett ( or
  • Tel: 416-535-8501 Ext. 36732
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