Motivational Interviewing (MI) in healthcare and FQHCs
Make the patient's questions and priorities part of conversations about health choices, care information and follow-through.
The care task and the patient's concern meet here.
A brief visit may involve a health goal, a confusing referral or a question the patient has not yet asked. Practice identifying what would be useful, sharing what is known and clarifying who can answer what remains uncertain.
When a health change is the focus, draw out the patient's reasons and ideas. When the purpose is understanding care or navigating support, practice a two-way exchange that makes information usable and leaves room for questions.
What is Motivational Interviewing?
Motivational Interviewing (MI) is a collaborative, goal-oriented way of talking that helps people explore and strengthen their own motivation for change. Careful listening, shared focus and respect for choice guide the conversation. These skills also help when the immediate task is to understand a concern, explain information or agree what happens next.
BECOMING WITHIN YOUR WORK
Bring professional clarity to a person’s health goals.
Your role may be coaching, care navigation or another part of a healthcare team. Practice making that role understandable, hearing the person’s priorities and knowing when a question needs another professional’s contribution. Your own capacity and support matter in this work, too.
A question to carry into practice What can I usefully offer in my role, and whose expertise could help with what remains?
Explore professional identity and practice resources
National Board for Health & Wellness Coaching (NBHWC) · Credentialing organization
For health-coaching roles, explore the contribution of a coach and how it relates to the wider healthcare team.
Explore the resources that fit your role, alongside your organization’s guidance and local credentialing requirements. These independent resources are offered for learning; their inclusion does not imply affiliation or endorsement.
CONVERSATIONS YOU CAN PRACTICE
Bring the realities of your work.
01
Make room for the patient's question
Help the person clarify what they want to ask at a care visit.
02
Explore a health change
Listen for what matters to the person about smoking and their own reasons to consider a change.
03
Clarify the purpose of a referral
Discuss the information available and identify who can answer the remaining questions.
04
Explore a workable health goal
Understand how activity fits the person's day and what they would like to try.
The daily conversation rotates within your field. Additional conversation choices depend on your account's access.
FROM PRACTICE TO YOUR NEXT CONVERSATION
A few minutes today. Something to try tomorrow.
Have a short back-and-forth with a fictional partner. Get specific feedback on your responses, choose something to try next, and return to your saved conversations as you develop.
Reflect on how time pressure shapes your response. Choose one way to hear the patient's priority while attending to the purpose of the visit.
Becoming MI connects daily practice with the person and professional you want to become. Try a response, consider feedback, and carry something useful into your next conversation.
Your whole well-being belongs here.
Your values, responsibilities and well-being meet in your work. We make room for that whole experience, including the resources and support you need.