As described by Miller and Rollnick (2012) motivational interviewing is a clinical motive for reflecting a desire to help people change, although consideration should be given to people who are ambivalent to change, the challenge in itself is to understand both reasons to change and reasons not to change, if a person is ambivalent then they are on the road to change because they have the ability to reason. Nurses ensure when supporting the client that the environment and own personal feelings provide a level of comfort to which they become an active participant when in consultation. A core principle for nurses is to be supportive and embrace the individual to keep open a channel of communication, as engagement is a two way interactive process, which can encourage for a good outcome, (Sobell & Sobell …show more content…
For example as discussed by Bagoien et al (2013) the relevance between people acutely affected by a mental disorder and substance use have difficulty in changing, however as evidenced in trials within an inpatient psychiatric ward, motivational interviewing reduced the duration of stay for clients with short interventions. Consequently the term dual diagnosis is used to describe people affected by a mental disorder and substance use. The processes for MI explores the individual’s substance use and their ambivalence towards change, exploring their prior attempts to change gave clinicians opportunity to build on motivation for change and in some cases the challenge involved the individual’s patterns of substance use and readiness to commit to focus on change, (Bagoien et al