Ep 42 – MI for people with Opioid Use and Stimulant Use Disorders
Ep 42 – MI for people with Opioid Use and Stimulant Use Disorders
Glenn Hinds Episode 42 – MI for people with opioid use disorder and stimulant use disorder
In this episode exploring MI for people with Opioid Use and Stimulant Use Disorders, Glenn and Sebastian warmly welcomed Roy Stein, MD to the podcast. Roy received his MD degree from Duke Medical School in Durham, NC, followed by medical internship at Dartmouth-Hitchcock Medical Center in Hanover, NH and
psychiatry residency at Duke. He is a Clinical Professor of Psychiatry in the UNC School of Medicine, working in the addiction treatment clinic and Addiction Medicine fellowship program. Before moving to UNC, Roy directed the Substance Use Disorders treatment program at the Durham VA Health Care System. He is Associate Professor Emeritus in the Department of Psychiatry and Behavioral Sciences at Duke. He is board-certified in general and addiction psychiatry, and is a member of the Motivational Interviewing Network of Trainers. He served for almost 10 years as a consultant and trainer in the VA’S national MI/MET training initiative. He enjoys playing guitar, reading novels, gardening, and being a grandfather.
Motivational Interviewing for opioid and stimulant use disorders
Roy explores how Motivational Interviewing can support people experiencing opioid and stimulant use disorders. The discussion considers the role of MI spirit, medication treatment, harm reduction and the challenge of helping when a person is engaging in behaviour that may carry a serious risk of harm.
A key theme is managing the fixing reflex while maintaining compassion and professional responsibility. Roy also discusses focusing, adaptations of MI for stimulant use and reducing practitioner burnout. These themes connect with the Fixing Reflex, Focusing and Compassion.
In this episode
0:00 – Opening/introduction
2:00 – Roy’s early philosophical, theoretical, and early MI influences
18:45 – Opioids and Stimulants: Definitions, characteristics, challenges, and medication treatment options
30:00 – Role of MI Spirit
38:45 – Helping people who engage in potentially lethal behavior: Managing the “righting reflex” and reducing risk for burnout
48:45 – Focusing and the role of harm reduction for opioid use disorders
54:50 – Adaptations of MI for stimulant use disorders
57:45 – Medication Assisted Treatment (MAT)
1:02:45 – Roy’s evolving career, the joys of grand-parenting, and baking
1:09:10 – End of recording
Links and contact information:
Email: roy_stein@med.unc.edu
For suggestions, questions and to enquire about training in Motivational Interviewing contact Glenn & Sebastian
Email: podcast@glennhinds.com
Glenn: glenn@glennhinds.com
Sebastian: sebkaplan34@gmail.com
BlueSky:
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