Is MI Right for Your Role? Understanding When and How Motivational Interviewing Fits

Is MI Right for Your Role? Understanding When and How Motivational Interviewing Fits

“Does Motivational Interviewing (MI) work with autistic clients?”
“Can it be used in suicide prevention, youth programs, or with brain-injured clients?”

As a trainer, I hear these questions all the time. My short answer is almost always: yes. And here’s why.

When we ask whether MI is “right” for a role, we’re really asking: does it fit the needs of the people I serve?

MI is especially effective for people who feel stuck, uncertain, or ambivalent about making changes. Rather than pushing or directing, it invites them to explore their own motivations in a respectful, supportive way.

At its core, MI is built on four values:

    • Compassion
    • Acceptance
    • Partnership
    • Evocation
Values in MI Miller&Rollnick 4th edition

Because of these principles, MI is considered safe and appropriate across many populations and professions. Read more about when to use MI.

It’s also a well-researched and flexible approach. Studies show its effectiveness in fields such as mental health, addiction, social work, healthcare, education, probation, coaching, and more. Professionals consistently report that MI improves both engagement and outcomes.

Rooted in collaboration and empathy, MI is a valuable addition to any professional’s toolbox, particularly for those supporting people through change and growth. It is also flexible: MI can be used in brief encounters (like a 10-minute conversation) or integrated into long-term therapeutic relationships. It complements other evidence-based practices like CBT, DBT, and trauma-informed care, enhancing their impact through a more collaborative and client-centered lens.

In the latest edition of Motivational Interviewing: Helping People Change and Grow, authors William R. Miller and Stephen Rollnick emphasize that when MI is applied with fidelity to its spirit and principles, it generally leads to better client outcomes.

When MI Shines

MI is at its best when people are ambivalent about change. It helps them weigh options, clarify values, and move toward decisions that feel authentic and sustainable.

When MI Plays a Smaller Role

If someone is already highly motivated, you don’t need to “dig” for motivation. In those cases, MI skills shift naturally toward planning, goal-setting, and action, still respecting the person’s autonomy while supporting progress.

Not Just for Therapists

One of the biggest myths about MI is that it’s “just for counselors.” In reality, it’s used successfully by:

  • Nurses and healthcare workers
  • Educators
  • Social workers
  • Probation officers
  • Peer supporters
  • Coaches and mentors

In all these roles, MI helps professionals build trust, spark insight, and support decisions that stick.

Start Small, Right Where You Are

For those exploring MI in their professional roles, I encourage curiosity and experimentation. Your existing expertise puts you in the ideal position to recognize where MI can enhance your practice—whether that’s building stronger rapport, addressing ambivalence, or navigating complex change conversations.

Try exploring the Spirit of MI and practice simple micro-skills like Ask-Offer-Ask, a collaborative way to share information while respecting autonomy. Learn more about the Ask-Offer-Ask tool.

You could:

  • Talk to colleagues about how MI might fit into your work
  • Organize a book club around an MI resource
  • Listen to the Talking to Change podcast for practical examples (Talking to Change on Spotify)
  • Sign up for Practice and Feedback calls or join free monthly MI Practice and Feedback calls with CCMI

Even small steps can start to reshape conversations in powerful ways.

If you’d like to bring MI into your role, CCMI offers resources and training at every stage of learning.

Whether you’re supporting change in healthcare, education, social work, or another field, MI can help you create more meaningful, effective, and lasting impact. Our diverse range of programs is designed to help professionals build practical skills that lead to more effective engagement and lasting change. Let us help you integrate this powerful approach into your work.

Sebastien Payan

Master Trainer, Materials Developer, Subject Matter Expert, Trainer


Sebastien is a Vancouver-based nurse, educator, and addiction specialist known for his commitment to person-centered care and Motivational Interviewing. He works at Vancouver Coastal Health and is a strong advocate for including people with lived and living experience in shaping services. A MINT member with a Master’s in Addiction and Public Health, he trains professionals across Canada to improve how they support clients.
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