Abstract
Abstract Rehabilitation patients may be unprepared or reluctant to have assessment and treatment of depression and anxiety as part of their medical rehabilitation program. Therefore, this chapter focuses on the use of motivational interviewing (MI) to facilitate acceptance of mental health screening, assessment, and treatment within rehabilitation. Open questions and reflections as well as normalizing can be used to smoothly transition from the patient’s chief concerns to standard mental health screening and assessment. When treatment is indicated, strategies such as affirmations, importance–confidence rulers, and ask-offer-ask can improve willingness to accept mental health interventions. Finally, MI strategies can be used to improve mental health treatment outcomes. Pretreatment with MI can prepare people to engage more actively in mental health treatment. These strategies can be used as needed during treatment when adherence wanes. A third option is to infuse standard mental health treatment protocols with MI principles to enhance treatment outcomes.
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