What is motivational interviewing, and how is it used in VASAP case management?

• A. A client-centered approach to foster intrinsic motivation through open-ended questions, reflective listening, and collaborative goal setting to support behavior change.
• B. A directive counseling method that imposes goals on the client.
• C. A punitive strategy to force compliance with mandates.
• D. A pharmacological intervention to reduce cravings.

Answer: (C)

Motivational interviewing is a client-centered approach to foster intrinsic motivation for change by engaging clients in a collaborative conversation that respects their autonomy. It uses open-ended questions to explore values and concerns, reflective listening to show understanding, and collaborative goal setting to help the client articulate and own steps toward change. In VASAP case management, this approach fits because it invites participants to discuss the impact of their alcohol-related behavior, helps them explore ambivalence, and strengthens their motivation to reduce risk or comply with program requirements. By focusing on change talk and reducing resistance, it supports lasting behavior change without judgment or coercion.