What is BAP-MI?

ADVANCED SKILLS

BAP-MI is a stepped-care (advanced skills) integration of evidence-informed skills from BAP (Brief Action Planning)  and MI (Motivational Interviewing) to support patient self-management and facilitate health behavior change.

Background & Overview

BAP-MI Development & Implementation

BAP-MI, an advanced skills integration of concepts and skills of both Brief Action Planning (BAP) and Motivational Interviewing (MI),  was developed, circa 2015-2020, by Steven Cole, with contributing support from many MINT and other MI-trained clinician-educators (see acknowledgements below).  BAP-MI was designed  to increase accessibility, acceptability, and adaptability for versatile application and effectiveness across levels of expertise and disciplines in the emerging healthcare environment. Training initiatives have been implemented at more than ten academic medical centers, including programs for medical students, residents in Internal Medicine, Primary Care Internal Medicine, Preventive Medicine, and Psychiatry, as well as Fellows in Geriatric Medicine and Addiction Medicine.*

Enriching the MI Toolkit

The developers of this approach suggest that BAP-MI enriches the MI toolkit by offering:

  1. A pragmatic, direct path to support patient self-management and facilitate health behavior change for patients who are ready, or nearly ready for action planning;
  2. For practitioners of MI, BAP operates as an evidence-informed, efficient, directional, and flexible roadmap from Evocation into and through Planning; and
  3. For healthcare professionals in general, BAP-MI describes a coherent set of stepped-care concepts and evidence-informed skills to support patient self-management and facilitate health behavior change, fully consistent with MI across the full spectrum of patient readiness for change.

Metaphor: BAP Can “Bookend” MI

BAP and MI are two evidenced-based approaches to health behavior change, which can be used independently or used together synergistically for efficiency.

  • Sometimes BAP is sufficient for change.
  • Sometimes, BAP-MI begins with MI and concludes with selected skills of BAP.
  • Sometimes selected skills of BAP literally “bookends” targeted MI interventions.

bookend

Sometimes BAP is sufficient for change.

Bookend one side

Sometimes, BAP-MI begins with MI and concludes with selected skills of BAP.

bookends

Sometimes selected skills of BAP (“A” and “Z”) literally “bookends” targeted MI interventions.

BAP-MI Resources

Publications Presentations Demonstration Videos Tools Online Courses

*Acknowledgements for contributions to the development of BAP-MI: Taranjeet Ahuja, Denise Ernst, Richard Frankel, Deirdra Frum-Vassallo, Damara Gutnick, Ali Hall, Katherine Hartlieb, Yuri Jadotte, Bob Jope, Hillary Logan, Igor Koutsenok, Milos Rankovic, Camila Romero, Deepa Sannidhi, Kelley Skeff, Roy Stein, Joseph Weiner