What is BAP-MI?
BAP-MI is a stepped-care 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 was developed, circa 2015-2020, by an informal consortium of MINT medical educators and other MI-trained medical faculty and tailored for pragmatic applicability into the emerging healthcare environment. Training initiatives (see Links & Downloads below) have been implemented at six 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 Addiction Medicine. Presentations, workshops, and courses on BAP and BAP-MI have been presented at several recent national meetings including the Annual Meetings of the American Psychiatric Association (2021, 2022, 2024), the Academy of Consultation-Liaison Psychiatry (2021), the MINT Forum (2020, 2021, 2023), the International Conference of Motivational Interviewing (ICMI, 2022), and the American College of Preventive Medicine (2024).
Enriching the MI Toolkit
The developers of this approach suggest that BAP-MI enriches the MI toolkit by offering:
- A pragmatic, direct path to support patient self-management and facilitate health behavior change for patients who are ready, or almost ready for action planning;
- For practitioners of MI, an evidence-informed, efficient, and flexible roadmap from Evocation into and through Planning; and
- For healthcare professionals in general, 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, and streamlined for efficient integration into the emerging healthcare environment.
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.
Links & Downloads
- BAP-MI: MI with a Twist? Mint Forum 2023 (PDF 3MB)
- Using motivational interviewing and brief action planning for adopting and maintaining positive health behaviors, Progress in Cardiovascular Diseases 2023 (PDF 3MB)
- BAP-MI: A Novel Stepped-Care Integration of Brief Action Planning (BAP) and Motivational Interviewing (MI) to Optimize Outcomes, AJPM FOCUS 2023 (PDF 1MB)
- BAP-MI: A Stepped-Care Approach to Health Behavior Change, MINT Forum 2021 (PDF 3MB)
- BAP-MI: A Stepped-Care Approach to Health Behavior Change for Consultation-Liaison Psychiatry, ACLP 2021 (PDF 15MB)
- Teaching and Evaluating BAP-MI, ICMI 2022 (4MB)
- MI (BAP) in Addiction Medicine, FOCUS 2011 (300KB)
Mr. Vanguard
Sometimes, BAP “bookends” MI on both sides. We begin with a BAP probe (Question One), uncover hesitancy/ambivalence and introduce MI skills. We return to a BAP probe when it appears patient may be more ready for action planning.
Mr. Stabler
Sometimes, it is may not be clinically appropriate to begin with a BAP probe. In those cases of clear ambivalence, we generally choose to begin with MI skills, introducing a BAP probe (Question One) when it appears patient may be ready for action planning. Click below to watch the video of Mr. Stabler or review the Denise Ernst Gold Standard MITI Coding.
Mr. Dowd
Sometimes, it is may not be clinically appropriate to begin with a BAP probe. In those cases of clear ambivalence, we generally choose to begin with MI skills, introducing a BAP probe (Question One) when it appears patient may be ready for action planning.
ZOOM Presentation on BAP-MI
Click to watch the portion of this presentation (starts at 33:43) focusing on BAP-MI.
BAP-MI: Symposium, ICMI 2022
BAP-MI: Symposium at ICMI (6th International Conference on Motivational Interviewing)
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