Using and Measuring Motivational Interviewing in a New Setting: Experiences From a Project Highlighting Relationship-Building Skills in the Process of Recruiting New Staff

Relationship-building skills, with empathy and empathic abilities as crucial ingredients, are described as central in human service professions. These professions usually require training on relationship-building skills. However, in many professional groups, with support or care functions, rather than functions specifically oriented towards treatment, the level of education and training required varies.

Empathic skills are central in the concept of Motivational Interviewing (MI). It has been suggested that for the ethical reason that treatment staff should not harm clients, workplaces should assess staff members’ empathic skills and ability to refrain from harmful behaviours, and these capabilities should be investigated when recruiting new staff. In accordance with this suggestion, the residential homes at the Swedish National Board of Institutional Care (SiS), which provides compulsory care for young people, initiated a project to develop and trial a work test based on the concept of MI.

The aim of the article is to, based on 59 interviews with stakeholders in the SiS-project, add to the discussion on the balancing act required in evidence-based practise of maintaining psychometric stringency versus making contextual and situational adjustments. Focus is on exploring the possibilities for using and interpreting measures of MI in a new setting as well as the possibilities for assessing relationship-building skills in the recruitment process.

The results suggest that tinkering is often necessary when using standardised measures for complex skills like relationship building. The study proposes that a nuanced understanding of the method, measurement, and organisational context is essential even with well-established methods.