Motivational Interviewing - Coach Rating Scale


We're already trained in MI. Why do we need to monitor fidelity?

Evidence-based interventions like MI only work when delivered with fidelity. Fidelity refers not only to adherence to the implementation plan but also to the critically important provider competency in program delivery. Measuring competency is critical for outcomes assessment as well as ongoing quality assurance and feedback.


  • Delivering MI with fidelity can be hard for many providers and an initial workshop is only the first step     
  • A system of ongoing coaching and feedback is necessary to improve and maintain provider skills and reinforce self-efficacy
  • In-person coaching can be costly and available videos are outdated, focus on a restricted range of behaviors, or do not include minority clients or providers
  • Most measures of MI competency are costly or difficult to integrate into routine practice
  • Agencies need cost-effective outcomes assessment
  • Most measures of MI competency were not developed with ethnic minority populations, with adolescents, or with families

Why the MI-CRS?

  • BCC uses the MI-Coach Rating Scale©, developed with rigorous research methods by Dr. Sylvie Naar, a leader in MI research and implementation. The MI-CRS© is licensed exclusively to BCC by Florida State University. (see Naar-King, S. & Safren, S. (2017). Motivational Interviewing and CBT. New York: Guilford Press)
  • The MI-CRS© is a 12-item measure of provider MI competence including a collaborative stance, autonomy support, open questions to elicit motivational language (change talk), reflections of change talk, affirmations and summaries     
  • BCC can assess staff competency or we can train your agency to use the MI-CRS© yourselves
  • Scoring is automated and yields a written feedback report, highlighting strengths and areas for improvement and embedding video clips for skill observation and state-of the-art video learning      
  • The MI-CRS© was developed for multiple behaviors, contexts  and populations including ethnic, sexual and gender minorities and adolescents, young adults, and families