Table 3.

Overview of Brief Motivational Intervention-Medication Therapy Management

Interventionist/ education	Overarching Intervention Component	Session Content
PharmD level pharmacist	Medication Therapy Management	Reviewing the opioid medication(s) being taken
		Discussing misuse screening results
		Exploring behaviors indicative of misuse (e.g., early refills, taking medications too often/higher dosages than prescribed)
		Identifying/documenting possible targets for adherence improvement.
	Brief Motivational Intervention	Facilitating a non-directive discussion regarding motivation to change
		Discussing importance/confidence to avoid misuse
		Assisting to resolve ambivalence towards eliminating misuse, and, if appropriate
		Referring to treatment, including but not limited to referral to Patient Navigation
Master’s level navigator	Patient Navigation and naloxone referral	Session 1: development of therapeutic alliance/rapport and goal setting.
		Sessions 2–3: identifying barriers and problem resolutions.
		Session 4: reviewing overdose prevention tool-kit and referring/directing to a naloxone prescription/training.
		Sessions 5–7: encouraging and reinforcing treatment adherence, reviewing and identifying other care needs, and offering linkages to service providers as applicable.
		Session8: examines continued challenges to self-care and goals and formulates plans to continue progress