Motivational Care Management

Motivational Care Management (MCM) is a Trauma-Informed model of care that integrates Motivational Interviewing, Strength Based Case Management, culturally relevant assessment, the implementation of outcome measurement and client-centered care planning. The model aims at engaging innate resilience, targeting better outcomes and improving quality of life for those who are being served and reduced compassion fatigue for those providing care.

MCM in the Community

St. Vincent de Paul Society of San Francisco implemented MCM at two sites (Multi-Service Center and Riley Center) in partnership with Felton Institute. After merely 6 months, the professional quality of life among staff and managers improved greatly in terms of the decrease in secondary traumatic stress level, reduction in professional burnout, and increase in compassion satisfaction. Meanwhile, the clients at Riley Center reported a much higher level of satisfaction towards the service provided. Clients generally felt more welcomed and respected. Their stress level had decreased. Staff had successfully empowered their clients to make positive changes and improve their quality of life.

What is the curriculum?

MCM Training begins with an introduction to the model via our online coursework, which corresponds to the MCM Manual. The online training provides and introduction to the principles of MCM, along with interactive quizzes along the way, while the manual includes in depth theoretical and practical information about MCM, as well as activities intended to enhance the learning experience.

MCM ManualMCM Manual

The MCM Manual was developed to accompany the MCM Online curriculum. The manual includes in depth theoretical and practical information about MCM, as well as interactive activities intended to enhance the learning experience.

MCM 100: Introduction to Motivational Care Management

MCM 101: Skills for Engagement
Module 1: Setting Up Success from the Start
Module 2: Trauma Focused Communication Skills for On-Going Engagement
Module 3: Honoring and Exploring Culture

MCM 102: Whole Person Assessment to Support Resiliency
Module 1: Soliciting the Whole Person History
Module 2: Completing the Whole Person Assessment
Module 3: Presenting and Clarifying Assessment Information

MCM 103: MCM Client Centered Care Planning
Module 1: Preparing for the Care Journey
Module 2: Creating a Successful Care Plan
Module 3: The Living Care Plan

MCM 104: Implementing Services
Module 1: Resourcing and Advocating for Resilience
Module 2: Selecting Effective Interventions
Module 3: Coordinating and Monitoring Services Throughout Care

The Importance of Coaching

“…just after we had talked about the engagement process in coaching … I stopped and engaged a participant and didn’t hold to … I need to fill out these forms, but I got all the information that I needed … she opened up and it was really remarkable experience… the engagement piece and the cultural pieces are so rich and so rewarding. Its’ been very helpful to me. I’ve been using the model and it works for me”

MCM Care Manager

The Substance Abuse and Mental Health Services Administration (SAMHSA) website presents coaching as one of the “Core Components of Implementation” of a successful EBP. Coaching is one of the most important steps in implementing a successful MCM Practice. The SAMHSA website,, reads:

"Implementation of evidence-based practices and programs requires behavior change at the practitioner, supervisory, and administrative support levels. Training and coaching are the principle ways in which behavior change is brought about for selected staff in the beginning stages of implementation and throughout the process of evidence-based practices and programs."

Ongoing coaching presents the opportunity to continue building skills and knowledge of a practice through the best way research has shown: personalized, individual feedback, coaching, and supervision.

Implementation to Fidelity

This refers to practicing and holding the model as it is designed to be practiced. The model is designed to be flexible and to adopt to the nuance of community based organizations and funding demands. The MCM Manual provides samples of key components of the model that are adopted and then monitored in a way that integrates into the existing flow of requirements within the organization. These components are then trained on and integrated into existing care plans and held to fidelity on the ground by supervisors, and or key staff.

How much does it cost?

Please click to contact Felton Institute for more information.