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Learning to Use the MITI (Version 4.2.1) for Coding and Coaching

How effectively are clinicians using Motivational Interviewing (MI)? The Motivational Interviewing Treatment Integrity (MITI) Version 4.2.1 behavioral coding system provides answers to this question. The MITI also yields feedback that can be used to increase clinical skill in the practice of MI. The MITI is intended to be used as a:

  1. Treatment integrity measure for clinical trials of Motivational Interviewing
  2. Means of providing structured, formal feedback about ways to improve MI practice in non-research settings
  3. Component of selection criteria for training and hiring

Participants will engage in learning through webcasts, written materials, videos, audio recordings, exercises, and practice opportunities. Course instructors are experienced members of the Motivational Interviewing Network of Trainers (MINT). 

Meet the Instructors

Ali Hall, Motivational Interviewing Network TrainerAli Hall, JD, is a member of the Motivational Interviewing Network of Trainers (MINT), and served as Lead Trainer for the MINT's International Training for New Trainers (TNT) in Berlin in 2015. Ali works full time as an independent consultant and trainer, and has designed and over 1200 Motivational Interviewing workshops for health care practitioners, behavioral health clinicians, psychologists, psychiatrists, and criminal/juvenile justice professionals, and provides training for trainers in evidence-based practices. Ali offers MI coding and skill development coaching, and provides consultation to systems for effective MI implementation. 


Jennfer Frey, Motivational Interviewing Network Trainer

Jennifer Frey, PhD, has provided training, coaching, and feedback in MI since 1996 and has been a member of the Motivational Interviewing Network of Trainers since 1998. She served as a Trainer Support for the 2018 International MINT Training for New Trainers (TNT). She has also served on the faculty of Yale University where she was responsible for implementing Motivational Interviewing on psychotherapy research projects and in community-based settings. Over the past 20 years, she has consulted with governmental and community-based organizations on developing proficiency in MI through the use of treatment integrity scales (e.g. MITI 4.2.1). She works with practitioners specializing in a wide variety of areas (e.g., medical services, addiction services, mental health services, community-based services, home based services, homeless outreach, intensive case management, adult and juvenile justice, early childhood education, student mentoring).



  • Week 1: The MITI 4.2.1: Nuts and Bolts
  • Week 2: Applying the MITI 4.2.1: An Effective Motivational Conversation 
  • Week 3: Applying the MITI 4.2.1: An Ineffective Motivational Conversation
  • Week 4: Applying the MITI 4.2.1 for Coding and Coaching: Moving Toward an Effective Motivational Conversation
  • Week 5: Coding and Coaching: Using a Sentence Stem Format



Participants may earn a Certificate of Course Completion* by:

  1. Attending all five, live webcasts (or watching the entire recording for each live session) and completing all required learning activities, including at least 80% agreement on results of final assignment;
  2. Scoring higher than 80% on each weekly quiz, and
  3. Completing the course evaluation form and the certificate request form.

10 hours of continuing education credit will be awarded upon completion of this course through NAADAC. 6 hours of continuing education credit will be awarded upon completion of this course through NBCC and ASWB. Certificates of Course Completion will be emailed directly to requesting participants roughly two weeks after the successful completion of the final webcast.

* Please note that a certificate of course completion is not a certification of proficiency in MI or MITI coding or coaching, and is not intended by t3 or the instructors to be represented as such. Currently, neither the Motivational Interviewing Network of Trainers (MINT) nor its members/ contracting organizations can confer a certification of MI practitioner or coder competence or proficiency.

It is strongly recommended that you obtain additional resources following this course, including cultivating involvement in a skilled coding community, and identify a thoughtful protocol for establishing sustainable coding consistency prior to coding and coaching for the purposes of research and/or providing clinical supervision and coaching in the MI or MITI models. 


If you need accommodations for disability, please contact t3’s Managing Director, Rachel Ehly,



If you would like to report a complaint, please email Ken Kraybill, t3 Director of Training,; or t3 Managing Director, Rachel Ehly,


Center for Social Innovation, Provider #1457, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education ACE) program. The Center for Social Innovation maintains responsibility for the program. ASWB Approval Period: 10/17/2016 to 10/17/2020. Social workers should contact their regulatory board to determine course approval. Social workers participating in this course will receive 6 continuing education clock hours.

Center for Social Innovation has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6576. Programs that do not qualify for NBCC credit are clearly identified. The Center for Social Innovation is solely responsible for all aspects of the programs.

This course has been approved by the Center for Social Innovation, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #100990, The Center for Social Innovation is responsible for all aspects of their programming.