Case Studies
When state agencies and public systems partner with experienced consultants for motivational interviewing, the results are measurable. The case studies below reflect what structured, fidelity-based implementation looks like in practice — across workforce systems, behavioral health, and crisis response. If you’re considering motivational interviewing as part of an RHTP grant or as part of your ongoing quality improvement, these outcomes show what’s possible when implementation is done with consistency and support.
Motivational Interviewing Used Across State Systems
Washington State DSHS Increased program participation and completion rates Reduced sanctions and barriers to engagement Shortened program duration Improved employment outcomes and income gains Strengthened staff confidence and reduced stress…
Motivational Interviewing Implementation at Scale
Washington State Devision of Vocational Rehabilitation Eliminated a waitlist of 14,000+ individuals Increased federal performance outcomes from 57% to 120% Achieved 77% productivity among MI-competent staff (vs. 52% statewide average)…
Successful Motivational Interviewing in Crisis Response
Spokane Police Department & Frontier Behavioral Health Zero use-of-force incidents among trained officers for six months Approximately 40% reduction in department-wide use-of-force incidents Shift from more complaints than commendations to…



