MITI 4.2.1 Fidelity Coding Tool

MITI 4.2.1 is a practitioner-only Motivational Interviewing Treatment Integrity coding tool for supervisors, trainers, fidelity reviewers, and practitioners. It helps produce structured clinician-performance data about MI competence and adherence for review and improvement work.

Motivational interviewingAssessmentProgress review

Preview a sample coding record and performance summary.

Interested in using MITI 4.2.1 with clients? Request access now.

Tool guide

Learn more about this tool

Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.

Practitioner-only use

MITI 4.2.1 is for clinician-performance coding and fidelity review. It is not a client-facing assessment.

Draft and finalized states

Incomplete coding should remain clearly marked as draft and should not be included in finalized comparisons unless explicitly reviewed as draft.

Comparison behavior

Historical comparison is supported only when source-defined coding rules and version behavior allow meaningful comparison.

Is MITI 4.2.1 a client assessment?

No. MITI 4.2.1 produces structured clinician-performance data, not client assessment data.

Can the demo calculate final scores without all required fields?

No. Final derived scores should not be calculated when required source-defined coding fields are missing.

Can multiple coders code the same session?

Yes, coder-specific records should remain distinct unless a source-defined reconciliation process is supplied.

What is saved to my account?

The MITI 4.2.1 tool itself and selected supported setup are saved. Demo coding records and fictional session data are not saved as real records.