Chapter 7 - Treatment Flashcards
What types of skills training are included in treatment for addiction?
- relaxation skills
- stress management
- assertiveness skills
- affect regulation skills
- coping skills
- relapse prevention strategies
also important to seek support!
- strengthen existing support
- build new supports
- scaffolding (self reg. and control)
definition of motivational interviewing
a collaborative communication used to strengthen a person’s desire to change. Goal-oriented - commit to a specific goal by exploring the person’s reasons for change
4 processes of motivational interviewing
even foxes eat pepperoni
Engaging - helping them see what’s in it for them
Focusing - finding targets for change, respecting autonomy, don’t force change
Evoking - evoke ambivalence about change, reasons and strategies for it. evoke change talk
Planning - when client is ready to commit to change. evoke commitment talk and client’s ideas for change
motivational learning - spirit
apples attack cars everywhere
Acceptance
Autonomy
Compassion
Empathy
stages of change definition
- also called the transtheoretical model of behavior change
- used for recovery from chronic beh patterns. Stages are integrated w/ diff processes of change
- people can rapidly change between stages, even in span of a day
what are the stages of change? (just name)
precontemplation
contemplation
preparation
action
maintenance
precontemplation
does not recognize the need for change or is not actively considering change
this stage can be weaponized by healthcare providers - say they don’t want help, but don’t even give people resources
contemplation
recognizes problem and is considering change but not quite ready yet
- ex: I’m thinking about quitting smoking, it’s bad for my health
preparation/action
has initiated the change
- go to pharmacy for resources like nicotine patch
maintenance
is adjusting to change and practicing new skills and behaviors to sustain change
- some stay here, others leave treatment, relapse, etc
self-efficacy
the belief an individual has about their own capability to succeed in achieving their aims despite challenges
- beliefs can change as progression through stage occurs
meeting people where they’re at
assessment: how often/heavy is use, consequences, medical problems, previous quit attempts, social support, personal resources, motivation, etc
- give clients treatment options
- match intervention to stage of change
possible treatment goals
- changing pattern of use
- cut down on use in more controlled manner (harm reduction)
- stop using for a period of time before making decision (abstinence sampling)
- stop using regularly but can when have strong urge
- quit using altogether, but understand there may be some slip-ups
- quit using substance altogether and never use again
how to meet people where they’re at in each stage of change
- precontemplation: increase awareness for change
- contemplation: look at pros/cons of current beh
- preparation: inc commitment
- action: implement strategies for change
- maintenance: sustaining change across range of diff siutations
criticisms of stages of change
used in various healthcare fields but has criticisms because of arbitrary nature of time periods used to define each stage and that it doesn’t see complexity of human functioning
