1. Pre-contemplation 2. Contemplation 3. Preparation/Determination for change 4. Action/Willpower 5. Maintenance 6. Relapse

1. Refrain from use of mood and mind altering chemicals completely. 2. Focuses on individualized treatment plans, family involvement, and frequent use of groups meetings like AA/NA. 3. 90% of treatment is abstinence-based. 4. Disease model. No cure exists but recovery is possible.

Cultural Competence, Stages of Change, and Recovery Capital Flashcards by Delia Keen

Cultural Competence

Refers to an ability to interact effectively with people of different cultures.

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4 Components of Cultural Competence

An AWARENESS of one’s own cultural world view.
A POSITIVE ATTITUDE towards differences in cultures.
KNOWLEDGE of varying cultural practices and worldviews.
CROSS-CULTURAL skills

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Stages of Change

Pre-contemplation
Contemplation
Preparation/Determination for change
Action/Willpower
Maintenance
Relapse

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Stages of Change

Pre-contemplation

Not yet acknowledging that there is a problem.
Not thinking seriously about changing or any kind of help.
May get defensive if pressured to quit

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Stages of Change

Contemplation

Acknowledge that there is a problem but
Not yet ready to make a change or receive help
Can think about negative aspects of their behavior and positive aspects associated with giving up
Doubt that long term benefits of quitting will outweigh short term costs

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Stages of Change

Preparation/Determination

Commitment to make a change.
I’ve got to do something about this; this is serious. Something has to change

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Stages of Change

Action/Willpower

Changing behavior
Believe they have ability to change their behavior and are actively involved in taking steps to change using a variety of techniques

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Stages of Change

Maintenance

Maintaining the behavior change.
Involves being able to avoid any temptations to return to the bad habit.
Individuals in this stage tend to remind themselves of how much progress they have made.

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Stages of Change

Relapse

Returning to older behaviors and abandoning the new changes.
Most people will experience a relapse.
Often accompanied by feelings of discouragement and seeing oneself as a failure.

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Models of Addiction Treatment (2)

Abstinence model
Harm Reduction Model

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Abstinence Model

Refrain from use of mood and mind altering chemicals completely.
Focuses on individualized treatment plans, family involvement, and frequent use of groups meetings like AA/NA.
90% of treatment is abstinence-based.
Disease model. No cure exists but recovery is possible.

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Harm Reduction Model

*An approach for substance use treatment that involved a set of PRACTICAL TECHNIQUES that are openly NEGOTIATED with clients around what is most likely to be achieved.
*Focus is on reducing the negative consequences and risky behaviors of substance use.
*Continuum of safer drug use, to managed substance use, to abstinence.
*Relapse seen as “bump in the road”

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