Intro to Brief Intervention Flashcards

1
Q

What is SBIRT?

A

SCREENING all patients for early identification of substance use problems

BRIEF INTERVENTIONS for at risk patients using Motivational Interviewing principles and techniques to elicit their own motivation for change

Careful REFERRAL and “warm handoffs” to specialists for TREATMENT of high risk patients

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2
Q

Precontemplation

A

Not ready for change

  • not intending to take action in the forseeable future, not in the next 6 months
  • may be underinformed about consequences, &/or demoralized about their ability to change.
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3
Q

Contemplation

A

thinking about change

  • intend to change in the next 6 months
  • aware of reasons to change but also of the cons of changing, ambivalent and not ready for traditional action oriented change programs.
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4
Q

Preparation

A

getting ready to make change

  • intending to take action in the next month
  • they often have taken significant action in the last year and have a plan of action –> they are ready for assistance in changing.
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5
Q

Action

A

making the change

-they made modifications in their life-style in the last 6 months that is significant enough to reduce risk for disease. -Vigilance against relapse is critical.

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6
Q

Maintenance

A

sustaining the behavior change until integrated into lifestyle

-working to prevent relapse but they are less tempted and more confident that they can continue their change.

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7
Q

How far can a patient move through stage changes during a brief intervention?

A

only one stage change at most

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8
Q

Regression in stages of change

A

Regression to an earlier stage from any of the stages is common but often they do not go all the way back to precontemplation.

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9
Q

Processes of Change-Experiential

A
  1. Consciousness raising
  2. Dramatic relief
  3. Environmental re-evaluation
  4. Social liberation
  5. Self re-evaluation
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10
Q

Consciousness Raising

A

increased awareness of the causes, consequences and cures for a problem behavior.
–> Interventions include feedback, education, interpretation, respectful confrontation, bibliotherapy & media campaigns.

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11
Q

Dramatic Relief

A

increasing emotional experiences which will enable improved feelings if action is taken.
–> Psychodrama, role play, grief, personal testimony & media campaigns.

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12
Q

Environmental Re-evaluation

A

affective and cognitive assessments of how the behavior affects other people including the desire to be a role model.
–> Empathy training, documentaries, family interventions.

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13
Q

Social Liberation

A

increased opportunities or alternatives not previously available to the person.
–> Advocacy, policy changes health promotion for minority populations.

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14
Q

Self Re-evaluation

A

affective and cognitive assessments of ones own self-image with and without a particular unhealthy habit.
–>Healthy role models, values clarification and imagery.

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15
Q

Processes of Change-Behavioral

A
  • -> work best when person is in later stages of change
    1. Stimulus Control
    2. Helping Relationships
    3. Counter Conditioning
    4. Reinforcement Management
    5. Self Liberation
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16
Q

Stimulus Control

A

removes cues for unhealthy habits and adds prompts for healthier alternatives.
–> Avoidance, changing the environment & self help groups.

17
Q

Helping Relationships

A

caring support & acceptance.

–> Buddy systems, therapist relationships, rapport building.

18
Q

Counter Conditioning

A

learning healthy behaviors that can substitute for the problem behavior.
–> Relaxation can counter stress, assertion can counter peer pressure.

19
Q

Reinforcement Management

A

consequences for taking steps in a particular direction, usually rewards.
–> Contingency contracts, positive self statements, group recognition.

20
Q

Self Liberation

A

belief that you can change and choices in how to make that change.
–> Options for action choices, New Years resolutions, public testimony.