SBIRT for ED

Question 1

Consciousness Raising

Answer 1

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

–>most useful in early stages (Pre-contemplation and Contemplation)

Question 2

Dramatic Relief

Answer 2

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

–>most useful in early stages (Pre-contemplation and Contemplation)

Question 3

Environmental Reevaluation

Answer 3

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

–>most useful in early stages (Pre-contemplation and Contemplation)

Question 4

Social Liberation

Answer 4

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

–>most useful in early stages (Pre-contemplation and Contemplation)

Question 5

Self-reevaluation

Answer 5

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

–>most useful in early stages (Pre-contemplation and Contemplation)

Question 6

Stimulus Control

Answer 6

remove cues for unhealthy habits and add prompts for healthier alternatives, avoidance, changing the environment and self-help groups.

–>primarily behavioral and generally work best when the person is in the latter stages of change (Action and Maintenance).

Question 7

Helping Relationships

Answer 7

caring support and acceptance. Buddy systems, therapist relationships, rapport building.

–>primarily behavioral and generally work best when the person is in the latter stages of change (Action and Maintenance).

Question 8

Counter Conditioning

Answer 8

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

–> primarily behavioral and generally work best when the person is in the latter stages of change ( Action and Maintenance).

Question 9

Reinforcement Management

Answer 9

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

–>primarily behavioral and generally work best when the person is in the latter stages of change ( Action and Maintenance).

Question 10

Self-liberation

Answer 10

belief that you can change and choices in how to make that change. Options for behavioral choices like New Years’ resolutions public testimonies.

–>primarily behavioral and generally work best when the person is in the latter stages of change ( Action and Maintenance) .

Question 11

Standard Drink Size: beer or cooler

Answer 11

12 oz

Question 12

Standard Drink Size: malt liquor

Answer 12

8-9 oz

Question 13

Standard Drink Size: table wine

Answer 13

5 oz

Question 14

Standard Drink Size: fortified wine

Answer 14

3-4 oz

Question 15

Standard Drink Size: cordial, liquor, or aperitif

Answer 15

2-3 oz

Question 16

Standard Drink Size: brandy

Answer 16

1.5 oz

Question 17

Standard Drink Size: spirits

Answer 17

1.5 oz

Question 18

Karen Carpenter

Answer 18

She and her brother were the top best-selling American recording artists and performing musicians of the 1970s.

She battled w/ anorexia nervosa for 7 years - starving herself, using laxatives, drinking water, taking dozens of thyroid pills, and purging. Just as she was beginning to overcome the disorder, she died of complications at 32 years of age.

Question 19

What are SMART goals?

Answer 19

Specific
Measurable
Attainable
Realistic
Time limited

Question 20

For a patient in the preparation stage, how many of the 10 processes of change can you use depending on patient preferences and strengths?

Answer 20

Any of the 10 processes of change