Stages of Change Flashcards
Precontemplation
Client is not yet considering, unwilling or unable to change.
Contemplation
Client acknowledges concerns and is considering the possibility of change, but is ambivalent and uncertain.
Preparation
Client is committed to and planning to make a change in the near future, but is still considering what to do.
Action
Client is actively taking steps to change, but has not yet reached a stable state.
Maintenance
Client has achieved initial goals such as abstinence and is now working to maintain gains.
Recurrence
Client has experienced a recurrence of symptoms and must now cope with consequences and decide what to do next.
Establish rapport, ask permission and build trust.
Precontemplation
Express concern and keep the door open.
Precontemplation
Raise doubts or concerns in the client about substance using patterns.
Precontemplation
Exploring the meaning of events that brought the client to treatment or the results of previous treatments.
Precontemplation
Eliciting the clients perceptions of the problem.
Precontemplation
Offering factual information about the risks of substance use.
Precontemplation
Providing personalized feedback about assessment findings.
Precontemplation
Exploring the pros and cons of substance use.
Precontemplation
Helping a significant other intervene.
Precontemplation
Examining discrepancies between the clients and others perceptions of the problem behavior.
Precontemplation
Normalizes ambivalence.
Contemplation
Help the client “tip the decisional balance scales” toward change.
Contemplation
Eliciting and weighing pros and cons of substance use and change.
Contemplation
Changing extrinsic to intrinsic motivation.
Contemplation
Examining the clients personal values in relation to change.
Contemplation
Emphasizing the clients free choice, responsibility and self-efficacy for change.
Contemplation
Elicit self-motivational statements of intent and commitment from the client.
Contemplation
Elicit ideas regarding the clients perceived self-efficacy and expectations regarding treatment.
Contemplation
Summarize self-motivational statements.
Contemplation
Clarify the clients own goals and strategies for change.
Preparation
Offer a menu of options for change or treatment.
Preparation
With permission, offer expertise and advice.
Preparation
Negotiate a change or treatment plan and behavior contract.
Preparation
Consider and lower barriers to change.
Preparation
Help the client enlist social support.
Preparation
Explore treatment expectancies and the clients role.
Preparation
Elicit from the client what has worked in the past either from him/her or others whom he knows.
Preparation
Assist the client to negotiate finances, child care, work, transportation or other potential barriers.
Preparation
Have the client publicly announce plans to change.
Preparation
Engage the client in treatment and reinforce the importance of remaining in recovery.
Action
Support a realistic view of change through small steps.
Action
Acknowledge difficulties for the client in early stages of change.
Action
Help the client identify high-risk situations through a functional analysis and develop appropriate coping strategies to overcome these.
Action
Assist the client in finding new reinforcers of positive change.
Action
Help the client assess whether he/she has strong family and social support.
Action
Help the client identify and sample drug free sources of pleasure.
Maintenance
Support lifestyle changes.
Maintenance
Affirm the clients resolve and self-efficacy.
Maintenance
Help the client practice and use new coping strategies to avoid a return to use.
Maintenance
Maintain supportive contact.
Maintenance
Develop a “fire escape” plan if the client resumes substance use.
Maintenance
Review long-term goals with the client.
Maintenance
Help the client reenter the change cycle and commend any willingness to reconsider positive change.
Recurrence
Explore the meaning and reality of the recurrence as a learning opportunity.
Recurrence
Assist the client in finding alternative coping strategies.
Recurrence
Maintain supportive contact.
Recurrence
