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Drug and Alcohol > Stages of Change > Flashcards

Stages of Change Flashcards

1
Q

Precontemplation

A

Client is not yet considering, unwilling or unable to change.

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2
Q

Contemplation

A

Client acknowledges concerns and is considering the possibility of change, but is ambivalent and uncertain.

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3
Q

Preparation

A

Client is committed to and planning to make a change in the near future, but is still considering what to do.

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4
Q

Action

A

Client is actively taking steps to change, but has not yet reached a stable state.

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5
Q

Maintenance

A

Client has achieved initial goals such as abstinence and is now working to maintain gains.

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6
Q

Recurrence

A

Client has experienced a recurrence of symptoms and must now cope with consequences and decide what to do next.

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7
Q

Establish rapport, ask permission and build trust.

A

Precontemplation

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8
Q

Express concern and keep the door open.

A

Precontemplation

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9
Q

Raise doubts or concerns in the client about substance using patterns.

A

Precontemplation

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10
Q

Exploring the meaning of events that brought the client to treatment or the results of previous treatments.

A

Precontemplation

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11
Q

Eliciting the clients perceptions of the problem.

A

Precontemplation

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12
Q

Offering factual information about the risks of substance use.

A

Precontemplation

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13
Q

Providing personalized feedback about assessment findings.

A

Precontemplation

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14
Q

Exploring the pros and cons of substance use.

A

Precontemplation

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15
Q

Helping a significant other intervene.

A

Precontemplation

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16
Q

Examining discrepancies between the clients and others perceptions of the problem behavior.

A

Precontemplation

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17
Q

Normalizes ambivalence.

A

Contemplation

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18
Q

Help the client “tip the decisional balance scales” toward change.

A

Contemplation

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19
Q

Eliciting and weighing pros and cons of substance use and change.

A

Contemplation

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20
Q

Changing extrinsic to intrinsic motivation.

A

Contemplation

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21
Q

Examining the clients personal values in relation to change.

A

Contemplation

22
Q

Emphasizing the clients free choice, responsibility and self-efficacy for change.

A

Contemplation

23
Q

Elicit self-motivational statements of intent and commitment from the client.

A

Contemplation

24
Q

Elicit ideas regarding the clients perceived self-efficacy and expectations regarding treatment.

A

Contemplation

25
Q

Summarize self-motivational statements.

A

Contemplation

26
Q

Clarify the clients own goals and strategies for change.

A

Preparation

27
Q

Offer a menu of options for change or treatment.

A

Preparation

28
Q

With permission, offer expertise and advice.

A

Preparation

29
Q

Negotiate a change or treatment plan and behavior contract.

A

Preparation

30
Q

Consider and lower barriers to change.

A

Preparation

31
Q

Help the client enlist social support.

A

Preparation

32
Q

Explore treatment expectancies and the clients role.

A

Preparation

33
Q

Elicit from the client what has worked in the past either from him/her or others whom he knows.

A

Preparation

34
Q

Assist the client to negotiate finances, child care, work, transportation or other potential barriers.

A

Preparation

35
Q

Have the client publicly announce plans to change.

A

Preparation

36
Q

Engage the client in treatment and reinforce the importance of remaining in recovery.

A

Action

37
Q

Support a realistic view of change through small steps.

A

Action

38
Q

Acknowledge difficulties for the client in early stages of change.

A

Action

39
Q

Help the client identify high-risk situations through a functional analysis and develop appropriate coping strategies to overcome these.

A

Action

40
Q

Assist the client in finding new reinforcers of positive change.

A

Action

41
Q

Help the client assess whether he/she has strong family and social support.

A

Action

42
Q

Help the client identify and sample drug free sources of pleasure.

A

Maintenance

43
Q

Support lifestyle changes.

A

Maintenance

44
Q

Affirm the clients resolve and self-efficacy.

A

Maintenance

45
Q

Help the client practice and use new coping strategies to avoid a return to use.

A

Maintenance

46
Q

Maintain supportive contact.

A

Maintenance

47
Q

Develop a “fire escape” plan if the client resumes substance use.

A

Maintenance

48
Q

Review long-term goals with the client.

A

Maintenance

49
Q

Help the client reenter the change cycle and commend any willingness to reconsider positive change.

A

Recurrence

50
Q

Explore the meaning and reality of the recurrence as a learning opportunity.

A

Recurrence

51
Q

Assist the client in finding alternative coping strategies.

A

Recurrence

52
Q

Maintain supportive contact.

A

Recurrence

Drug and Alcohol (1 decks)

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