Stages Of Change Flashcards
What is pre contemplation?
The user is not considering change, is aware of few negative consequences, and is unlikely to take action soon; “ignorance is bliss”, “sobriety is for quitters”
What are the stages of change?
Pre contemplation, contemplation, preparation, action, maintenance , relapse
What is contemplation?
The user is aware of some pros and cons of substance abuse but feels ambivalent about change. This user is on the fence
What is preparation stage?
This stage begins once the user had decided to change and begins to plan steps toward recovery ; proper preparation prevents poor performance
What is the action stage?
The user tries new behaviors, but these are not yet stable. This stage involves the first active steps toward change.
What is maintenance stage?
The user establishes new behaviors in a long term basis; they are able to maintain the new status quo with increased confidence
What is relapse stage?
The client has experienced a recurrence of symptoms and must now cope with consequences and decide what to do next; SLIP
What treatment is needed for pre contemplation?
Linking problems and potential problems with substance use; educate on negative consequences of SA
What treatment is needed for contemplation stage?
Explore feelings about ambivalence and the conflicts between her SA and personal values; increase awareness of consequences and benefits of decreasing use
What treatment is needed for preparation stage?
Work on strengthening commitment ; options of txtment and help plan how to go about seeking txt
What treatment is needed for action plan?
Work on skills to maintain sobriety ; acknowledge accompanied feelings and experience as normal part of recovery
What treatment is needed for maintenance stage?
Needs help with relapse prevention; reassure, evaluate present actions and redefine long term sobriety maintenance plans
What treatment is needed for relapse stage?
Explore what can be learns from the relapse; emphasize effort; support self efficacy
What is the recovering model?
Recovery from alcohol and drug problems is a process of change through which an individual achieves abstinence and improved health, wellness, and quality of life
What are the 10 guided principles of the recovery model?
Person driven, many pathways, holistic, peer support , relational, culture, addresses trauma, strengths/responsibility, respect, and hope
What is substance Use disorders?
A problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by atleast 2 or more of the following occurring within a 12 month period
What are the symptoms of substance use disorders?
Loss of control. Lifestyle, craving,
Unable to cut Dow, unable to fulfill roles, interpersonal issues, isolation, endangerment, disregard health impact, tolerance, withdrawal
What are the severity specifier for SUD?
2-3 mild disorder
4-5 moderate
6 or more severe
What is considered a remission?
Early: 3-11 months
Sustained: 12+ months
In a controlled environment
What is substance/medication Induced anxiety disorder?
A. Panic attack in predominant in clinical pic
B. sxs occur during or after intoxication/withdrawal or after med exposure
C. Not explained by anxiety disorder
D. Disturbance does not occur durin delirium
E. causes impairment
During substance use assessments what should u consider?
Engage the client No wrong door Clinical eye Agency specific Exam worthy
How does the stages of change model impacts treatment?
Clarify their thinking Challenge assumptions What is the evidenced rove for alternatives Implications Question the question
What is MI?
MI is a collaborative, person-centered form of guiding to elicit and strengthen motivation for change
Foundations of MI?
MI concepts
MI spirit
Change talk
OARS
