Transcript Slide 1
STAGES OF CHANGE PreContemplation Action Stages of Change PreContemplation PRE-CONTEMPLATION Characteristics • “No problem” • See no reason to change • Lack of awareness PreContem plation PRE-CONTEMPLATION Tasks of Change: PreContem plation • Information: Both factual and personal • Consider circumstances which indicate a need for change • Engagement of client, create positive relationship Stages of Change PreContemplation CONTEMPLATION Characteristics • • • • Ambivalence Fear of change Wishful thinking Interest in “the problem” CONTEMPLATION Tasks of Change • Examine the ambivalence • Weigh and consider alternatives • Examine “pros” and “cons” of particular actions Stages of Change PreContemplation PREPARATION Characteristics • Readiness to consciously engage in change process • Temporal imminence of change PREPARATION Tasks of Change • Gather information about options • Make initial contact Stages of Change PreContemplation Action ACTION Characteristic • Change in behaviour ACTION Tasks of Change • Understanding factors supporting the behaviour • Strategies which will support behavioural change • Communication with others Stages of Change PreContemplation Action MAINTENANCE Characteristics • Consolidation of changes • Need for support • Skills development MAINTENANCE Tasks of Change • Establish support system • Practice behavioural changes • Act on relapse prevention plans Stages of Change PreContemplation Action LAPSE/RELAPSE Characteristics • Initial return to use • Re-establishing previous pattern LAPSE/RELAPSE Tasks of Change • Reconnecting with supports • Examining and learning from lapse experience • Reviewing and modifying relapse prevention strategies EMPOWERMENT AND SELF CHANGE • • • • Understanding motivation Autonomy Motivational interventions FRAMES FRAMES • • • • • • F eedback R esponsibiltiy A dvice M enu of options E mpathic style S elf efficacy How does it balance? Advantages of Continuing to Use.... Advantages of Not Using.... Disadvantages of Continuing to Use.... Disadvantages of Not Using.... Case 1 Rod • 19 year old • Smokes cannabis 3 out of 7 days in a week. Takes Es on weekends. Drinks 5 units alcohol day • Spends most of his spare cash on drugs and alcohols • Impulsive and suffers with depression Case 2: Jane • 45 year old restaurant manager • Taking nitrazepam (prescribed by GP) for 2 years • Anxious and depressed Case 3: Freddy • 29 year old • Crack cocaine user past 5 years • Using heroin ‘to come down off the crack’ past 2 years • Initially smoking, now injecting Addiction as: • • • • A biological (disease) model A psychological model A social model BIOPSYCHOSOCIAL MODEL Summary – Addiction • Behaviour is no longer a matter of considered choice Summary – Addiction as a function of: • THE DRUG – Positive and negative re-inforcers • THE PERSON – Impulsive, sensation seeking • THE SITUATION – Opportunity, lack of alternatives, social influences The End How do you detox a patient with opiod dependency syndrome? Blow to the head rehabilitation Straitjacket chocolate Any questions ? [email protected]