Summary: <p>Enhancing Motivation for<br> Change in Substance Abuse<br> Treatment Part 2<br> Instructor: Dr. Dawn-Elise Snipes, PhD<br> Executive Director: AllCEUs.com, Counselor Education and Training<br> Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery<br> Objectives<br> ~ Learn about the nautre of change<br> ~ Explore the different stages of readiness for change<br> ~ Learn about goals and interventions for each stage fo readiness for change<br> ~ Identify ways to identify a clients change in readiness for chage<br> ~ Explore ways to identify barriers to recovery<br> ~ Learn how to explore expectations regarding recovery and how to use that to enhance motivation<br> ~ Briefly review how to develop a relapse prevention plan</p> <p>Change<br> ~ Is Constant<br> ~ Occurs all the time<br> ~ In the natural environment<br> ~ Among people<br> ~ In relation to behaviors<br> ~ Occurs without professional intervention<br> ~ The change process is cyclical, and people typically move back and forth between the stages and cycle through the stages at different rates.<br> ~ It is not uncommon for people to linger in the early stages.<br> ~ Recurrence of at least some symptoms or old behaviors is a normal event, and many clients cycle through the different stages several times before achieving stable recovery.<br> Nature of Change<br> ~ 6 basic stages in the process of change:<br> ~ Precontemplation<br> ~ Contemplation<br> ~ Preparation<br> ~ Action<br> ~ Maintenance<br> ~ Recurrence<br> ~ People typically vacillate between the stages and cycle through the stages at different rates. (Pool)<br> Precontemplation<br> ~ The client is unaware, unable, or unwilling to change.<br> ~ Establish rapport<br> ~ Raise doubts about patterns of use<br> ~ Give info on risks, pros and cons of use<br> ~ Explore reasons for unwillingness to change (.i.e fear of failure)<br> ~ The client is likely to be wary of the counselor and of treatment.<br> ~ Should not rub the client the wrong way<br> ~ Should try to keep the interview informal.<br> Goals/Actions<br> ~ Explore the meaning of events that brought the client to treatment or the results of previous treatments.<br> ~ Elicit the client's perceptions of the problem.<br> ~ Offer factual information about the risks<br> ~ Provide personalized feedback about assessment<br> ~ Explore the pros and cons of substance use.<br> ~ Help a significant other intervene.<br> ~ Examine discrepancies between the client's and others’ perceptions of the problem behavior.<br> ~ Express concern and keep the door open.<br> Ambivalence<br> ~ Many clients are ambivalent about change.<br> ~ Change is hard<br> ~ Ambivalence is expressed in several ways.<br> ~ Argue: Challenge or discount statements<br> ~ Interrupt: Take over or cut off conversation<br> ~ Deny: Blame, disagree, excuse, minimize<br> ~ Ignore: Not responding, not paying attention<br> Contemplation</p> <p>~ The client is ambivalent or uncertain, considering the possibility of change.<br> Counselor can<br> ~ Discuss and weigh pros/cons of change (Decisional Balance)<br> ~ Emphasize client's free choice and responsibility<br> ~ Elicit self-motivational statements<br> ~ Reassure the client that no one can force him to change and he is in charge.<br> ~ Ask questions that prompt motivation.<br> For example, “When you want to keep up your motivation for doing something, what are some of the things you say to yourself?”<br> Goals/Actions<br> ~ Help the client recognize the problem(s) contributing to the current situation<br> ~ Help the client acknowledge concern<br> ~ Help the client generate intention to change<br> ~ Help the client develop optimism<br> ~ Convey feedback<br> ~ Help clients see a difference<br> ~ Show curiosity about client strengths. Explore how those skills and competencies may be negated by their curr</p>
