Stage of Change
These are examples of this stage of change:
"Marijuana isn't a drug, it's just a plant."
"I don't have a problem with alcohol"
What is Pre-Contemplation
In OARS, "O" stands for this intervention
Bonus Points if you can give an example
What is Open Ended Questions
A spectrum of strategies that includes safer use, managed use, abstinence, meeting people who use drugs “where they’re at,” and addressing conditions of use along with the use itself.
What is Harm Reduction
Someone who does not actively participate in services. There is generally no progress made toward goals, and they are not moving through the Stages of Change.
What is a Non-Engager
These are examples of what Stage of Change:
"I think I need to start cutting back how much meth I use. I might have a problem."
"I don't want to get in trouble with my PO anymore, so I need to quit."
What is Contemplation
In OARS, "A" stands for this intervention
What is Affirmations
A medication that is used to stop an overdose. Often distributed to prevent overdoses in the community.
What is Narcan
Someone who actively participates in treatment. However, they are not making progress on their goals, and they are not moving through the Stages of Change.
What is a Non-Responder
This is an example of which Stage of Change:
"I went to CR last night and it was good. I plan on going back next week." Client also make plans with their CC to attend other groups in their community.
"I'm going to make changes." Client works with CC to make a plan to reduce use, set boundaries with those around them, and to deal with triggers when they arise.
What is Preparation
In OARS, "R" stands for this intervention
What is Reflection
Name at least two values of Harm Reduction in treatment.
100 extra bonus points for extra values listed.
1- Meet the client where they are at
2- See the client as an individual
3- Assume they have strengths that can be supported
4- Accept small, incremental changes
5- Do Not hold abstinence as a necessary condition for treatment
6- Develop a collaborative, empowering relationship with the client as the "leader" of their own treatment team.
This is an example of which:
Client continuously cancels meetings with ITCD Specialist and Peer. Their meetings with CC are sporadic. No progress is being made on goals. No improvement on DLA scores. Client is Pre-Contemplation for meth and marijuana.
What is a Non-Engager
This is an example of what Stage of Change:
"I have not used in a month."
"I am making changes."
What is Action
In OARS, "S" stands for this intervention
What is Summarize
Name three Harm Reduction coping skills
1- Stagger use
2- Never use alone
3- Rotate injection sites
4- Don't share syringes, spoons, etc.
5- Never use behind a locked door
(will expect other answers)
This is an example of which:
Client has had major surgery recently and struggles to get out of the house. Client continues to meet with the ITCD Specialist and CC. Client attends med provider appointments and PCP appointments. Client is in Pre-Contemplation for Marijuana and Contemplation for Meth. Goals are to reduce substance use, and there has been no progress. Team will consider getting a peer involved.
What is a Non-Responder.
This is an example of what Stage of Change:
"I have not used meth in six months. I'm so proud of myself."
"It's been one year since my last use."
What is Maintenance
Refers to any statement made by a client that indicates a desire, ability, reason, or need to change a behavior
What is Change Talk
This means the CC/CPS/ITCD therapist genuinely cares for their clients and does not evaluate or judge their thoughts, feelings, or behaviors as good or bad. Each client is accepted and valued for who they are, as they are, without stipulation. Clients need not fear judgment or rejection from the CC/CPS/ITCD therapist.
This does not mean we support substance use, but we do not judge the client for their use or subsequent choices.
What is Unconditional Positive Regard
At least three steps the treatment team takes for Non-Engagers/Non-Responders
1- Get a Peer involved
2- Staff the client with the ITCD Large Team
3- Continue engagement attempts
4- Utilize Outreach if needed
5- Attend mental/physical health appointments to encourage participation in services and/or re-engage in services