Precontemplation/
Precontemplation
Precontemplation
Other workers at your capstone site are in the precontemplation stage about implementing and accepting your capstone. How do you guide them into the contemplation stage?
Educate them on the potential benefits of the program
Your friend expresses that they want to eat healthier and not order takeout as much during the week but says it has been hard to find a time to meal prep because of their busy work and school schedule. How would you help them during this preparation/action phase of change?
Work with them to identify a specific time each week that they dedicate to meal prep (would the beginning or end of the week work better, what day has gaps in the schedule to fit in grocery shopping and cooking). This way they can hold themselves more accountable and stick to their schedule.
Think about James and his goal to quit vaping. What sorts of strategies could he implement to maintain his success?
Create a sort of reward system for himself to maintain motivation (benchmarks like 6 months without vaping, he can buy something he has been wanting with the money he saved not buying vapes each week)
Cam is considering quitting smoking but hasn't stopped yet
contemplation phase
Drew is contemplating wearing a helmet while skateboarding but is nervous about how his friends will perceive him. What would you do to guide him into the action phase?
Educate him on the risks of a brain injury, explore different helmet options
A client shares that they are struggling to remember appointments and plans with friends following their stroke. How could you assist them in preparing for this change and acting to improve their experiences?
Offer a variety of solutions and strategies to help them determine what works best for their life (paper planner, phone reminders, alarms, sticky notes).
They are less tempted to relapse
They are able to identify and avoid people/places that will trigger them to relapse
They are able to more strongly/successfully resist their urges to engage in the behavior that could lead them to drink again
Josh has been sober from alcohol for 10 years and avoids alcohol because he thinks if he drank it, he wouldn't be able to control his drinking habits
maintenance phase
A patient refuses to take their blood pressure medication and says "My numbers aren't that high -- its just stress". How would you go about convincing them to integrate medication management into their daily routine?
Educate them about the negative side effects of missing medication and the possible risks of living with uncontrolled high blood pressure. (stroke, heart attack, heart failure, etc)
Encourage and normalize going to therapy ("That is a really healthy step - it takes courage to reach out and work on your mental health")
Offer to help them find providers if they are struggling.
Your roommate has been successful for 6 months in limiting their screen time before bed, but recently shared that she has been struggling to keep the habit in the last few weeks. How can you continue to support them in this change to allow them to stay in the maintenance stage?
Offer to hang out with them without screens before bed, engage in activities that are away from screens (book club, daily walks, puzzles, baking, etc).
Acknowledge all the effort they have put in and assure them that you see a positive change in their behavior.
Encourage them to keep up with their efforts to enter into the termination phase and no longer feel the tempation.
Paige made a schedule for marathon training that she will start next week
preparation phase
Your grandparent acknowledges their difficulty with getting dressed following a fall in the home, which resulted in hip surgery. How would you go about educating them on how to adapt to their increased need for help/assistive devices and as they move into the contemplation stage?
Have them show you how they get dressed (socks + shoes) and make observations about fatigue, increased effort, and fall risk. Educate them on the use of the assistive devices and strategies and how it could increase safety and energy conservation.
Your sibling shares that they are going to try to decrease their monthly spending to start saving money. What sort of response could stop their progression through the stages of change?
Shaming ("Yeah you have been really irresponsible with your money lately"), lecturing them on how they have been wasting money, disregards the effort they have already made towards identifying their problem.
Your sister has not smoked a cigarette in over a year, but at a family party, your uncle asks her to smoke after dinner. How can you support her to avoid relapse and not give in to the temptation?
Step in and advocate for how well she has been doing with her maintenance of quitting
Offer to take a walk with her instead (to avoid the trigger)
Lucy's family is concerned about her vaping habits, but she doesn't think it is a problem and does not want to quit
precontemplation phase
A caregiver/spouse says "My husband doesn't need rehab - he will be fine once we are home again". How would you go about educating the client and his spouse and convincing them to consider rehab?
Provide evidence-based education about recovery (how therapy supports independence and increases client success in recovery), ensure that rehab is client-centered, and will decrease his need for hospitalization in the future.
James wants to quit vaping and decides to go "cold turkey" and throw out all of his vapes on a random Tuesday. One week later he is back to vaping at the same level he was before. Where did James go wrong during the action phase of change? How could he improve in his plan/preparation?
Jumping to this stage too prematurely without a plan to maintain success. He could improve his chance of success by creating a plan to slowly decrease the amount he is vaping instead of trying to quit all at once.
Your friend has been in therapy for over a year and tells you they finally feel confident in their ability to manage their stress on their own. They are apprehensive about this decision and ask for advice on if it is a good decision. What can you educate them on to support this transition in terms of the theoretical model and stages of change?
Educate your friend on the final stage (termination), in which the individual no longer has temptations and finds they have been successful in maintaining their goal.
After Kyle's heart attack he has consistently been eating healthier and stopped eating junk food. He is confident he will continue this habit because he is scared of experiencing another heart attack
Termination