Substance Use Behaviors
Substance Use 101
Stages of Change
Stages of Change Continued
AMRS Treatment
100

This word describes when someone keeps using a substance even when it causes problems in their life.

What is Addiction

100

A ___ is anything that makes a person suddenly think about or want to use a substance.
It can be a situation, a feeling, a memory, a person, or even a smell—anything that reminds the brain of past substance use.

What is trigger

100

People in this stage aren’t thinking about change yet.
They might not see their behavior as a problem or may feel pressured by others to change.

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Precontemplation

100

Example: “I’ve stopped using, and I’m sticking to my plan.”

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Action

100

The frequency in which you must provide a UA for the program.

What is weekly?

200

This chemical in the brain creates pleasurable feelings, modulates motivation, and plays a big role in addiction.

What is Dopamine

200

A ___ is a strong, often sudden urge or desire to use a substance. It can feel physical, emotional, or both, and it happens because the brain has learned to expect the substance and signals the body when it wants it.

What is craving

200

A person starts to realize there may be a problem, but they feel unsure or conflicted about changing.

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Contemplation

200

Example: “I know this isn’t good for me, but I’m not ready to stop.”

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Contemplation

200

The number of online Teen Family Wednesday classes required in order for you to have successfully completed this portion of treatment.

What is 12 classes (consecutive or near consecutive)?

300

This term means needing more of a substance over time to get the same effect.

What is Tolerance

300

Triggers for use can be I____ or E____. This means that they can occur within us (like changes in mood) or outside of us (like being in an environment with substances).

What Internal and External?

300

The person decides they want to make a change and begins planning how to do it.
They might research support options, talk to someone they trust, or set a small goal.

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Preparation

300

Example: “I don’t think my substance use is a big deal.”

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Precontemplation

300

True or False. 

AMRS urine tests are often fallible and lead to inconsistent or unreliable results.

What is False?

400

This is the uncomfortable experience the body has when a person stops using an addictive substance.  

What is Withdrawal

400

Addiction is considered a ___ that affects a person's brain and behavior. It changes how the brain works—especially the parts that control reward, stress, decision-making, and self-control—making it much harder for a person to stop using a substance even when they want to.

What is disease

400

The goal here is to keep the change going over time.
This stage focuses on preventing relapse and building healthier habits for the long term.

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Maintenance

400

Example: “I want to cut back—what’s my first step?”

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Preparation

400

True or False.

Group participation in AMRS treatment is required. This is because group involvement is clinically demonstrated to be the most effective model for substance use treatment.

What is True

500

This term describes the “learning and memory” part of addiction—when the brain starts linking a substance with good feelings, making cravings stronger, and leading to increased substance use and associated behaviors.

What is Progression.

500

A ___  is a healthy strategy a person uses to handle stress, emotions, or cravings without turning to substances.
It helps someone stay in control, feel better, and manage tough moments safely.

What is coping skill / tool

500

They’ve started actively making changes.
This may include avoiding triggers, using healthy coping skills, attending counseling, or seeking support.

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Action

500

Example: “I slipped, but I know what I need to work on.”

Pick one: Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse

What is Relapse

500

Why is it important that treatment is conducted in a group setting with family participation? Free form answer.

Multiple acceptable answers.