ASAM Dimensions
The 12 Steps
Stages of Change
Recovery Slogans
Staff
100

This dimension involves your living environment and your supports

6
100

This step is admitting that we have become powerless and our lives have become unmanageable

1

100

people are on a teeter-totter, weighing the pros and cons of modifying their behavior. Although they think about the negative aspects of their bad habit and the positives associated with changing, they may doubt that the long-term benefits associated with change will outweigh the short-term costs.

Contemplation

100

________, Not perfection

Progress

100

This staff member was hit twice by another staff member

Tayler

200

This dimension involves your potential for withdrawal. 

1

200

This step involves creating a fearless, moral inventory

4

200

 people have made a commitment to make a change. Their motivation for changing is reflected by statements such as: “I’ve got to do something about this — this is serious. Something has to change. What can I do?”

This is sort of a research phase. They gather information (sometimes by reading things like this) about what they will need to do to change their behavior. Or they will check out websites, organizations and resources that are available to help them in their attempt. Too often, people skip this stage: they try to move directly from contemplation into action and fall flat on their faces because they haven’t adequately researched or accepted what it is going to take to make this major lifestyle change.

Preparation stage

200

Let ______, Let ______

Let GO let GOD

200

This staff member lived in Germany

Penny

300

This dimension involves your mental health and behaviors

3

300

This step involves making a LIST of those we have harmed and become WILLING to make amends to them

8

300

 people are not thinking seriously about changing and are not interested in any kind of help. People in this stage tend to defend their current bad habit(s) and do not feel it is a problem. They may be defensive in the face of other people’s efforts to pressure them to change. In AA, this stage is called “denial,” but another way to describe this stage is that people just do not yet see themselves as having a problem.

Precontemplation

300

What does KISS stand for?

Keep it simple, stupid/silly

300

This staff member has a dog named Rex

Heather

400

This dimension involves your relapse potential

5

400

This step involves seeking through prayer and meditation to improve our conscious contact with god as we understood him, praying for praying only for his knowledge of his will for us and the power to carry that out

11

400

This is the stage where people are motivated to change their behavior and are actively involved in taking steps to change their bad behavior by using a variety of different techniques. This is the shortest of all the stages. The amount of time people spend in action varies. It generally lasts about 6 months, but it can literally be as short as one hour! This is a stage when people most depend on their own willpower. They are making overt efforts to change the behavior and are at greatest risk for relapse.

Mentally, they review their commitment to themselves and develop plans to deal with both personal and external pressures that may lead to slips. They may use short-term rewards to sustain their motivation, and analyze their behavior change efforts in a way that enhances their self-confidence. People in this stage also tend to be open to receiving help and are also likely to seek support from others (a very important element).

Action

400

I will ______ the first thing I put in front of my recovery

Lose

400

This staff member went to jail in another country

Bernie

500

This dimension involves your readiness to change

4

500

This step involves admitting to god, ourselves, and another human being the exact nature of our wrongs

5

500

In this stage, people have sustained their behavior change for a while (defined as more than 6 months) and intend to maintain the behavior change going forward. People in this stage work to prevent relapse to earlier stages.

Maintenance 

500

_______ is like drinking poison and expecting the other person to die

Resentment

500

This staff member has changed her hair color 4 times in the past month

Patty