I will not be up- STAGED!
Pre-contemplation
Contemplation
Determination
Action
Maintenance
What are the stages of change?
1.Assessment
2.Motivational Interviewing
3.Individualized Treatment Planning
4.Initiation of Change
5.Maintenance of Change
What are the 5 main components of SRP?
A cognitive-behavioural treatment (CBT) with a focus on the maintenance stage of addictive behaviours.
What is relapse prevention?
"I need to try something new."
What is change talk?
This strengthens a particular behaviour (e.g., pleasurable effects from the pharmacology of the drug; peer acceptance)
What is positive reinforcement?
"Problem! What problem?"
What is Pre-contemplation?
******DOUBLE JEOPARDY******
Clients review and break down recent triggering events
Client identifies which triggers posses the highest risk
Goal setting
Self-monitoring of triggers (homework)
Development and refinement of coping skills
Identifying support networks
Individualized Treatment Plan
1. To prevent the occurrence of initial lapses after a commitment to change has been made
&
2. To prevent any lapse that does occur from escalating into a full relapse.
What are the 2 main goals of SRP?
"I'm at a crossroads...."
What is ambivalence?
To imitate someone or to follow the example of someone. In behavioural psychology terms, this is a process in which one person observes the behaviour of another person and subsequently copies the behaviour.
What is modelling?
"I've done this before, I need a plan."
What is determination?
Open-ended Questions
Affirmations
Reflections
Summaries
Motivational Interviewing Skills
Planning time to engage in non-drug using/gambling behaviour
OR
Avoiding or leaving a drug using situation
are examples of
What are early behavioural change strategies?
"I just LOVE banging heroin! nothing beats the warm feeling."
What is sustain talk?
This is a negative condition that decreases the occurrence of a particular behaviour (e.g., If you sell drugs, you will go to jail. If you take too large a dose of drugs, you can overdose.)
What is punishment?
"It has been just over six months; so far so good."
What is Maintenance?
Starting to avoid or decrease encountering high risk situations
What is the initiation stage of behaviour change?
What technique is used with the following:
What are some of the good things about cocaine?
What are some of the not so good things about it?
What is the Decisional Balance?
"Since I stopped drinking coke, I've lost 2 pounds."
What is change talk?
occurs when a particular behaviour gets stronger by avoiding or stopping a negative condition (e.g.,If you are having unpleasant withdrawal symptoms, you can reduce them by taking drugs.).
What is negative reinforcement?
"Why is everybody on my case, I've got this under control. I can give this up anytime."
What is contemplation?
Effective identification of warning signs
Successfully utilizing coping skills in high risk situations
Are two examples a client is in what stage.
What is maintenance?
Thought stopping and Urge surfing are examples of
What are later phase cognitive skills?
"One the one hand, crystal meth suppresses my appetite and I've never looked sexier. But, on the flip side, I'm running out of money."
What is ambivalence?
1. identify high-risk situations and determine reinforcers
2. Examine long- and short-term consequences of drug use to reinforce resolve to be abstinent/reduce
3. Schedule time and receive praise
4. Develop meaningful alternative reinforcers to drug use
What is a functional analysis?