Motivation And Readiness For Change With Persons Who Suffer From Addiction

(James, p. 74, 2012). Pre-contemplation is when the person is not considering change and denying they have a problem. Contemplation is when the addict is sitting on the fence about if they have a problem or not. Preparation/ready for action is described as when they are making a mental plan for how and when they are going to act. Action is practicing the new behavior for three to six months. The maintenance stage is continuing to maintain the new behavior for more than six months after the action plan. Relapse occurs if the old behaviors happen again, (James, 2012).

“Traditional… treatment approaches often conceptualize relapse as an end-state, a negative outcome equivalent to treatment failure. Thus, this perspective considers only a dichotomous treatment outcome—that is, a person is either abstinent or relapsed.” (Larimer, 1999). For a substance dependent individual like Rosa, equating abstinence to failure is counter-productive and ineffective. Considering her history of pain management, we can expect that Rosa may feel emotional and physical discomfort without her opiate and alcohol combination. A setback in treatment would be negative, but doesn’t warrant “giving up” on established treatment goals. Relapse may be anticipated with the relapse prevention model, but it is considered to be a part of “the

In addition, abstinence is the client’s way to remain substance free, by establishing a stable and healthy lifestyle, develop coping/living skills, and increase support of family members to protect the individual’s best interest. Last, maintenance concept, is a relapse prevention or termination stabilizing their success when in treatment. Fourth, an individual may gain momentum using models such as the CENAPS Model, with self-regulation and stabilization. To clarify, teaching or educating a client about self-regulation helps a person with their thinking, emotions, thought process, memory, and judgment changing at risk of relapse to a minimum.

Generally speaking, each theory or model uses a variety of techniques used to help the client battle addiction. From a sociological standpoint understanding the client’s cultural values is the best way to understand addiction (Lamberson, 2017, p. 171). Firstly, the counselor will attempt to teach social norms and preventive measures (Lamberson, 2017, p. 171). The counselor should remember to check their own personal values and value the adaptive qualities within the client (Lamberson, 2017, p. 171). Likewise, the transtheoretical model relies on the client’s values and beliefs to determine what stage of change (Gutierrez & Czerny, 2017, p. 208). The counselor and client attempt to create a plan based on the client ability to change (Gutierrez

How Addiction Happens, How Change Happens, and What Social Workers Need to Know to Be Effective Facilitators of Change is an article written by Jill Littrell. Littrell addresses the complexity of underlying physiological demands made on patients throughout the addiction and treatment process. Even if a patient has whole heartedly committed themselves to their sobriety , physiological components of the brain can unknowingly trigger the need to use. Therefore, the trans-theoretical theory with the motivational interviewing approach are believed to help clients experience less resistance and be more open to change by learning why they want or need to make changes. Hence, using more direct or confrontational methods in addiction treatment could

A relapse prevention is a vital part of a client success in preparing for discharge and a continuum of care. The first is to identify if the client has of a history relapse. The second if the client has experience long term recovery in the past. What kind of support will the client have to help support his/her recovery once he/ she return home? The other issue I would have client consider in writing a relapse plan is his legal obligation. The client maybe working so returning back to his place of employment will need to be address.

A simple Google search looking at the concept of change with substance abuse clients brings up many articles and supported documented research on ways to assist substance abusers to change. There are so many documented approaches and treatments to substance abuse and many more articles outlining how counselors can make clients change. As our courseware material and articles outline it is not the best practice for the counselor to “make” the clients change but for counselor to see clients as the major driving force behind change. There are a number of reasons why it is important counselors see clients as the major driving force behind change and the first reason is that it improves treatment adherence. Another way of looking putting the client

The third and final stage of recovery is known as late recovery, and involves a client finding growth and meaning in life. In this stage, relapse may be less frequent as a sense of purpose is found. As this stage is found only by enduring great challenges, a client may not be as tempted by relapse and the act of back tracking in their recovery may seem tiresome and unworthy of their time. However, though a deep awareness of the consequences of substance abuse is profound, relapse is still possible if an addict forgets that he or she has a disease that is incurable and succumbs to the enticement of “just this one time can’t hurt” or has the thought that “I have been clean for so long. I am cured.” Bill W. stated in his book Alcoholics Anonymous that “This is the baffling feature of alcoholism as we know it-this utter inability to leave it alone, no matter how great the necessity or the wish” (pg. 34). Complete abstinence is the only choice for those with the disease of addiction, and so many recovering addicts forget this simple realization in the late recovery stage.

To sum it up, it is evident that Transtheoretical Model of change would create positive impacts in regard to transformation of alcohol addicts while helping them to have positive behavioral changes. Transtheoretical theory of change helps a patient to undergo a series of changes over time as they end up their behavior. The ultimate goal of this model is to ensure that any patient has terminated the behavior that compromises their health. The theory is also helpful as it provides an opportunity for a patient to have decisional balance for their behavior while promoting self efficacy at the same time.

In the world today there are many individuals dealing with an addictions. Their addiction may be to drugs or alcohol. When an addict wants to get help they will go through the, “Model of Change.” The model of change has six stages, the pre-contemplation stage, contemplation stage, preparation stage, action stage, maintenance stage and the relapse stage. The two stages I will be talking about in this paper are the pre-contemplation stage and the contemplation stage.

DATA: Today’s group has been facilitated by Kirsten again, and includes relapse, what it is, and how each client can prevent it. Being that relapse is a process, it is an ongoing situation that can be interrupted, rather than a static event that is over and cannot be changed. It involves the individual reverting to old attitudes, beliefs, values, and risk behaviors. These are part of a progressive pattern, and will worsen until the process is interrupted or changed. Relapse is not a sign of failure, and, at times, may be part of the recovery process. There are times when individuals are more vulnerable to relapse, specifically, when they are too hungry, angry, lonely, or tired (HALT), and need to be aware of this vulnerability, and take

The applications of motivational interviewing and cognitive behavioural therapy for individuals with unhealthy substance use disorders encompass a diversity of interventions that accentuate diverse targets. Miller and Rolnick (1991), defined motivational interviewing as a ‘directive, client-centred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence’. As McHugh, Hearon and Otto (2010), characterizes cognitive behavioural therapy as ‘heterogeneous treatment elements….that focus on overcoming the powerfully reinforcing effects of psychoactive substances’. Substance use disorders are ‘heterogeneous conditions characterized by recurrent maladaptive use of a psychoactive substance associated with significant distress and disability’ (McHugh, Hearon and Otto, 2010). Reviewed below is the effects of the use of approaches for cessation of individuals with substance use behaviour involving, relapse prevention, client-centred counselling and, conversely, related interventions for unhealthy substance use behaviours.

Once the mean of each subscale was calculated, the means of the contemplation, action and maintenance subscales were totaled and then, subtracted from the pre-contemplation mean to obtain the readiness to change scores (C + A + M - PC = Readiness. Please refer to Appendix B). Individuals' readiness to change's score indicate the following assumptions: 8 or lower classified as People in Pre-contemplation, the range of 8-11 classified as People in Contemplation, and scores of 11-14 classified as people in the Maintenance or Action stages. Moreover, independent variables (attendance to group therapy, detox length and demographics) were analyzed as factors that could influence patients’ readiness to change

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the

Addiction is a “chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.” The initial decision to take drugs is voluntary for most individuals, but frequent drug use can lead to brain alterations that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain alterations can be persistent, which is why drug addiction is considered a "relapsing" disease. People in recovery from drug use disorders are at increased threat for returning to drug use even after years of not taking the drug. It's common for an individual to relapse, but relapse doesn't mean that treatment doesn’t work. As with other chronic health conditions, treatment should be constant and should be adjusted based on how the patient answers. Treatment plans need to be reviewed often and modified to fit the patient’s changing desires.