Motivation And Readiness For Change With Persons Who Suffer From Addiction

Prochaska & DiClemente’s (1984) research suggests the Prochaska & DiClemente’s model of change is effective and has an impact in health promotion. The Prochaska & DiClemente’s model of change is becoming a more popular and widely used resource for health promotion; this is because it can be applied with a number of addictive behaviours such as smoking, drug use and alcohol abuse (Whitelaw, et al, 2000). The Prochaska & DiClemente’s model of change has six stages these include, Pre contemplation this is when the patient is not seriously considering change, Contemplation This is when the patient is thinking about change, Preparation when the

Jed, a 38 – year old welder, enrolled in the treatment center after his arrest resulting from drunken driving (DUI/DWI) (National Institute on Alcohol Abuse and Alcoholism, n.d.). His lawyer has advised him to stop drinking and get treatment until his trial date, which is in approximate two months. Jed does not believe that he will serve any jail time, but feels that treatment could help strengthen his court case (National Institute on Alcohol Abuse and Alcoholism, n.d.). In this paper, I will create a relapse prevention plan that will aid Jed as he enters into his treatment program. This paper will also show

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

(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).

As being a family support attendee for my stepfather, the Narcotics Anonymous (NA) support group, this group main focus is to stay clean from drugs. The members of NA learn and expressed ways on coping, to staying away from drugs, and live a drug-free life with the help of their 12 Step Program. When present at the meeting, the support group was on Step Seven, reading about asking God to remove their shortcomings. Even though the support group is near the end of reading and using the 12 Step Program as part of their lives, an individual wanting to go into recovery is an attempt in making a change. However, the goal is to stay clean and away from drug to keep from having a relapse to alcohol and substance use. An onset to alcohol and substance

This model is a great way to access the stage of change a person is in for opioid abuse. It analyzes the factors that are keeping them from progressing through the subsequent stages of change and seeks to improve upon the persons self-efficacy in order to help them to ultimately permanently terminate opioid

This model was developed to determine and predict change in addictive and health-promoting behaviors. TTM can also be used to understand abusive behavior. Individuals are divided into four stages of change based on their attitudes and behaviors. Pre-contemplation describes individuals who are not ready to change. The contemplation stage includes individuals who are starting to think about changing but have not begun the change. Action occurs when individuals start the process of changing their behavior, experiences, and environments to resolve their problems. Maintenance is the last stage and occurs when people want to remain changed and not go back to their previous behavior. Chances for positive outcomes increase when individuals are matched at the appropriate level that determines their readiness to change (Hellman et al., 2010). Based on research, individuals who are in the contemplation stage are the most likely to change their battering behavior (Scott & Wolfe,

So how does an addicted individual escape addiction? Miller (1998) argues that there can be a sudden shift in how the person perceives the pros and cons of their behavior. This is often seen over time as the suffering directly attached to the addiction increases and the ratio of pros and cons shifts. Through motivational interviewing, Miller suggests that therapists and other helping professionals can lend clients another perspective, a mirror image of themselves, so as to increase the client's conception of the consequences and saliency of their

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

It is irrefutable that the formulation of the Transtheoretical Model (TTM), has efficaciously contributed to current perspectives in health psychology, allowing for a greater understanding in facilitating healthy behaviour change (Adam & White, 2003). TTM is a comprehensive six-stage theory which logically describes behaviour change as a process rather than a single event, providing the pathway to a more enduring and successful outcome (Adam & White, 2003; Prochaska, 2008). These stages include: pre-contemplation, contemplation, preparation, action and maintenance, which occur cyclically in the event of relapses, until temptation is no longer present, resulting in termination (Marshall & Biddle, 2001; Prochaska, 2008).

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.

The Transtheoretical Model does not only consist of the stages of change. Self-efficacy, or one’s self confidence in engaging in action, also plays a huge factor in this theory. A person is less likely to engage in a positive health behavior if there self-efficacy is low. Decision balance is the balancing of pros and cons towards the behavior change the person takes into account. In early stages, such as precontemplation and contemplation, cons outweigh the pros, and a behavior change is unlikely. In contrary, the pros outweigh the cons in the later stages. Throughout all stage of the Transtheoretical Model, there are situational temptations, which are external triggers that can cause a person to relapse. These include negative emotions associated with the behavior change such as anger or sadness, and social

Client was invited to introduce herself to the other members of the group, and she did so with genuine enthusiasm. She had just been released the day prior from BCP, after completing her mandatory 5-day sentence and adamantly declared that she will not be doing anything that would jeopardize her freedom again. Also, she explained how her mother, father, and daughter are supportive of her recovery, including that her mom would make her leave if she “slipped.” She was fast and thorough with the assignment in which she elaborated on her three top relapse signs which included working too much, thinking about the past, and avoiding talking about her problems in recovery for which she had solutions for: “slow myself down”, “call somebody to talk to” (in recovery), and talk to people at AA meetings respectively. Client was warned about over excursion and seemingly was open to the feedback

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.