Pre-Contemplation Vs Model Of Change

Two health promotion models were examined and explored; this was to determine the best model or theory to use with a patient who has a drug addiction. The first being the Prochaska & DiClemente’s stages of change, the second being the health belief model. These two models have been chosen as both have relevance to the patient with her drug addiction.

As a result of that knowledge the addicted person is in control and can take be in charge of their actions to change the cycle and make a deliberate effort to change.

Addiction is has been around for a long time. The fear of people becoming addicted to certain substances has lead to policies changes. However, there has not been a major federal law passed that dealt with addiction in over forty years. In 2016, President Obama signed a law that covered all the major points of addiction and recovery. This topic this important to me because some of my loved ones are addicts. I may also have clients that are addicts.This paper will take a look at that law. First, we have to define a few key terms.

(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).

In order to successfully decrease the cases of drug addiction, society needs to remember that we cannot change the physiological effects of drugs, but we can prevent individuals from turning into them. In other words, the primary focus should be on the individual and not the drug.

In the book, Addiction & Grace: Love and Spirituality in the Healing of Addictions, May explores how addiction develops and can be treated from a psychological, physiological, and spiritual standpoint. This theme is clearly shown through out the text as it shows addiction from a whole person view. The book covers the development of addiction from desire through the experience of addiction. The key focus on looking at the matter of addiction from multiple stand points in then broken down by explaining how addiction is an issue psychologically, physiologically, and spiritually. By focusing on these three areas the author is able to present the reader with a clear understanding of addiction from all sides of the problem. This is then

Addicts can still pursue normal lives. They can clean their apartment and even have a job. For example, some of the psychiatrist’s patients actually worked jobs while addicted to heroin. Sally states that addicts have time to make other choices and do other things. These addicts could seek out treatment or even quit cold turkey. She has evidence of some of her patients quitting completely. So it is possible for addicts to make other valuable decisions and choices to benefit them and lead them to quitting. However, relapse can occur but during the time they are not using the drug they have a choice to do it or to not do it. Internal and external cues also play a role in use of the desired drug. For example, in the external cues if a person sees something or even hears something it could trigger them into reuse of the drug. Another example, in the internal cues if a person feels stressed or bored that can trigger their reuse as well. There are also factor that can cause the patient to not reuse the drug such as going to jail, disappointing their family, or losing a job. Some of her patients came to a point of self examination and that led them to want to fix their current addiction. The small choices like who to spend time with is crucial during the recovery phase because they could cause relapse. The

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

Recovery programs are a structured combination of individual courses of treatment within a drug and alcohol treatment center. Those recovery programs that are designed using a 12-step model plan elements of treatment that incorporate the 12-step “model of self-change” that is intended to essentially create a new life for the recovering addict. The self-imposed model of change description means that recovery programs, focused on this concept, affect change in the addicted person in ways that positively influence self-esteem, attitude, perception, life style, and behaviors; while encouraging self-actualization and new purpose. 12-step recovery programs teach the addict to: Effectively control cravings, how to talk with unsupportive family and friends, what to expect when encountering

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.

This program is from thirty to ninety days. The clients work on the 12 - steps of addiction, complete assignments to understand their disease process, work the steps of addiction along with reading the big book, and discuss the different stories. These assignments are completed on an individual basis and each individual has two weeks before they process their first assessment in a group setting. The big book is also read and discuss in a group setting. The individuals explore there feeling, provide self-affirmation to themselves and others, while voicing a goal for that day, daily through the session group called Grateful.

The purpose of this interview was to assess the patient 's need for addiction treatment by reviewing patient 's present and previous usage history, emotional and behavioral stability, and potential for relapse, environment, pertinent medical conditions, and willingness or desire for treatment. An interview and medical records gathered this data.

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.

It can be difficult for someone who is battling an addiction to know where to turn to for help. Many people feel as though they are alone in battling their ordeal. It can also be difficult for a person to admit to him or herself that there is a problem.

to govern much of the individual’s behavior. The most extreme case of drug use is the