The Stages of Change Model: A Comprehensive Guide for Counselors, Schemes and Mind Maps of Business Administration

Download The Stages of Change Model: A Comprehensive Guide for Counselors and more Schemes and Mind Maps Business Administration in PDF only on Docsity! The Stages of Change Model YOU MUST LEARN TO EMBRACE CHANGE. /| WHY NOT? | YOU SAID | CHANGE IS GOOD. CAN WE CHANGE ANYTHING WE WANT TO CHANGE? NO. YOU DON'T GET TO SAY WHAT THE CHANGES ARE. I DO THAT. i H ie 3 : wew.dilbert.com 36 FIRE YOU. WILL THAT SITUATION EVER CHANGE? SO EMBRACE IT OR TLL David Susanin What is the Number One Failure Period Every Year? Why? The Stages of Change — Client Version BO Welotenance Ry (works to sustain the behavior change) ©) bition (practices the ee desired behavior) & Preparation (intends to take action) ‘ Contemplation The Stages of (aware of the . problem and of Behavior Change the desired behavior change) Precontemplation (unaware of the problem) Sources: Grimley 1997 (75) and Prochaska 1997 (148), THE STAGES OF BEHAVIOR CHANGE a UL Feet esee Met cater Cosct bai ee ia em Prrreinteerrsarev at Fea Sree) teste — 3 50") Not reparing for ACEO Ready Yet Thinking about * The Stages of Change — Facilitator’s Version The Cycle of Change Prochaska & DiClemente + Precontemplation: A logical starting point for the model, where there is no intention of changing behavior; the person may be unaware that a problem exists + Contemplation: The person becomes aware that there is a problem, but has made no commitment to change + Preparation: The person is intent on taking action to correct the problem; usually requires buy-in from the client (.¢. the client is convinced that the change is good) and increased self- efficacy (Le. the client believes s/he can make change) + Action: The person is in active modification of behavior + Maintenance: Sustained change occurs and new behavior(s) replaces old ones. Per this model, this stage is also transitional - Relapse: The person falls back into old patterns of behavior - Upward Spiral: Each time a person goes through the cycle, they learn from each relapse and (hopefully) grow stronger so that relapse is shorter or less devastating. = ~~ oe Upward Spiral / Learn from each relapse “ 7 . ‘The Cyde of Change tase Adapted from a work by Prochaska and DiClemente (1983) | Ignacio Pacheco ‘This work is Licensed under a Creative Commons Attribution-NomCommercal-NoDerivs 3.0 Unported License. Teck J Permissions beyond the scope of this license may be available at socialworktech.com/about How To Assist in Promoting Change In Each Stage When you Change Precontemplation Usually have no intention of changing Consciousness raising . Typically deny having the problem * Social liberation . Usually show up in coaching because people around them want . Helping relationships them to change . Feel demoralized, that their situation is hopeless Contemplation — |e Acknowledge the problem and begin to think about what to do to |e Consciousness raising . Struggle to understand the problem, its causes, potential solutions |« Emotional arousal . Not quite ready to change . Self re-evaluation . May spend a while in this stage * Helping relationships Preparation . Planning to take action in the next month * Self re-evaluation . Making final adjustments before they begin to change behavior . Commitment . May not have not resolved their ambivalence . Helping relationships . Important to develop a firm, detailed action plan Action . Overtly modify behaviors and surroundings . Reward . Modifying behavior is most visible form of change, but there is |[* | Countering also changing level of awareness, emotions, thinking, etc. * Environmental control . Helping relationships Maintenance . Work here is to consolidate the gains made and prevent lapses . Commitment and relapse . Countering . Can last from six months to a lifetime * Environmental control * Helping relationships Termination ¢ Behavior no longer presents temptation . Complete confidence that there won't be a relapse I Intervention Counselor’s methods used to address goals and objectives, observation, client statements. 3. What is the counselor’s understanding about the problem? 4. What are the counselors’ working hypotheses? 5. What was the general content and process of the session? 6. Was homework reviewed (e.g., journal, reading assignments – if any)? 7. What goals, objectives were addressed this session? GIRP GIRP R Response Client’s response to intervention and progress made toward tx plan goals and objectives 8. Client’s response to the treatment plan, what needs revision? 9. What is the client’s current response to the treatment plan? GIRP P Plan Document what is going to happen next 10. What in the treatment plan needs revision? 11. What is the counselor going to do next? 12. When is the next session date? Precontemplation Interventions • Provide outreach and practical assistance • Ie “CSP worker will conduct home visits each week in order to engage with client and assist with basic needs” Contemplation Interventions • Provide information, involve the family/support system with CSP, can use a Decisional Balance Worksheet. • Ie: “CSP worker will meet with client weekly to provide information about “client’s goal”, to come up with a list of natural supports, and to use a DBW to have client start thinking about pros and cons of working on the goal. Preparation Interventions • Educate clients about alcohol and drugs, mental health issues. Teach activities that promote health and wellness. Improve social supports. Connect with self help groups. Offer skills training. More outreach and family contact. Help clients start to make a plan and set up action steps. • Ie. “Will introduce client to an NA/AA group”