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18 Cards in this Set
- Front
- Back
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Increasing motivation for counseling and change |
1.; behavior represents the best way a person has to survive (using the best tool in their toolbox). 2. Change requires stopping the old behavior and starting a new one. 3. Many people who struggle with emotional distress, stress related health issues, addiction or relationship problems have trauma history. 4. Trauma strips a person of a sense of safety and empowerment. 5. When enhancing motivation, the clinician must pay special attention to supporting a sense of safety and personal control |
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Change |
1.-is constant In the natural environment In relation to behaviors 2. Occurs without professional intervention 3. Recurrence of at least some symptoms or old behaviors in a normal event and many clients cycle through the different stages several times before achieving stable recovery. |
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Six basic stages in the process of change |
1. Pre contemplation (they don't see a problem) 2. Contemplation (recognize there is a problem) 3. Preparation (getting prepared to start to do something) 4. Action( I'm tired of this, I'm going to do something, enters treatment) 5. Maintenance (maintain a comfortable and happy lifestyle). implement strategies |
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Ambivalence |
1. Many clients are ambivalent about change 2. Changes hard 3. Ambivalence is expressed in several ways - Argue: challenge or discount statements -:Interrupt: take over or cut off the conversation. Deny- blame ,disagree ,excuse ,minimize Ignore- not responding, not paying attention |
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Increase knowledge of the problem and the personal impact |
Reluctant |
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Ship energy from sphere of losing control to improving the next moment |
Rebellious |
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In the next couple of days we can do hope / optimism by highlighting successes and strength |
Resigned |
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Contemplation |
1. Begin to see a cause for concern and reason to change. 2. Ambivalence is the Hallmark 3. Still using, but considering change (maybe for years). 4. May seek relevant information, re-evant we evaluate their behaviors, seek support |
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Contemplation |
1. Increase awareness of the consequences of the current problem. 2.Explore/address ambivalent by tipping the decisional balance scales. 3. Address anxiety and grief about change. 4. Helps clients visualize change (Visualize what they are working towards). |
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Preparation |
1. Definition of balance tipped in favor of change 2. Commitment is strengthened 3. More specific change planning begins. 4. Examining self-efficacy for change (how capable am I of changing). 5. Still using, but may be experimenting with ways to cut back. |
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Preparation |
1. Identify benefits of 2. Identify/ address fears/ apprehensions about treatment. 3. Give the client a list of options for treatment 4. Clarify goals and strategies A. Identify and address barriers to B. Highlight strengths and past successful C. Garner social D. Envision change and find motivating stories from others 5. Identify motivations in each area and create small successes for components of the go 6. Increase self-efficacy and hardiness (commit to this,challenge they can do). 7. Strengthen commitment. 8. Begin learning about the issues |
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Action |
1. Choose a strategy for Change and pursue it 2. Active modification of habits and environment (make relapse prevention plan). 3. Maybe faced with challenges related to withdrawal and changing environment. 4. Re-evaluate self-image. 5. Last three to six months following the termination or reduction of use. |
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maintenance/Vigilance |
1. Sustained gains made. 2. Prevent vulnerabilities (live that recovery lifestyle). 3. Become more adept at identifying and addressing triggers. 4. Last a minimum of 6 months ( lifetime) |
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Maintenance |
1. Relapse Prevention A. Reassure B. Evaluate present actions C. Redefine long-term recovery plans. 2. Educate about the relapsing nature of mental Health/addictive disorders. 3. Develop a list of circumstances that requires a return to treatment 4. Review problems that emerge but were not addressed and help the client develop a plan for addressing them in the future. 5. Develop strategies for identifying and coping with high risk situations. 6. Teach the clients how to capitalize on personal strengths. 7. Develop a plan to support. Including family community support 8. Prepare the client to maintain positive change through difficult times. 9. Prepare the client to maintain positive change through difficult times. 10. Prepare the client for changes to the environment 11. Identify potential stressors and challenges 12. At the end of treatment as a client to look into the future and describe where he intends to be at a certain time. 13. Encourage client to enjoy your successes. Step back and look how far you have come. 14. Stay mindful of continuing to work your program remaining vigilant for relapse triggers. |
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Relapse |
Falling back into old ways of thinking and acting Relapse is not a requirement for recovery The earlier you catch a relapse the better Relapses and opportunity for learning about: 1. What triggered the 2. What things need to be addressed to keep recovery the most rewarding choice. A good relapse prevention plan will have strategies for identifying early relapse warning signs, triggers and solutions |
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Factors impacting engagement |
1. First Impression A. Professional presentation B. Promptness C. Courtesy |
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Engagement |
1. Established report and an effective working alliance in which the client falls heard and understood. A. Respectful B. Non-judgmental C. Attentive 2. Motivate and engage the client in identified service needs 3. Engagement plus the clinician in the best position to negotiate with the client about what to do and how to do it. 4. Engage clients are more likely 1. Participate willingly 2. Be treatment compliant 3. Successfully complete treatment |
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Create a welcoming environment |
1. Pleasant physical environment sensitive to A. Age B.gender C. disability D. sexual orientation E. religion F. socioeconomic status |
