COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Maintenance • Individual works to prevent relapse and consolidates what they have gained from taking and maintaining action(s). Interventions for Stages • Precontemplation – Raise doubt – Increase the individual’s perception of the risks and problems with their current behavior. • Contemplation – Tip the balance – Evoke reasons to change/risks of not changing – Strengthen the person’s self-efficacy (change talk) for change of current behaviors. • Preparation – Help the individual to determine the best course of action to take in seeking change •Action – Help the individual continue to take steps toward change • Maintenance – Help the individual identify and use strategies to prevent relapse 8
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Principles of Engagement • Avoid argumentation • Express empathy • Support self-efficacy • Roll with resistance • Develop discrepancy Avoid Argumentation • Do not utilize argumentation to confront the individual’s denial or minimization of the problem(s) • Heavy confrontation causes most individuals to feel attacked; participate less fully; resist interventions; and argue the opposite point of view Express Empathy • Hostile confrontation of individuals has been shown to increase dropout and relapse • Do not try to “break through” denial, but attempt to work around it. • Build up, rather than tear down • If the individual feels understood they are more able to open up to their own experiences and to share • Become more comfortable to examining their ambivalence about change Support Change Talk • An individual’s belief that change is possible is an important motivator to succeeding in making change • Help the individual develop a belief that they can make a change Roll with Resistance • Do not fight resistance -- “roll” with it • Statements demonstrating resistance are not challenged. Utilize individual’s momentum to further explore their view. Resistance tends to be decreased rather than increased. 9
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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />
Maintenance<br />
• Individual works to prevent relapse and<br />
consolidates what they have gained from<br />
taking and maintaining action(s).<br />
Interventions for Stages<br />
• Precontemplation<br />
– Raise doubt<br />
– Increase the individual’s perception of the<br />
risks and problems with their current behavior.<br />
• Contemplation<br />
– Tip the balance<br />
– Evoke reasons to change/risks of not<br />
changing<br />
– Strengthen the person’s self-efficacy (change<br />
talk) for change of current behaviors.<br />
• Preparation<br />
– Help the individual to determine the best<br />
course of action to take in seeking change<br />
•Action<br />
– Help the individual continue to take steps<br />
toward change<br />
• Maintenance<br />
– Help the individual identify and use strategies<br />
to prevent relapse<br />
8
Change language