COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Workshop Objectives
TR53 Using Change Theory to Assess
Readiness for Change in Persons
with Co-Occurring Disorders
2:45PM – 4:15PM, May 16, 2006
Carol J. Auerbach, MA
Behavioral Healthcare Education
Drexel University College of Medicine
By the end of this workshop, participants will be
able to:
– List the stages of change and the
characteristics of persons within each stage
– Describe simple assessment procedures for
correctly identifying someone’s current stage
for any diagnosis or area of concern
– Identify tools and resources for creating
program/practitioner responses that meet
people where they are in terms of their stage
of change readiness.
The Transtheoretical Stages of
Change Model (Prochaska and
DiClemente, 1984)
Research (1972): Smokers and people
in a behavioral weight loss program
“What makes for successful selfchange?”
Conclusions:
Behavioral change is gradual
Involves a series of invariant,
developmental, observable stages
and behaviors
The Transtheoretical Stages of
Change Model (Cont’d.) (Prochaska and
DiClemente, 1984)
Is influenced strongly by:
Readiness
Sense of self-efficacy
Results:
Development of a model of change
that includes making the decision to
change and maintaining the change
once it was made
Stages of Change
(Prochaska & DiClemente, 1991, Miller & Rollnick, 1991)
I. Precontemplation:
Person has no intention
to change because they
are:
1.Unaware
2.Uninterested
3.Unwilling
Stages of Change
(Prochaska & DiClemente, 1991, Miller & Rollnick, 1991)
II. Contemplation:
Person is aware that a problem exists and is
ambivalent about whether to do anything
about it
– Giving up on an enjoyed behavior causes
a feeling of loss
– People want to weigh the barriers to
change against the benefits of change
– Making a final decision is difficult; people
therefore refuse to make a commitment
either way
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