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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Tools and Instruments to
Identify Stage of Change (Cont’d.)
• Stages of Change Readiness and
Treatment Eagerness Scale
(SOCRATES) (Miller & Tonnigan, 1996)
• Readiness to Change Questionnaire
(RCQ-TV) (Heather et al., 1996)
• Others
– http://casaa.unm.edu/inst.html
– http://www.health.org/govpubs/BKD342/3
5o.aspx
Implications of the Stages of
Change Model (Miller & Rollnick, 1991)
• Helping a person move along the
stages of change is the focus of
treatment
• The counselor needs to match
intervention strategies to the
person’s current stage of change to
be most effective
Edwards, L., Jones,H. & Belton, A. ( 1999),
Interventions for Individuals in
Precontemplation
•Engage
• Raise doubt about current behavior
•Methods:
– Explore person’s attitude towards
their behavior
– Provide data and information in a
low key manner
– Stress options/choice in
behavior.
Interventions for Individuals in
Precontemplation (Cont’d.)
• Depending on the behavior of the
individual:
– Arguing: Listen empathetically and reflect;
remind person of choice
– Expressing hopelessness: Listen for evidence
of past success and praise; state your own
hopefulness
– Minimizing: give data on individual’s situation
compared to the norm
Therapist’s Tasks in
Contemplation
(Prochaska et al, 1994)
• Explore the risks and benefits of not
changing
• Explore the risks and benefits of
changing
• Increase the person’s perception of the
pros of changing
• Strengthen the person’s sense of selfefficacy
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