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

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COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Therapist’s Tasks in Preparation (Miller & Rollnick, 1991) • Affirm their decision • Identify their options for change • Develop detailed plans Therapist’s Tasks in Preparation (Cont’d.) (Miller & Rollnick, 1991) • Reduce barriers to change: • Connect to support systems and community resources) • Address concerns re: friends, social status, leisure time • Rehearse Therapist’s Tasks in Action (Miller & Rollnick, 1991) • Help the person take steps toward change (problem-solve) • Support; do with; demonstrate; practice • Process emotions – Reassure • Increase awareness of benefits of changing Therapist’s Task in Relapse (from Miller & Rollnick, 1991, Dolan, 2004) Lapses • Help the individual see lapse as normal part of the change process • Redirect to the change process • Encourage the person to have hope • See lapse as a" Learning experience” • Make modifications to plan if needed Therapist’s Task in Relapse (Cont’d) (from Miller & Rollnick, 1991) Major relapses (additional tasks) – Determine current stage of change – Re-examine motivation –Reassure – Rebuild sense of self-efficacy 4

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Therapist’s Task in Maintenance (from Miller & Rollnick, 1991) • Help the person to identify strategies to: – Get continual support – Prevent relapse • Address new threats of relapse and desires to return to old patterns Current Status of TTM (Brug et al., 2005) • Utility debated •Concerns: – Too simplistic – “Targeted interventions” rather than “tailored to individual” – Shows poor long-term outcomes – Stage instability Current Status of TTM (Cont’d.) (Brug et al., 2005) – Need for objective assessment – Need knowledge of important modifiable stage determinants – Progression thru stages is insufficient for behavior change • For ongoing information on the status of the research go to: http://bmj.bmjjournals.com/cgi/eletters/332/ 7539/458#128200 Short Bibliography • Amador, X. (2000). I AM NOT SICK I DON’T NEED HELP! Helping the seriously mentally ill accept treatment: A practical guide for families and therapists . New York: Vida Press. • Bellack, A.S. & DiClemente, C.C. (1999). Treating substance abuse among patients with schizophrenia. Psychiatric Services, 50 (1), 75-80. • Brug, J., Connor, M., Harre,N., Kremers, S., McClellar, S and Whitelaw, S. The Transtheoretical Model and Stages of Change: a critique. (2005). Health Education Research, 20, 244-258. • DiClemente, C.C. & Hughes, S.O.(1990). Stages of change profiles in outpatient alcoholism treatment. Substance Abuse.2, 217-35 • Dolan, M. The Revised Stage of Change Model. Unpublished PowerPoint presentation April 22, 2004. • Edwards, L., Jones,H., Belton, A. ( 1999), The Canadian Experience in the Development of a Continuing Education Program for Diabetes Educators Based on the Transtheoretical Model of Behavior Change Diabetes Spectrum, 12, 157 • Heather, N.; Luce, A.; Peck, D.; and Dunbar, B. "Development of the Readiness to Change Questionnaire (Treatment Version)." Report to the Northern and Yorkshire R & D Directorate, 1996a. Short Bibliography (continued) • Miller, W.R. & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford Press. • Miller, W.R. SOCRATES. (1995). The Stages of Change Readiness and Treatment Eagerness Scale (Version 8). Albuquerque (NM): University of New Mexico • Miller, W.R. & Tonigan, J.S. (1996). Assessing drinkers’ motivations for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10(2), 81-89. • Prochaska, J.O., DiClemente, C.C., & Norcross, J.C. (1992). In search of how people change: Applications to addictive behavior. American Psychologist, 47, 1102-1114. • Prochaska, J.O.& DiClemente, C.C. (1984). The transtheoretical approach: Crossing traditional boundaries of therapy. Homewood, IL: Dow Jones- Irwin. • Rollnick, S., Heather, N.,Gold, R. & Hall, W. (1992). Development of a short ‘readiness to change’ questionnaire for use in brief, opportunistic interventions among excessive drinkers. British Journal of Addiction, 87, 743-754. 5

<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

Therapist’s Tasks in Preparation<br />

(Miller & Rollnick, 1991)<br />

• Affirm their decision<br />

• Identify their options for<br />

change<br />

• Develop detailed plans<br />

Therapist’s Tasks in Preparation<br />

(Cont’d.) (Miller & Rollnick, 1991)<br />

• Reduce barriers to change:<br />

• Connect to support systems and<br />

community resources)<br />

• Address concerns re: friends, social<br />

status, leisure time<br />

• Rehearse<br />

Therapist’s Tasks in Action<br />

(Miller & Rollnick, 1991)<br />

• Help the person take steps toward<br />

change (problem-solve)<br />

• Support; do with; demonstrate; practice<br />

• Process emotions<br />

– Reassure<br />

• Increase awareness of benefits of<br />

changing<br />

Therapist’s Task in Relapse<br />

(from Miller & Rollnick, 1991, Dolan, 2004)<br />

Lapses<br />

• Help the individual see lapse as normal<br />

part of the change process<br />

• Redirect to the change process<br />

• Encourage the person to have hope<br />

• See lapse as a" Learning experience”<br />

• Make modifications to plan if needed<br />

Therapist’s Task in Relapse<br />

(Cont’d) (from Miller & Rollnick, 1991)<br />

Major relapses (additional tasks)<br />

– Determine current stage of change<br />

– Re-examine motivation<br />

–Reassure<br />

– Rebuild sense of self-efficacy<br />

4

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