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

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 Unpublished PowerPoint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.
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