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HSV 532: DBs Unit 2

HSV 532: DBs Unit 2

DB 2.1: Stages of Change in Addiction Recovery

Prochaska and Norcross’ (2001) model of the transtheoretical model of change is reliable for behavioral change, particularly in substance-dependent patients. All are different; each contributes at the different stages of the change process and provides interventions: HSV 532: DBs Unit 2.

Precontemplation

The contemplation stage is characterized by denial or lack of awareness of the problem. There is denial as people may dismiss it as “I do not have a problem” and hence oppose change. It is at this stage that education on the issue takes place through word of mouth and avoids passing judgment on the subject. For instance, giving chronological data and evidence about the effects of addiction can create initial interest in transformation.

Contemplation

The Contemplation stage is when the patient recognizes the existence of the problem but has not made up their mind to start making changes. Sometimes, clients are not sure, asking, “I understand it is a problem, but I’m not prepared to give up.” It is at this stage that motivational interviewing assists clients in balancing the advantages and disadvantages of change, hence coming close to the readiness phase (Raihan & Cogburn, 2023).

Preparation

In the Preparation stage, individuals begin planning for change, actively seeking resources, and setting goals. For instance, someone might attend an AA meeting or consult a counselor. Practitioners can support this phase by helping develop clear, actionable steps toward recovery (Richards & Laurin, 2020).

Action

The Action stage is the stage of actual change in the organizational culture. Clients truly engage and change regarding a situation, such as attending a treatment program or being sober for weeks. Motivation and relapse plans are essential to proceed with the plan after achieving some tasks.

Maintenance

During maintenance, individuals sustain behavioral change and work to prevent relapse. For example, attending regular support group meetings or therapy sessions helps solidify their progress. This stage highlights the importance of reinforcing new habits and addressing triggers.

Termination

Finally, the Termination stage represents lasting change. Individuals no longer feel the temptation to return to old behaviors. Reflection on progress and ongoing self-care is essential for maintaining long-term success.

References

Raihan, N., & Cogburn, M. (2023, March 6). Stages of change theory. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK556005/

Richards, J. R., & Laurin, E. G. (2020). Cocaine. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430769/

DB 2.2: Motivation and Change in Addiction Recovery

The connection between motivation and change is pivotal in addiction recovery. Motivation drives willingness to overcome addiction and sustains individuals through challenges. Prochaska and DiClemente’s (1986) framework emphasizes the importance of understanding motivation as a dynamic, multidimensional process influenced by internal and external factors.

Motivation is a Key to Change

Motivation being the “key to change” highlights its role as the foundation for behavioral transformation. For example, a client motivated to regain custody of their child will engage in treatment more consistently. Understanding the intrinsic drivers behind a client’s motivation enables providers to tailor interventions effectively (De & Stefano de Marchi, 2022).

Motivation is Multidimensional

Motivation’s multidimensional nature reflects its emotional, cognitive, and social components. A client might regret the act (emotional); recall that the continued use of substances is hazardous to their health (cognitive); and gain hope from family members (social). Improving all these dimensions boosts the treatment results. For example, using family therapy enhances social support that will improve overall motivation.

Motivation is Dynamic and Fluctuating

Motivation is also dynamic and fluctuating. Transition can therefore be described as a normal occurrence in the life of an individual who is trying to bring about change in their life. Realizing this lets the clinicians accept relapse as part of the recovery process instead of failure (Hong et al., 2021). For example, after a lapse, changing the perception from view that one has lost ground, to viewing the situation as an ability to learn from triggers could assist in reestablishing progress.

Key Principles in Practice

Among these principles, three stand out in my approach. First, treatment as a motivation dynamic promotes its feasibility by allowing the patients to recover from relapses. Second, understanding that motivation depends on clinician style, underlines the importance of kindness in clinician-client interactions.

Last but not least; in terms of the clinician’s responsibility in the process of motivation, would be the identification of the client’s personal reasons to change. For example, motivational interviewing successfully integrates client values with recovery purposes.

References

De, A. F., & Stefano de Marchi. (2022). Self-organized schools. In Library Union Catalog of Bavaria, Berlin and Brandenburg (B3Kat Repository). University of Illinois Urbana-Champaign. https://doi.org/10.4324/9781003228264

Hong, P., Li, S., Yu, Y., & Deng, Q. (2021). How to enhance the motivation for drug detoxification: Consciousness guidance and behaviour restriction of family intergenerational ethics. International Journal of Environmental Research and Public Health, 19(1), 366. https://doi.org/10.3390/ijerph19010366

DB 2.3: Case of Blake

Blake’s case presents a complex situation typical in addiction recovery. Eager, Blake feels the need to change, but his hesitation and urgent appeal illustrate his lack of commitment. This polite manner changes to anger, which can signify withdrawal symptoms and frustration at that point. And there we find statements like “I’m ready to give up my addiction,” which point to the fact that Blake is in the Contemplation stage where he admits to the existence of the problem but cannot commit to a change.

Identifying Blake’s Stage of Change

Blake is most likely in the Contemplation stage. While he recognizes his addiction as a problem, his reliance on immediate solutions, such as demanding medication, suggests he has not yet transitioned into the Preparation stage.

Helping Blake Progress to the Next Stage

Motivational interviewing is key to helping Blake progress to the preparation stage. This would entail making an expression of covert and ambivalent attitudes toward change, which could be made by linking this to meaningful goals (Arbuckle et al., 2020). For instance, I might say: ‘What can the sober life mean for you?’ or ‘How is a sober life going to help you take the power back?’ Being empathic and acknowledging him when he speaks about his angst while demonstrating positive change will advance his preparedness.

Moving Toward Termination

To move Blake to the Termination phase, the treatment plan should be more extensive and focus on the long-term strategy of avoiding relapses. This might span the need to develop a sound relapse prevention plan, including the use of Narcotics Anonymous and other community-based resources, and the use of self-help information (Guenzel & McChargue, 2023). For example, the therapist may suggest some books to read or introduce him to people who are also in the process of overcoming their addiction.

If I sometimes urge Blake to think about his work in progress, it would remind him of his civil skills and increase his determination. Therefore, change success in Blake‘s case entails strengthening his trust, providing him with frequent support, and choosing his interventions based on the stage of change.

References

Arbuckle, M. R., Foster, F. P., Talley, R. M., Covell, N. H., & Essock, S. M. (2020). Applying motivational interviewing strategies to enhance organizational readiness and facilitate implementation efforts. Quality Management in Health Care, 29(1), 1–6. https://doi.org/10.1097/qmh.0000000000000234

Guenzel, N., & McChargue, D. (2023, July 21). Addiction relapse prevention. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK551500/

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Question

DB 2.1

  • In thinking about Prochaska & Norcross’s (2001) article, the stages of change have been identified as Precontemplation, Contemplation, Preparation, Action, Maintenence, and Termination. In reflecting on these stages, “what makes each unique” in the process of promoting change in working with addictions? Please be sure to share an example of how each stage can be helpful in the recovery process.

NOTE: You must make at least 1 substantial posting and 2 substantial replies to this thread. You must participate in the Unit discussion board (making postings/replies) at least 3 days per unit to qualify for full credit and also have at least 1 posting by Wednesday at midnight. You also must use APA style in your posting and replies so please use in-text references and provide a reference to give proper credit to the authors.

DB 2.2

  • From your reading this unit on motivation and change from the TIP series, what is the connection and interplay between these concepts/statements below in your opinion in working with clients facing addiction? Of those listed, which 3 are the most important in your personal approach to working in the field of human services and why? Please be sure to share examples of each of the 3 to support your discussion.
    • Motivation is a key to change.
    • Motivation is multidimensional.
    • Motivation is dynamic and fluctuating.
    • Motivation is influenced by social interactions.
    • Motivation can be modified.
    • Motivation is influenced by the clinician’s style.
    • The clinician’s task is to elicit and enhance motivation.

NOTE: You must make at least 1 substantial posting and 2 substantial replies to this thread. You must participate in the Unit discussion board (making postings/replies) at least 3 days per unit to qualify for full credit and also have at least 1 posting by Wednesday at midnight. You also must use APA style in your posting and replies so please use in-text references and provide a reference to give proper credit to the authors.

HSV 532: DBs Unit 2

HSV 532: DBs Unit 2

DB 2.3
Blake is a 26 year old heroin addict. He has all the symptoms of withdrawal. He has a runny nose, stomach cramps, dilated pupils, muscle spasms, chills despite the warm weather, elevated heart rate and blood pressure, and is running a slight temperature. Aside from withdrawal symptoms, this man is in fairly good physical shape.

He has no other adverse medical problem and no psychological problems. At first he is polite and even charming to you and the staff. He’s hoping you can just give him some “meds” to tide him over until he can see his regular doctor. However, he becomes angry and threatening to you and the staff when you tell him you may not be able to comply with his wishes.

He complains about the poor service he’s been given because he’s an addict. He wants a bed and “meds” and if you don’t provide one for him you are forcing him to go out and steal and possibly hurt someone or he will probably just kill himself “because he can’t go on any more in his present misery.” He also tells you that he is truly ready to give up his addiction and turn his life around if he’s just given a chance, some medication, and a bed for tonight.

  • -In thinking about Blake’s case, please answer the following questions:
  • -Do you believe that Blake is interested in remaining sober? Please explain your thoughts and provide examples.
  • -In thinking about the Stages of Change, where would you place Blake and why?
  • -What do you think as a human service provider you can do to help Blake “progress” through the NEXT stage?
  • -What do you think you can do to help Blake progress to the Termination stage in your work with him?

Readings: