Imagine that a client came to you as a first step, in one of the provided scenarios. It is likely you will need to recommend outside resources, beyond what you would provide, such as counseling, too. Even though you might not provide all the resources for a client as he or she goes through the stages of change, you should be able to predict which stages a client in a given situation is likely to go though.
\nIn your chosen scenario, identify the stages of change that a client would likely go through and questions that you would ask him or her during each stage to help progress. Assess the resources that he or she might need and referrals that you might make for the client to be successful at each stage.
\nChoose a scenario from the given list and evaluate the stages of change. As part of your analysis, you should identify the culture, ethnicity, and\/or country of the client. Analyze the scenario from the viewpoint of a human and social services professional after the client has come to your organization for help.<\/p>\n
A client who received news of being diagnosed with a sexually transmitted disease
\nA manager of an organization that experienced a large layoff and employee morale is low
\nA community without clean running water
\nA client who is considered obese and obesity runs in the family
\nA client who is 43 and started smoking as a teenager
\nA community that has experienced a natural disaster, which has left many homeless and members of the community are coming to your organization for help<\/p>\n
For your chosen scenario, use Prochaska and DiClemente\u2019s Stages of Change. In 1\u20132 pages: Identify the questions you might ask while interviewing the client during each stage. Assess the resources that he or she might need and referrals that you might make for the client to be successful in moving from one stage to another. Be specific.<\/p>\n
Prochaska and DiClemente\u2019s Stages of Change Model
\nStage of ChangeCharacteristicsTechniquesPre-contemplationNot currently considering change: \u201cIgnorance is bliss\u201dValidate lack of readinessClarify: decision is theirsEncourage re-evaluation of current behaviorEncourage self-exploration, not actionExplain and personalize the riskContemplationAmbivalent about change: \u201cSitting on the fence\u201dNot considering change within the next monthValidate lack of readinessClarify: decision is theirsEncourage evaluation of pros and cons of behavior changeIdentify and promote new, positive outcome expectationsPreparationSome experience with change and are trying to change: \u201cTesting the waters\u201dPlanning to act within 1 monthIdentify and assist in problem solving re: obstaclesHelp patient identify social supportVerify that patient has underlying skills for behavior changeEncourage small initial stepsActionPracticing new behavior for 3\u20136 monthsFocus on restructuring cues and social supportBolster self-efficacy for dealing with obstaclesCombat feelings of loss and reiterate long-term benefitsMaintenanceContinued commitment to sustaining new behaviorPost-6 months to 5 yearsPlan for follow-up supportReinforce internal rewardsDiscuss coping with relapseRelapseResumption of old behaviors: \u201cFall from grace\u201dWrite a word essay – Evaluate trigger for relapseReassess motivation and barriersPlan stronger coping strategies
\nPre-contemplation Stage
\n\u201cIgnorance is bliss\u201d\u201cWeight is not a concern for me\u201dGoals:<\/p>\n
1. Help patient develop a reason for changing
\n2. Validate the patient\u2019s experience
\n3. Encourage further self-exploration
\n4. Leave the door open for future conversations<\/p>\n
1. Validate the patient\u2019s experience:\u201cI can understand why you feel that way\u201d2. Acknowledge the patient\u2019s control of the decision:\u201cI don\u2019t want to preach to you; I know that you\u2019re an adult and you will be the one to decide if and when you are ready to lose weight.\u201d3. Repeat a simple, direct statement about your stand on the medical benefits of weight loss for this patient:\u201cI believe, based upon my training and experience, that this extra weight is putting you at serious risk for heart disease, and that losing 10 pounds is the most important thing you could do for your health.\u201d4. Explore potential concerns:\u201cHas your weight ever caused you a problem?\u201d \u201cCan you imagine how your weight might cause problems in the future?\u201d5. Acknowledge possible feelings of being pressured:\u201cI know that it might feel as though I\u2019ve been pressuring you, and I want to thank you for talking with me anyway.\u201d6. Validate that they are not ready:\u201cI hear you saying that you are nowhere near ready to lose weight right now.\u201d7. Restate your position that it is up to them:\u201cIt\u2019s totally up to you to decide if this is right for you right now.\u201d8. Encourage reframing of current state of change\u2014the potential beginning of a change rather than a decision never to change:\u201cEveryone who\u2019s ever lost weight starts right where you are now; they start by seeing the reasons where they might want to lose weight. And that\u2019s what I\u2019ve been talking to you about.\u201dContemplation Stage\u201cSitting on the fence\u201d\u201cYes my weight is a concern for me, but I\u2019m not willing or able to begin losing weight within the next month.\u201dGoals:<\/p>\n
1. Validate the patient\u2019s experience
\n2. Clarify the patient\u2019s perceptions of the pros and cons of attempted weight loss
\n3. Encourage further self-exploration
\n4. Leave the door open for moving to preparation<\/p>\n
1. Validate the patient\u2019s experience:\u201cI\u2019m hearing that you are thinking about losing weight but you\u2019re definitely not ready to take action right now.\u201d2. Acknowledge patient\u2019s control of the decision:\u201cI don\u2019t want to preach to you; I know that you\u2019re an adult and you will be the one to decide if and when you are ready to lose weight.\u201d3. Clarify patient\u2019s perceptions of the pros and cons of attempted weight loss:\u201cUsing this worksheet, what is one benefit of losing weight? What is one drawback of losing weight?\u201d4. Encourage further self-exploration:\u201cThese questions are very important to beginning a successful weight loss program. Would you be willing to finish this at home and talk to me about it at our next visit?\u201d5. Restate your position that it is up to them:\u201cIt\u2019s totally up to you to decide if this is right for you right now. Whatever you choose, I\u2019m here to support you.\u201d6. Leave the door open for moving to preparation:\u201cAfter talking about this, and doing the exercise, if you feel you would like to make some changes, the next step won\u2019t be jumping into action\u2014we can begin with some preparation work.\u201dPreparation Stage\u201cTesting the Waters\u201d\u201cMy weight is a concern for me; I\u2019m clear that the benefits of attempting weight loss outweigh the drawbacks, and I\u2019m planning to start within the next month.\u201dGoals:<\/p>\n
1. Praise the decision to change behavior
\n2. Prioritize behavior change opportunities
\n3. Identify and assist in problem solving re: obstacles
\n4. Encourage small initial steps
\n5. Encourage identification of social supports<\/p>\n
1. Praise the decision to change behavior:\u201cIt\u2019s great that you feel good about your weight loss decision; you are doing something important to decrease your risk for heart disease.\u201d2. Prioritize behavior change opportunities:\u201cLooking at your eating habits, I think the biggest benefits would come from switching from whole milk dairy products to fat-free dairy products. What do you think?\u201d3. Identify and assist in problem solving re: obstacles:\u201cHave you ever attempted weight loss before? What was helpful? What kinds of problems would you expect in making those changes now? How do you think you could deal with them?\u201d4. Encourage small, initial steps:\u201cSo, the initial goal is to try nonfat milk instead of whole milk every time you have cereal this week.\u201d5. Assist patient in identifying social support:\u201cWhich family members or friends could support you as you make this change? How could they support you? Is there anything else I can do to help?\u201dSource: www.stepupprogram.org<\/p>\n","protected":false},"excerpt":{"rendered":"
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