MODULE 4—INTRODUCTION TOMOTIVATION AND

STAGES OF CHANGE

Treatment for Substance Use Disorders—The Continuum of

Carefor Addiction Professionals

The Colombo Plan Asian Centre for Certification and Education of Addiction Professionals Training Series

Curriculum 2

4.2

Change

Treatment and recovery are ultimately about change

Change is not always easy for people

4.3

Module 4 Learning Objectives

List at least three characteristics of motivationList the six stages of changeDescribe two or three characteristics of clients

in each stage of change

4.4

Change

Change occurs: In daily life Among all people In relation to many behaviors With or without professional intervention

4.5

Exercise: Personal Change

What change did you make (or try to make)?How did you decide to make this change?What people, events, or circumstances

influenced your decision?What steps did you take to make the change?Did your level of motivation stay the same

throughout the process?

4.6

Break15 minutes

4.7

Motivation

Motivation for change affects whether a person: Enters treatment Continues in treatment Adheres to a specific change strategy

4.8

Motivation

DynamicPurposefulIntentional PositiveChangeable

4.9

Motivation

Fluctuates over time and in relation to different situations

Can go back and forth between conflicting goals

Varies in intensity, slowing in response to doubts and increasing as doubts are resolved

Varies greatly among potential behavior changes

4.10

Internal Influences on MotivationEmotional statesLife goalsPerceptions about risks and benefits of

behaviorsCognitive appraisals of the situation (what the

client thinks about the situation)

4.11

External Influences on MotivationFamily and friendsSituations and experiencesCommunity support (or lack of community

support)

4.12

Stages of Change

Precontemplation

Contemplation

PreparationAction

Maintenance

Recurrence

4.13

Small-Group Presentations: Characteristics of Clients in Each Stage of ChangeTurn to Resource Page 4.1Read the material for your group’s assigned

stageCreate posters that illustrate characteristicsInclude the type of interventions clients need

in your assigned stagePrepare two or three real-world examples—

Skits

4.14

Motivational Enhancement

Counselors can enhance clients’ motivation for change at each stage of the change process

Clients need and use different kinds of motivational support according to their stage of change

4.15

Lunch60 minutes