Progressive Care Services, IncRefresher

2012

Pre-contemplationContemplationActionMaintenanceRelapse

•Not even thinking about change

To go back and forth between the idea of change

Often influenced by emotion Ambivalence stage

Ambivalence is gone Actually working on change

Behavior change takes repeated implementation of new skills

Change in the psychology of our brain takes longer

This is often when services are no longer needed

Returns to previous behaviors Once there has been a lapse or relapse

the consumer re-enters the continuum at either Pre-contemplation Contemplation Action

Express empathy Develop discrepancy Roll with resistance Support self-efficacy

Non-Judgmental Reflection Change Talk

Elaborating Asking questions Using scales or importance ruler Challenges extremes Exploring decisions Looking back Looking forward Exploring goals and values

Understanding the consumers world view Summarizing ambivalence Develop discrepancy between polarized

urges

Emotional saliency is important for change to take place

Tone of voice is critical The question should make the consumer

think

10 should always be the direction you want change to go

Whatever number they give select one/two below and ask: Why a 6 instead of a 4?

By choosing a number below, you are eliciting change talk

Whatever number they give select one/two above and ask: Why a 8 instead of a 6?

What would it take to get you to the 8? Be sure to elicit something the consumer

has control over. The consumer’s goal becomes the plan. Make sure the plan is something the

consumer can accomplish Identify barriers to change Set an appropriate time line

Always target current behavior

Always target Current behaviors Elicit pros and cons

Always target current behavior Example: When was the last time fighting

really solved a problem? The phrase “really solved” refers to all

aspects of life If it elicits a poignant reply, your best

response is silence

What do you see yourself doing in 5 years?

What are your top 5 values and why? Tell me how your (current behavior) fits

with these values? Tone is critical. This works best following a

discussion about issues to be changed.