Module 10
Motivating Patient Change

Prepared Newsprint

Objectives

  1. Describe three indicators of a patient's readiness for treatment.
  2. Identify three strategies for assisting patients in addressing their ATOD problems.
  3. In a simulated patient interview, apply the strategies for motivating patients to address an ATOD-related problem.

Phases in the Change Process

  1. Precontemplation
  2. Contemplation
  3. Determination
  4. Action
  5. Maintenance

Strategies for Motivating

Exercise Instructions-Phases

First Round:

Second Round:

Exercise Instructions-Role Plays

  1. Each group reads the role play handout for their role.
  2. Be prepared to take over from someone in your group as the role play continues.
  3. Decide who will go first in the "fish-bowl."

Handouts

Role Play - Motivating Patients

Patient Role

You are a 52-year-old man with a large codeine habit. From 19 to 44, you were a heroin addict. You spent about half of those years in prison. You were most recently released from prison 9 months ago. You remained off of drugs for 2 months then were prescribed codeine by a dentist after a tooth extraction. You are unable to stop the codeine and are now using 16-20 codeine #4 per day, obtained on the street. You have a urine test coming up soon to be followed by a parole board review.

Clinician Role

Patient Information:
A 52-year-old man has come to the clinic and is discovered to have a large codeine habit. From 19 to 44 he had been a heroin addict. He spent about half of those years in prisons. He was most recently released from prison 9 months ago. He had remained off drugs for 2 months then was prescribed codeine by a dentist after a tooth extraction. He was unable to stop the codeine and is now using 16-20 codeine #4 per day, obtained on the street. He has a urine test coming up soon to be followed by a parole board review.
Motivate this patient to go into treatment following the guidelines presented.