Module 10
Motivating Patient Change
Prepared Newsprint
Objectives
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Describe three indicators of a patient's readiness for treatment.
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Identify three strategies for assisting patients in addressing their ATOD
problems.
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In a simulated patient interview, apply the strategies for motivating patients
to address an ATOD-related problem.
Phases in the Change Process
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Precontemplation
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Contemplation
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Determination
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Action
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Maintenance
Strategies for Motivating
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Giving advice and information
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Providing feedback
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Setting goals
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Maintaining contact
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Manipulating external consequences
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Providing choices
Exercise Instructions-Phases
First Round:
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Read your description card.
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As a group, decide which phase it describes.
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Tape the card on the appropriate newsprint.
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Discuss in large group.
Second Round:
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Read your intervention card.
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As a group, decide which phase it addresses.
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Tape the card on the appropriate newsprint.
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Discuss in large group.
Exercise Instructions-Role Plays
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Each group reads the role play handout for their role.
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Be prepared to take over from someone in your group as the role play continues.
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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.