Submit a 3page analysis of the stages of change evident in the scenes in the Walden University (2023) Stages of Change video.
- Briefly describe what the client says and does in each scene that reveals the client’s stage of change. Explain how this evidence distinguishes the client's stage from other stages of change.
- Explain why a social worker should try to determine a client’s stage of change when they first meet a client and how this stage impacts the focus of the work with the client. Use two of the video scenes to illustrate your arguments.
- Relapse was not included in Prochaska and DiClemente’s original description of the transtheoretical model but it has been frequently included as a stage in subsequent literature about the model. Why do you think relapse was added and how does its inclusion enhance understanding of client readiness for change?
Use the Learning Resources to support your assignment. Make sure to provide APA citations and a reference list.
- Capuzzi, D., & Stauffer, M. D. (2020). Foundations of addictions counseling (4th ed.). New York, NY: Pearson Education, Inc.
- Chapter 7, “Motivational Interviewing” (pp. 136-142)
- Chapter 7, “Motivational Interviewing” (pp. 136-142)
- Raihan, N., & Cogburn, M. (2023, March 6). Stages of change theoryLinks to an external site.. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK556005
- Substance Abuse and Mental Health Services Administration. (2019, October). TIP 35: Enhancing motivation for change in substance use disorder treatmentLinks to an external site.. Treatment Improvement Protocol (TIP) Series. No. 35. https://store.samhsa.gov/product/TIP-35-Enhancing-Motivation-for-Change-in-Substance-Use-Disorder-Treatment/PEP19-02-01-003
- Chapter 1, “A New Look at Motivation” (pp. 1-16)
- Chapter 2, “Motivational Counseling and Brief Intervention” (pp. 17-34)
Social worker: Hello, my name is Rhonda. Thanks for calling in today.
FEMALE SPEAKER: Hey, I'm Susan.
Social worker: What can I do for you?
FEMALE SPEAKER: Well, my partner made me schedule this appointment. She says I have a
problem with drugs.
Social worker: I see. Well, what do you think? Could she be right about that?
FEMALE SPEAKER: I don't know. I don't think it is. I mean, I do like to party a little. But it doesn't get
out of control.
Social worker: OK, well, let's talk a little more about this. Tell me more about your partying. What goes on?
FEMALE SPEAKER: I like to go out with my friends, and a lot of them are younger. They're a lot more
into drugs than I am. It's mostly just weed, but sometimes we do get into harder stuff.
Social worker: And how often do you go out and smoke or use drugs and alcohol?
FEMALE SPEAKER: Just maybe once a week, maybe twice, sometimes more.
Social worker: Have you ever had any problems with your drug use?
FEMALE SPEAKER: No. I've gotten a few DUIs, but nothing serious.
Social worker: OK. Well, it sounds like you aren't really ready to make a change at this point. And that's OK. We can still work together to help you understand the risks of your drug use and make informed decisions in the future. Hello, Susan. It's good to see you again. What would you like to talk about today?
FEMALE SPEAKER: I'm thinking a lot about what you said about my partying and drug use. I don't know, maybe I do have a problem. I've tried to quit before, and it didn't work. But I don't think I can do it.
Social worker: I see. What about what I said or what your partner said made you think it is a problem?
FEMALE SPEAKER: Well, for one thing, I seem to be using it a lot more than I used to. I used to only use on weekends. But now I start thinking about it right when I get off work during the week too. And I don't always use during the week, but it's on my mind. And when I do use, I'm not doing as well with work. And I'm avoiding my friends and my family.
Social worker: Well, it sounds like you're starting to realize that maybe it is a problem. And that's a big step. So why don't we talk a little more about your drug use and what next steps you might take? Susan, I see that you're struggling. What do you want to talk about today?
FEMALE SPEAKER: Well, I know that my drug use is a problem. Things have gotten a lot more serious in the last few weeks. And I've just been going out with my friends and scoring. I really don't know how it got to this point, but I know that things need to change. (VOICE BREAKING) I need to stop.
Social worker: It's good that you've gotten to this realization. I have a lot of resources I can provide to help you make a plan to get help for your problem.
FEMALE SPEAKER: I'm just really anxious about this.
Social worker: You're doing the right thing. And you've come to the right place. Let's talk some more. Good to see you again, Susan. What can I help you with today?
FEMALE SPEAKER: Well, I've been sober for 30 days now.
Social worker: Oh, that's great! Oh, you should be really proud.
FEMALE SPEAKER: Thanks, I am. It really hasn't been easy, though. But it's worth it. But I still struggle every day.
Social worker: I can only imagine how hard it must be. What have you been doing to stay sober?
FEMALE SPEAKER: I've been going to NA and AA meetings, seeing a therapist, and just trying to spend more time with my family. I don't know if that's enough, though, because I still struggle.
Social worker: Well, that's all great. Just keep up the good work. Hi there, Susan. It's been a while. How are things going?
FEMALE SPEAKER: Well, I've been sober for a full year now.
Social worker: Oh, that is amazing! Oh, you should be so proud. I'm proud of you.
FEMALE SPEAKER: Thanks. It really hasn't been easy, but it's so worth it. And I feel like I'm really
taking charge of my life.
Social worker: Well, that is wonderful. And it is definitely worth it. What are some of the things you've been doing to stay sober?
FEMALE SPEAKER: I've still been seeing my therapist and going to meetings. Sometimes it's harder than others. But I've really been working on my recovery by going to the gym and eating healthy and meditating.
Social worker: That all sounds great. Just keep doing what you're doing. Hey, Susan. Something seems to
be bothering you. Do you want to talk about it?
FEMALE SPEAKER: I was doing so well. I was sober. But I used again.
Social worker: I'm so sorry to hear that. Relapse is a common thing that happens to a lot of people.
FEMALE SPEAKER: I know. But I feel like a failure.
Social worker: No, you are not a failure. Relapse is a part of recovery. It's something you can use to learn and to grow.
FEMALE SPEAKER: I just really don't know what to do now.
Social worker: Hey, the first thing you need to do is to forgive yourself. It's important to remember
that you're not alone, and that while this is hard right now, it is something that can be overcome.
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