Stages of Change for Addiction, Treatment and Rehabilitation
Prochaska & DiClemente developed a stages of change model that identifies 5 progressive stages of change as they specifically apply to overcoming addictions.
Precontemplation - the stage where the individual is not contemplating changing any of their addictive behaviors. This stage is often also identified with continuing denial that a problem exists at all.
Contemplation – the stage of beginning awareness that change is necessary and/or desirable without any actions to do so yet.
Preparation – the stage of deciding to commit to make changes in the near future. It is during this stage that supplying recovery and treatment information to the addict is often very beneficial.
Action - stage is where the change in the behavior actually begins to occur. It is here that the addict actually stops drinking and/or using instead of simply talking about doing so.
Maintenance, - stage where the change initiated in the action stage continues such that the person continues to remain clean and sober. It is at this stage that relapse prevention methods and programs becomes very important to continued recovery.
Rick Murphy, M.A.
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On May 18th, 2007 william howard wrote:
Maintenance stage actually last forever, don't you agree? Once an addict always an addict?
Jason
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On May 21st, 2007 Rick Murphy wrote:
Yes indeed William ;)
As the stages of change model notes if one does not stay in he maintenace stage the next stage is relapse-which of course is undesireable-good point :)
Rick
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On Aug 3rd, 2007 Wes wrote:
There are some stages that others have added that seem relavant. Anti contemplative which is to say leave me alone I don't have a problem. Prelapse a phase in which thoughts about using occur. Lapse which may be a one time incident and relapse which is full engagement in addiction. I have found the prelapse phase useful in dealing with clients to get them to examine patterns that exsist weeks before a relapse occurs.Coupled with Phases and Warning Signs of Relapse by Terrence Gorski proves to be a very effective teaching tool.
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On Oct 11th, 2007 Enrique wrote:
Is there any specific time period in which these stages occur or do recovering addicts vary from person to person in the amount of time they actually spend within each stage?
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On Feb 3rd, 2008 allegri wrote:
There is no specific time period that these stages occur, as each person needs to motivate themselves to go through each stage and move on to the next. Also, there is no "rule" that the addict will not cross back over into the first stages, multiple times over.
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On May 13th, 2008 Marvin Jones wrote:
There are no quick fixes for the diseases of drug abuse and alcoholism. Recovery is an ongoing process. The skills one learns during intensive rehabilitation treatment must be integrated into everyday life and this takes time.
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Marvin
This is a comprehensive addiction portal focusing on topics of alcohol and drug abuse.
<a href="http://www.alcoholaddiction.org">
http://www.alcoholaddiction.org</a>.
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On May 31st, 2008 Vicki wrote:
My 21 year old daughter is in rehab for alcohol. She is on day 15 of a 28 day program. She got attached to male patient and now it's starting to come apart. She is really cranky and acts like she hasn't learned anything other than not to drink. Do the rehab programs help them to see some of the bad choices they made and how to change? I don't see her staying sober if she doesn't change how she sees herself and who she picks to have a relationship with. Any advise?
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