Question

Co-occurring Treatment and Recovery Chart

The purpose of this assignment is to become familiar with the treatment and recovery methods, modalities, and strategies.

After reading all assigned material complete the “Co-occurring Treatment and Recovery Chart” by filling in the information for the following categories below.

1. Description or definition of the strategy: What is the strategy and modality? For example, regarding stages of change, what is the brief definition of this method?
2. Key concepts and brief definitions: What are the common terms used in this model? Provide brief definitions for terms and concepts.
3. Purpose/use of strategy in working with clients with co-occurring disorders: Why is this particular model or strategy used in working with persons with co-occurring disorders? In other words, what is its purpose?
4. Overall successful outcomes appearances: How are successful outcomes recognized?
5. How the strategy is used in various treatment settings: How might the strategy be utilized in the different treatment settings? Is the approach different depending on the setting?
6. How the strategy aids in recovery: In what way does the strategy help the client recover?

Answer 1

1.For each stage of change, different intervention strategies are most effective at moving the person to the next stage of change and subsequently through the model to maintenance, the ideal stage of behavior.

Ten processes of change have been identified with some processes being more relevant to a specific stage of change than other processes. These processes result in strategies that help people make and maintain change:

Consciousness Raising - Increasing awareness about the healthy behavior.

Dramatic Relief - Emotional arousal about the health behavior, whether positive or negative arousal.

Self-Reevaluation - Self reappraisal to realize the healthy behavior is part of who they want to be.

Environmental Reevaluation - Social reappraisal to realize how their unhealthy behavior affects others.

Social Liberation - Environmental opportunities that exist to show society is supportive of the healthy behavior.

Self-Liberation - Commitment to change behavior based on the belief that achievement of the healthy behavior is possible.

Helping Relationships - Finding supportive relationships that encourage the desired change.

2..Precontemplation - In this stage, people do not intend to take action in the foreseeable future (defined as within the next 6 months). People are often unaware that their behavior is problematic or produces negative consequences. People in this stage often underestimate the pros of changing behavior and place too much emphasis on the cons of changing behavior.

Contemplation - In this stage, people are intending to start the healthy behavior in the foreseeable future (defined as within the next 6 months). People recognize that their behavior may be problematic, and a more thoughtful and practical consideration of the pros and cons of changing the behavior takes place, with equal emphasis placed on both. Even with this recognition, people may still feel ambivalent toward changing their behavior.

Preparation (Determination) - In this stage, people are ready to take action within the next 30 days. People start to take small steps toward the behavior change, and they believe changing their behavior can lead to a healthier life.

Action - In this stage, people have recently changed their behavior (defined as within the last 6 months) and intend to keep moving forward with that behavior change. People may exhibit this by modifying their problem behavior or acquiring new healthy behaviors.

Maintenance - In this stage, people have sustained their behavior change for a while (defined as more than 6 months) and intend to maintain the behavior change going forward. People in this stage work to prevent relapse to earlier stages.

Termination - In this stage, people have no desire to return to their unhealthy behaviors and are sure they will not relapse. Since this is rarely reached, and people tend to stay in the maintenance stage, this stage is often not considered in health promotion programs.  

3..Stage of Change model includes five stages: pre-contemplation, contemplation, preparation, action and maintenance. These stages of change have four Contemplation and Preparation Persuasion complementary stages of treatment each with specific strategies tailored to enhance client engagement and motivation. Research supports the use of stage matched care to help implement health behavior changes related to substance use, physical activity and taking medication. Individuals with Cooccurring mental illness and substance use disorders have complex needs that may be more effectively addressed by utilizing the stages of treatment as opposed to using a strategy outside of the individual’s Stage of Change.

In stage matched care, clinical interventions are selected and can be adapted based on a person’s Stage of Change. This effective approach supports and enhances a person’s motivation while increasing the likelihood that a person can sustain a behavior change. Stage-matched interventions, referred to as the Stages of Treatment, describe a person’s process through recovery. Each Stage of Treatment includes a range of motivational interventions matched to support a person’s recovery.

4.how are successfull outcomes recognized :

Patient centered models allow patients more control in directing their treatment and are a viable alternative method in determining the success of treatment outcomes. A patientt centered approach has the potential to lead to increased satisfaction, enhanced patient practitioner interaction, greater treatment compliance and a positive treatment response.

Patient’s expected outcome criteria indicate what patients believe will occur following interventions with previous studies indicating patient expectations have the potential to influence outcomes both positively and negatively.

Finally, patient's successful outcome criteria are an indication of patient’s beliefs of what should occur following therapy that would result in satisfaction or dissatisfaction with outcome. In contrast with desired and expected outcomes, a successful outcome is a measure of a patient’s essential mimimum level of achievement in order to judge an outcome successful.