Imagine that a client came to you as a first step, in one of the provided scenarios. It is likely you will need to recommend outside resources, beyond what you would provide, such as counselling, too. Even though you might not provide all the resources for a client as he or she goes through the stages of change, you should be able to predict which stages a client in a given situation is likely to go though.
In your chosen scenario, identify the stages of change that a client would likely go through and questions that you would ask him or her during each stage to help progress. Assess the resources that he or she might need and referrals that you might make for the client to be successful at each stage.
Choose a scenario from the given list and evaluate the stages of change. As part of your analysis, you should identify the culture, ethnicity, and/or country of the client. Analyse the scenario from the viewpoint of a human and social services professional after the client has come to your organisation for help.
A client who received news of being diagnosed with a sexually transmitted disease
A manager of an organisation that experienced a large layoff and employee morale is low
A community without clean running water
A client who is considered obese and obesity runs in the family
A client who is 43 and started smoking as a teenager
A community that has experienced a natural disaster, which has left many homeless and members of the community are coming to your organisation for help
For your chosen scenario, use Prochaska and DiClemente’s Stages of Change. In 1–2 pages: Identify the questions you might ask while interviewing the client during each stage. Assess the resources that he or she might need and referrals that you might make for the client to be successful in moving from one stage to another. Be specific.
Prochaska and DiClemente’s Stages of Change Model
Stage of Change Characteristics Techniques Pre-Contemplation Not currently considering change: “Ignorance is bliss” Validate lack of readiness Clarify: decision is theirs Encourage re-evaluation of current behaviour Encourage self-exploration, not action
Explain and personalise the risk Contemplation Ambivalent about change: “Sitting on the fence” Not considering change within the next month Validate lack of readiness Clarify: decision is theirs Encourage evaluation of pros and cons of behaviour change Identify and promote new, positive outcome expectations P
reparation Some experience with change and are trying to change: “Testing the waters” Planning to act within 1 month Identify and assist in problem solving re: obstacles Help patient identify social support Verify that patient has underlying skills for behaviour change
Encourage small initial steps Action Practising new behaviour for 3–6 months Focus on restructuring cues and social support Bolster self-efficacy for dealing with obstacles Combat feelings of loss and reiterate long-term benefits Maintenance Continued commitment to sustaining new behaviour Post-6 months to 5 years Plan for follow-up support Reinforce internal rewards Discuss coping with relapse
Relapse Resumption of old behaviours: “Fall from grace “Evaluate trigger for relapse
Reassess motivation and barriers Plan stronger coping strategies
“Ignorance is bliss” “Weight is not a concern for me
“I can understand why you feel that way”