Treatment FAQ

a. why is stage-matched treatment so important to addictions treatment?

by Prof. Horacio Wisoky DDS Published 2 years ago Updated 2 years ago

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.

Full Answer

What happens in the maintenance stage of addiction treatment?

Research supports the use of stage-matched care to help implement health-behavior changes related to substance use, physical activity, and taking medication(2). Individuals with co-occurring 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 …

Why focus on stages of change in addiction recovery?

 · Addiction professionals believe that the best way to overcome active addiction is to start your recovery journey by going to treatment. You will be exposed to counseling, 12 step programs, the importance of having sober friends, and the necessity of developing a sponsor or mentor relationship. At The Kimberly Center, we care about your recovery.

What are the 4 stages of addiction treatment?

4. Aftercare can help hold you accountable. During the early stages of addiction recovery, accountability is critical. Many people who leave addiction treatment without following their discharge and aftercare plans relapse. Aftercare plans provide a space and time for you to remain accountable to yourself and others.

What is the action stage of treatment?

 · Using the framework of the Stages of Change model,4 the goal for a single encounter is a shift from the grandiose (“Get patient to change unhealthy behavior.”) to the realistic (“Identify ...

What is the most effective treatment for addiction?

According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.

What are the stages of stage wise treatment?

Stage-Matched Care. Developed from the Trans-theoretical Model of Change1, the Stage of Change model includes five stages: pre-contemplation, contemplation, preparation, action, and maintenance.

What are the four stages of treatment?

The four stages of treatment are:Treatment initiation.Early abstinence.Maintaining abstinence.Advanced recovery.

What makes a treatment effective?

3. Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems.

What is the first stage of addiction?

Stage 1: Initiation The first stage of addiction is called initiation, during which time the individual tries a substance for the first time.

What is a helpful strategy to use with the client during the maintenance stage of change?

Motivational Strategies for the Maintenance Stage Support parents' use of new communication or coping strategies. Maintain supportive contact and availability. Sustain parents' resolve to meet statutory timetables. Review long-term goals with parents.

What are the four stages of substance abuse?

While there are many factors that contribute to drug and alcohol addiction, including genetic and environmental influences, socioeconomic status, and preexisting mental health conditions, most professionals within the field of addiction agree that there are four main stages of addiction: experimentation, regular use, ...

What is the engagement stage of treatment?

In general, treatment engagement refers to the process of initiating and sustaining the client's participation in the ongoing treatment process. Engagement can involve such enticements as providing help by procuring social services such as food, shelter, and medical services.

Is treatment for drug dependence effective?

According to research that tracks individuals in treatment over extended periods, most people who get into and remain in treatment stop using drugs, decrease their criminal activity, and improve their occupational, social, and psychological functioning.

What is a good treatment?

So what is good treatment? An encouraging mix of education, hands on care, and exercise designed to allow our patients to develop independence and self-efficacy in their own ability to recover from injury and pain.

What is typically the first step in the substance abuse treatment process?

Intensive Outpatient Rehab – The First, Second, or Third Step in Treatment. For others, the first step of drug addiction treatment is intensive outpatient rehab. Those who have a mild to a moderate issue with drugs can begin with this step while others transition to it after undergoing detox and inpatient rehab.

How long do people with addictions go through the contemplation stage?

People with addictions may be in the contemplation stages for many years. From here, they may move forward to the next phase—the preparation stage—or they may move back to the precontemplation stage. 2 

How to overcome addiction?

Put support in place: Support can include informing friends and family who want you to overcome your addiction, booking a place in detox and/or a treatment center, or finding a support group. It can even mean informing your addiction buddies (such as fellow smokers) of your plans, asking them to respect your process and to not engage in the addictive behavior around you.

What is the preparation stage of the stages of change?

The preparation stage of the stages of change (transtheoretical) model means a person has moved forward to planning and preparing for carrying out changes they learned about in the contemplation stage. 2  With substance addictions, thorough and thought-out preparation can be important to success.

How many stages are there in the relapse model?

There are four main stages in this model: Precontemplation, contemplation, preparation, and action. Maintenance and relapse are also sometimes included as additional stages. These stages can be represented as a cycle, and in theory, people should go through these stages in sequence.

Is abstinence the only way to keep addiction under control?

For others, abstinence is the only way to keep their addiction under control.

Where does the action stage start?

For many people, the action stage starts in a detox or treatment center. Here, trained professionals provide support through the early phases of discontinuing an addiction.

What is the action stage?

The action stage is the focus for many people attempting to overcome addiction. This is the stage at which real change—change of behavior—starts happening. 2  The action stage is typically stressful. But with good preparation, it can also be an exciting time that gives way to new options.

What is addiction treatment?

Addiction treatment gives you the opportunity to learn how to withstand cravings, identify some of the core reasons why you may use, and the importance of gaining support after treatment. Inpatient programs are a highly recommended tool to start your recovery journey.

What is the first step in addiction?

The first step that many people take is going to treatment . Addiction treatment is not jail or a punishment. Treatment is a chance to get to know yourself better. Treatment also helps you understand some of the roots of addiction. Treatment for addiction is a brave and life changing decision. Treatment is also one of the most important steps ...

What is 12 step recovery?

Recovery support programs, such as 12 step programs are not based on residing in a facility. However, 12 step programs are a big commitment.

How long does it take to recover from addiction?

There are several types of treatment for addiction. Inpatient treatment is a program where you temporarily reside. Inpatient programs take around 30 days. In inpatient treatment, you learn the basics of recovery and gain skills to help you be able ...

What is the 12 step program?

In the 12 step program, you work steps designed to help you remove defects of character and gain a new sense of purpose and community. Because active addiction takes up so much of your life, you really need a chance to breathe and refocus. You also need to learn how to stay sober.

How long do people with addictions go through the contemplation stage?

People with addictions may be in the contemplation stages for many years. They may move forward to the next phase, the preparation stage, or they may move back to the pre-contemplation stage.2

What is the preparation stage of the stages of change?

The preparation stage of the stages of change (transtheoretical) model means a person has moved forward to planning and preparing for carrying out changes they contemplated.2  With substance addictions, thorough and thought-out preparation can be important to success.

What is maintenance stage?

The maintenance stage of Prochaska and DiClemente's transtheoretical model of change is concerned with continuing to achieve the progress that began in the action stage. For people with addictions, this means upholding the intentions made during the preparation stage and the behaviors introduced in the action stage.2

Where does the action stage start?

For many people, the action stage starts in a detox or treatment center, where there are trained professionals on site to support you through the early phases of discontinuing an addiction. For others, particularly those whose goals are around moderating or controlling behavior (rather than quitting completely), it can be similar to your normal life, but with greater restraint and perhaps a greater need for support and other ways of coping with stress.

When is a person ready to move onto the action stage?

Once the necessary preparations have been made , a person is typically ready to move onto the action stage.

What are the triggers for a drug addiction?

Triggers could include stashes of drugs or drug paraphernalia for a drug user; bottles of liquor for a drinker; ashtrays and lighters for a smoker; pornography for someone with a sexual addiction. Letting go of these reminders can be a difficult process in itself, but going through the process can harden your resolve to overcome your addiction this ...

How to reduce the risk of STD transmission?

If your intention is to reduce the risk of STD transmission, you will need to purchase or obtain supplies of condoms. Getting rid of triggers: Triggers are reminders of your addiction that are likely to cause cravings and make it hard for you to fight going back to your addictive behavior.

What are the stages of change in addiction?

The 5 stages of change addiction continuously evolve to replicate the behavior of addicts in every phase of decision making. They are: 1 precontemplation 2 contemplation 3 preparation 4 action 5 maintenance

What is the preparation stage of addiction recovery?

The preparation stage of change in addiction recovery marks the point at which the addict fully identifies that they have a problem with their addiction and sets out to make a positive change. In this stage, they mentally prepare for any support or substance abuse treatment that they intend to get.

What is the maintenance stage of substance abuse?

The aim of the maintenance stages of change substance abuse is to sustain the newfound life and to stick to lessons learned through the phases of treatment. This stage of change is largely a phase of adaptation. Individuals who have gone through phases of successful treatment have to familiarize themselves with life without their cravings. A drug and alcohol-free life becomes a reality by taking the necessary precautions.#N#According to the transtheoretical model, relapse is always a nearby possibility, especially because people with long term substance use disorder still feel the need to use once in a while, especially when the craving is triggered. Severe substance abuse is a chronic disease that requires long term residential treatment, and even on the maintenance stages of addiction recovery, the risks of relapse are still significant.

What is the end of the cycle of addiction?

Ideally, the cycle of addiction should end at termination. However, many people do not make it to this phase. Following the stages of change addiction, the termination stage is the final point where the person adjusts to abstinence and can control themselves even when there are addiction triggers present. This stage demonstrates a complete recovery where the substance no longer has control over the individual.

What is the key component of the stage of change model?

In the stage of change model, during the action stage, what is the key component? One could easily say that the essential factor is identifying functional ways of dealing with the distress of withdrawal. The action stages of recovery from addiction can be better executed by enrolling in a treatment center that offers professional substance abuse treatment, detoxification, cognitive behavioral therapy, 12-step programs, alternative medicine, counseling, and other essential support services to enable the individual to better cope with stress and changes in habits and lifestyle.

Why is the first stage of recovery important?

This stage is important as the patient’s expectations before getting treatment can be integral to the success of their recovery. They need to understand the challenges they may face on the path to getting better.

What is the contemplation phase of addiction?

Many people have spent years in the contemplation stage of change in substance addiction. Contemplation is one of the 5 stages of recovery that requires a non-judgmental approach to motivating the user to seek necessary help. A positive outcome ends with the user accepting to seek medical help as soon as possible.

How does addiction treatment affect your life?

The amount of support you receive from others might change. The environment in which you live may change. The hours you need or have to work may change. All of these adjustments can lead to stress and anxiety which can trigger cravings. Aftercare can help you deal with these changes without compromising your sobriety.

Why is group therapy important?

Individual counseling sessions allow you time and space to process thoughts, feelings, and situations you haven’t fully worked through during addiction treatment. Group therapy sessions can help combat isolation and loneliness through support and encouragement from peers facing similar situations. But these aren’t the only reasons why aftercare is so important to addiction recovery.

What is the name of the group that helps with recovery?

Attending recovery meetings, such as Alcoholics Anonymous (AA), Narcotics Anonymous (NA), or other options

What is aftercare plan?

The ultimate goal of aftercare plans is to help you use the tools you learned in treatment to prevent relapse. This can look like helping you find a place to stay, holding you accountable, providing you with counseling, supporting you emotionally, providing legal assistance, or helping you find and maintain a job. But all these forms of assistance are provided to help you navigate and live life without turning to drugs or alcohol.

How to stay accountable for addiction?

Many people who leave addiction treatment without following their discharge and aftercare plans relapse. Aftercare plans provide a space and time for you to remain accountable to yourself and others. Check in with your case manager. Call your sponsor. Let your mentors know when you’re having a difficult time. They’re there to help you and hold you accountable for the life you want to live.

How can aftercare help you?

Aftercare plans can help you to build and grow a healthy community. Being around like-minded people can help you stay motivated. Spending time with sober peers can also inspire you to continue to make positive changes. Gaining new sober friends and planning activities with them can help you recognize that sobriety doesn’t have to be boring. Many addiction experts believe that the opposite of addiction is community. Aftercare can help provide the social support and community you need to maintain long-term recovery.

Does addiction go away after treatment?

Addiction is a chronic condition. This means that addiction doesn’t go away after treatment; it’s a chronic brain disorder that requires ongoing care and management. Aftercare can provide you the ongoing support and care you need. Here’s how.

When patients experiment with changing a behavior (preparation stage) such as cutting down on smoking or starting to exercise

When patients experiment with changing a behavior (preparation stage) such as cutting down on smoking or starting to exercise, they are shifting into more decisive action. Physicians should encourage them to address the barriers to full-fledged action. While continuing to explore patient ambivalence, strategies should shift from motivational to behavioral skills. During the action and maintenance stages, physicians should continue to ask about successes and difficulties—and be generous with praise and admiration.

What is the preparation stage of a patient?

During the preparation stage, patients prepare to make a specific change. They may experiment with small changes as their determination to change increases. For example, sampling low-fat foods may be an experimentation with or a move toward greater dietary modification. Switching to a different brand of cigarettes or decreasing their drinking signals that they have decided a change is needed.

What is maintenance and relapse prevention?

Maintenance and relapse prevention involve incorporating the new behavior “over the long haul.” Discouragement over occasional “slips” may halt the change process and result in the patient giving up. However, most patients find themselves “recycling” through the stages of change several times before the change becomes truly established.

What is the precontemplation stage?

PRECONTEMPLATION STAGE. During the precontemplation stage, patients do not even consider changing. Smokers who are “in denial” may not see that the advice applies to them personally. Patients with high cholesterol levels may feel “immune” to the health problems that strike others.

What is the stage of change model 4?

The Stages of Change model 4 shows that, for most persons, a change in behavior occurs gradually, with the patient moving from being uninterested, unaware or unwilling to make a change (precontemplation), to considering a change (contemplation), to deciding and preparing to make a change. Genuine , determined action is then taken and, over time, attempts to maintain the new behavior occur. Relapses are almost inevitable and become part of the process of working toward lifelong change.

Is behavior change discrete or discrete?

References. Physicians should remember that behavior change is rarely a discrete, single event. Physicians sometimes see patients who, after experiencing a medical crisis and being advised to change the contributing behavior, readily comply.

What does it mean when a patient relapses?

Relapse during any treatment program is sometimes viewed as a failure by the patient and the physician. A feeling of failure, especially when repeated, may cause patients to give up and avoid contact with their physician or avoid treatment altogether.

Model of Overcoming Addiction

The Precontemplation Stage

  • Precontemplation is the first stage in the "stages of change" or "transtheoretical" model of addiction and behavior change. When people are in the pre-contemplation stage, they typically do not consider their behavior to be a problem. This may be because they have not yet experienced any negative consequences of their behavior, or it may be a result of denial about the negativity …
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The Contemplation Stage

  • The word contemplation essentially means to consider or think about something deeply. In the context of the “stages of change” model of addiction and behavior change, contemplation specifically refers to the stage at which the person engaging in the addictive behavior begins to think about changing, cutting down, moderating or quitting the addictive behavior. In the stages …
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The Preparation Stage

  • The preparation stage of the stages of change (transtheoretical) model means a person has moved forward to planning and preparing for carrying out changes they contemplated.2 With substance addictions, thorough and thought-out preparation can be important to success. Examples of the kinds of things a person might plan, do or decide about during th...
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The Action Stage

  • The action stage is the focus for many people attempting to overcome addiction. This is the stage at which real change – change of behavior – starts happening. The action stage is typically stressful, but with good preparation, it can also be an exciting time that gives way to new options. For many people, the action stage starts in a detox or treatment center, where there are trained p…
See more on issup.net

The Maintenance Stage

  • The maintenance stage of Prochaska and DiClemente's transtheoretical model of change is concerned with continuing to achieve the progress that began in the action stage. For people with addictions, this means upholding the intentions made during the preparation stage and the behaviors introduced in the action stage.2 Usually, this will mean staying abstinent from alcoh…
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The Relapse Stage

  • The relapse stage is sometimes included in the stages of change model, in recognition that a person might have some or even many small lapses, or even relapses – periods when the addictive behavior is taken up again – before maintenance is achieved. In reality, the outcome of the process of change is highly individual – some people are able to adjust to controlled drinkin…
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