Enhancing Motivation for Change in Substance Abuse Treatment (TIP 35)

Chapter 4: From Precontemplation to Contemplation: Building Readiness

About the Course:

This TIP embraces a fundamentally different way to conceptualize motivation. In this approach, motivation is viewed as a dynamic and changeable state rather than a static trait. This TIP shows how clinicians can influence this change process by developing a therapeutic relationship, one that respects and builds on the client’s autonomy and, at the same time, makes the treatment counselor a participant in the change process. This course covers Chapter 4 only.

Publication Date:

2006

Author

SAMHSA

About the Author:

Enhancing Motivation for Change in Substance Abuse Treatment was published as Treatment Improvement Protocol (TIP) 35 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about moving clients from precontemplation to contemplation. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

  1. Identify initial strategies that can be used with clients in the precontemplation stage of change.

  2. Explain how the client’s significant others can be utilized as part of the intervention and change process.

  3. Describe special considerations for motivating clients that have been coerced into entering treatment.

Exam Questions

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