I'm doing an online course to better under stand Substance Abuse and how it affects client in the Child Welfare system. I just came across some really great motivators from change. All of this information came from the below source, of which you can register and take the trainings for free.
| Parent’s Stage of Change and Motivational Tasks for Child Welfare Workers | ||
|---|---|---|
| Parent's Stages of Change | Motivational Tasks for Child Welfare Worker | |
| Precontemplation | No perception of having a problem or need to change | Increase parent's perception of the risks and problems with their current behavior; raise parent's awareness about behavior |
| Contemplation | Initial recognition that behavior may be a problem and ambivalence about change | Foster and evoke reasons to change and the risks of not changing; help parents see that change is possible and achievable |
| Decision to Change | Makes a conscious determination to change; some motivation for change identified | Help parent identify best actions to take for change; support motivations for change |
| Action | Takes steps to change | Help parent implement strategy and take steps |
| Maintenance | Actively works on sustaining change strategies and maintaining long-term change | Help parent to identify triggers and use strategies to prevent relapse |
| Lapse or Relapse | Slips (lapses) from a change strategy or returns to previous problem behavior patterns (relapse) | Help parent re-engage in the contemplation, decision, and action stages |
Motivational Strategies for the Precontemplation Stage
When parents are in the precontemplation stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:
- Establish rapport and build trust
- Raise concerns about a parent's substance-related risk behaviors to self and children
- Elicit the parents' perceptions of their level of risk
- Elicit the parents' perceptions of their children's level of risk with respect to safety, well-being, and health
- Explore the benefits and risks of risky behaviors and treatment, including the timetable of the dependency court
- Express concern and remain available.
When parents are in the contemplation stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:
- Help parents understand that ambivalence about change is normal
- Elicit and weigh their reasons to change and not to change, including the consequences for the child if the parent does not meet the requirements of the dependency court
- Emphasize parents' free choice, responsibility, and self-efficacy for change
- Elicit self-motivational statements of intent and commitment from parents
- Elicit ideas regarding parents' perceived self-efficacy and expectations
- Summarize self-motivational statements
- Elicit ideas for the child's well-being and safety
When parents are in the preparation stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:
- Clarify the parents' own goals and strategies for change
- Offer a menu of options for change or treatment
- Offer expertise and specific guidance, with permission
- Make sure that parents follow through on referrals for treatment assessment
- Help negotiate a change or treatment plan and behavior agreement
- Consider how to help parents lower their barriers to change
- Help parents enlist social support
- Explore the parent's treatment expectations
- Elicit from the parent what has or has not worked in the past
- Have the parent publicly announce plans to change
- Explore legal and social consequences to the parent and the child
- Help parents make plans for dependent children
When parents are in the action stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:
- Support a realistic view of change through small steps
- Acknowledge difficulties for the parent in early stages of change
- Help the parent find new reinforcers of positive change
- Help parents assess whether they have strong family and social supports, and how these can be used to support child safety and well-being
- Help parents engage community supports
- Reflect on appropriate legal and social interactions and gains
When parents are in the maintenance stage on a specific issue, child welfare professionals can use the following motivational strategies to help them sustain the benefits that they have achieved.
- Support parents' lifestyle changes
- Affirm parents' resolve and self-efficacy
- 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
- Advocate for legal and community supports and rewards
- Help parents make plans for dependent children
- Help parents, kin caregivers, and children recognize risk factors and behaviors involved with substance abuse
Motivational Strategies for the Relapse Stage
Many clients will not immediately sustain new changes they are attempting to make. Substance use after a period of abstinence may be common in early recovery. Clients may go through several cycles of the stages of change to achieve long-term recovery. Relapse should not be interpreted as treatment failure or that the client has abandoned a commitment to change. With support, these experiences can provide information that can facilitate subsequent progression through the stages of change and identify new areas in which treatment and case plans can be enhanced. When parents lapse or relapse, child welfare professionals have an especially important role helping parents to reengage by using the following strategies:
- Help parents to reenter the change cycle
- Explore the meaning of relapse as a learning opportunity
- Maintain nonjudgmental, supportive contact
- Help parents find alternative coping strategies
- Keep parents' attention focused on the social and legal consequences of relapse for themselves and for their children
| The FRAMES Strategies | ||
|---|---|---|
| F | Feedback regarding the parent's impairment or risk behavior | |
| R | Responsibility for change is the parent's | |
| A | Advice (guidance) to change is provided by the social worker | |
| M | Menu of treatment and self-help alternatives is offered to the parent | |
| E | Empathy and non-blaming style is used by the social worker | |
| S | Self-efficacy or positive empowerment is facilitated in the parent | |
GOOD STUFF!
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