Clinical Tools

Stages of Change:

Below are tools that may be used with clients at each particular stage of change:

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Pre-Contemplation:

Client does not recognize need for/or desire to change. Goals are to establish rapport, identify goals and values, help foster insight.

• Developing Discrepancy

• Goal Sheet

• Setting Life Goals

• The Life Compass

• Values Card Sort

• What are my Character Strengths?

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Contemplation:

Client is ambivalent about making a change. Compare pros and cons of behaviour change an develop discrepancy.

• Pros and Cons of Making a Change

• Adjusted Recreation Activities Worksheet

• Payoff Matrix

• Testing Out Abstinence

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Preparation:

Client has committed to behavioural change. Plan for change, problem solve around challenges, and identify/engage supports.

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• Change Plan Sheet

• Identifying Triggers

• Setting up Goals Worksheet

• Triggers and Coping

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Action:

Client has initiated behavioural change. Provide positive reinforcement, strengthen coping skills and self-efficacy.

• 3D's

• Relapse Prevention Plan

• SOBER Breathing Space

• Reminder Card with SOBER Breathing Space

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Maintenance:

Client has adjusted and sustained behaviour change. Reinforce adaptive skills, strengths relapse prevention plan.​

• Relapse and Crisis Plan

• Emergency Coping Card

• Refusing Drugs and Alcohol

• Strengths and Qualities

• Tips for Relapse Prevention

• Identifying Problem Substance Use Situations

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Relapse:

Client has experienced a relapse re: changed behaviour. Provide empathy and support, re-frame relapse/slip as a learning opportunity.

• Enjoyable Activities

• Informal Mindfulness Practice

• Simple Ways to Get Present