For this assignment, refer to the Stages of Change Case Studies document. Utilize the resources below to assist you.
There are 4 case studies. For each case study you will be required to determine the following information:
What stage of change is the individual in? Justify your response
How will you help this individual proceed to the next stage of change?
Stages of Change
MAJ 6614 WEEK 3 Stages of Change Case Studies
CASE STUDY 1
Anthony is a 32 year old Caucasian male who is court ordered to treatment after his third DUI in the last 10 years. Anthony is on verge of losing his license permanently due to repeated offenses. Anthony has been admitted to treatment three different times over the course of the last 8 years but has failed to sustain any changes in his drinking pattern. Anthony appeared at the initial assessment as very angry stating that “The cop was out to get me; you are all in this together, just trying to get my money.” He saw no point of his being here. Anthony did acknowledge that he had a drinking problem and that he actually quit for 3 weeks on his own once; but got in a big argument with his girlfriend and started drinking again and then just gave up. Anthony states that his girlfriend is pretty much fed up with him over his drinking and is threatening to leave him as a result. Anthony states that he had heard that failed attempts at abstinence are a sure sign you’re an alcoholic….”so what’s the use of trying.”
-What stage of change is Anthony in?Justify and explain your answer.
-How will you help Anthony proceed to the next stage of change?
CASE STUDY 2
Charlie is a 41 year old male who has been participating in counseling for three months. Charlie was initially referred by his Employee Assistance Program for concerns about his alcohol consumption. Charlie initially presented as ambivalent about achieving sobriety and demonstrated resistance to giving up his lifestyle of social drinking. However, after several sessions, Charlie seemed to realize the impact of his drinking behaviors. He reported that he did not want to lose his job and since he had been referred by EAP (Employee Assistance Program), he was concerned that this was his one and only chance to change his behavior. Charlie also indicated that alcohol had become so much a part of his life that he didn’t know how to begin to live without drinking. Charlie decided to take small steps to eradicate alcohol from his life. He stated that he would no longer order a drink with his meals, nor would he order a cocktail after work with his friends. Charlie stated that both of these tasks would be difficult for him, but identified a commitment to change his behavior.
-What stage of change is Charlie in? Please justify and explain your answer.
-How will you help Charlie proceed to the next stage of change?
CASE STUDY 3
Monet is a 26 year old female who has been in counseling for 5 months due to substance abuse and dependency. For the past month she has been actively involved in attending AA meetings and participating in intensive outpatient treatment for her addiction to batbiturates. Monet reports having a break through during an individual counseling session where she realized that she would risk losing her friends and family if she did not change her behavior. Monet reports that this is her time to turn her life around and get things “in order.” She has made several friends in both her IOP treatment as well as within her Alcoholics Anonymous group. She also reports feeling comfortable and secure with her current Alcoholics Anonymous sponsor.
-What stage of change is Monet in? Please justify and explain your answer.
-How will you help Monet proceed to the next stage of change?
CASE STUDY 4
Will is a 34 year old male who has sought individual counseling for work-related stressors. Will is a police officer and admits that sometimes his job “gets to him.” Recently, Will’s work partner was shot in the line of duty during a routine traffic stop. Fortunately, his partner sustained only minor injuries. However, Will reported that he has experienced difficulty sleeping, concentrating and relaxing since the incident. He reported that he has recently begun to use his wife’s prescription sleep aid to help him fall asleep at night. However, the sleep aid has begun to lose its efficacy and Will reports that he has recently begun to drink in the evening, after he gets off of work to “help calm him down.” Will reports drinking approximately a six pack of beer each evening for the past two weeks. Will admits that he is concerned about his reliance on substances to help control his stress. However, Will states that he is also concerned about the effects of seeking treatment for his alcohol use because of possible ramifications to his career.
-What stage of change is Will in? Justify and explain your answer.
-How will you help Will proceed to the next stage of change?
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