Transcript + Welcome to the Open Sky Webinar We will begin at 6 pm- see you soon!
Slide 1
+
Welcome to the Open Sky
Webinar
We will begin at 6 pm- see you soon!
Slide 2
Stages of Change:
Understanding Your
Loved One’s Process in
Wilderness Therapy
+
Presented by Dr. Paul Case, PsyD
Open Sky’s Assistant Clinical Director
Clinical Psychologist
Clinical Therapist, Team D
Slide 3
+
Agenda
Introduction to the Transtheoretical Stages of Change Model
The Stages: Pre-contemplation, Contemplation, Preparation,
Action, Maintenance, Relapse
The Stages in wilderness therapy
Supporting loved ones in change outside of wilderness
Slide 4
+ Transtheoretical Stages of Change Model
Developed at the University of Rhode Island in 1977 by James
Prochaska
Based on analysis and use of different theories of
psychotherapy, hence the “transtheoretical”
This is one measure Open Sky uses in our outcome research
with both adolescents and young adults. Our research shows
all students leave Open Sky with a stronger readiness to
change their problem behaviors.
Slide 5
+
The Stages: Pre-contemplation
Entry Point to the change process
Individual doesn’t see that there is a problem to be changed, it
is beyond their awareness
Often it is the people closest to the
pre-contemplator who have the
greatest awareness that something
needs to change
“I don’t have a problem”
not a big deal”
don’t understand what the issue is”
“It’s
“I
Slide 6
+
Contemplation
Individual begins to consider the possibility of change
This stage can be rather long lasting and is characterized by
ambivalence
May attempt to reduce the frequency of the behavior or make
resolutions to address it at a future moment
Individuals in the contemplation stage may act out in
increasingly problematic ways
“Maybe I do have a problem”
“Maybe there is something I can work on”
“Maybe this has something to do with me”
Slide 7
+
Preparation
Individual has reached a point where they want to make a
change
Committing to getting treatment, researching
Demonstrate an openness to help and support from others
Problem behavior is still exhibited,
addressing it is actively pursued
“I can’t go on like this”
“What do I need to do?”
“I need help”
but
Slide 8
+
Action!
Commit to a plan and actively engage in that plan
Sometimes action is externally motived; the individual is
required to engage in treatment as part of their probation
The hope is that the motivation to change becomes internal
Internal motivation produces more sustained motivation to
change and to sustain that change over time.
“I’m checking myself into rehab”
“I commit to attending 90 AA meetings in 90 days”
“I am going to Open Sky”
Slide 9
+
Maintenance
Realistic plan for relapse prevention
The change is not yet part of the individual’s internal way of
being in the world and is vulnerable
If returning from treatment, much support
is required to re-enter the “real world”
“I’’ve got a plan”
“I need support”
Slide 10
+
Relapse
Generally part of the process
Does not negate gains made
Re-enforces importance of support and maintenance
Important to minimize shame while maximizing responsibility
“I slipped”
“If I relapse, what’s the point?”
“This doesn’t work; I’m a bad person”
Slide 11
Enter
Permanent
Exit
Relapse
PreContemplation
Contemplation
Maintenance
+
Preparation
ACTION
ACTION
Slide 12
+
Stages in Wilderness Therapy
Pre-contemplation: This stage often takes place at home,
unless an adolescent student comes in with still no awareness
of the challenges they are facing.
Contemplation: With Young Adults, this
is often experienced at home, leading
the individual to Open Sky. With
adolescents and sometimes young
adults, just being at Open Sky opens
space for students to begin
contemplating., i.e.: “If I am at Open
Sky, there must be something to look at”.
an
a
Slide 13
+
Stages in Wilderness Therapy
Preparation: This stage can be characterized by an individual’s
commitment to coming to Open Sky or choosing to go to a next
phase of treatment. Once in wilderness, we see preparation
when a student begins to actively engage in therapy and
positive relationship with their field guides and peers.
Action: Coming to Open Sky for many (especially young adults)
is a strong action. Once here, students in the action stage are
diligently involved with their treatment plan and utilize the Open
Sky treatment resources to the fullest.
Slide 14
+
Stages in Wilderness Therapy
Maintenance: This often involves developing an aftercare
treatment plan, which can include everything from a therapeutic
boarding school to a supportive living environment to home
therapy.
Relapse: For some students, we see relapse happen even
while they are at Open Sky: a student struggling with
dishonesty or manipulation can exhibit these behaviors while in
the field. For others, relapse may be tied to a substance or
other stimulus available only away from Open Sky.
Slide 15
Supporting Loved Ones In
Change Outside of
Wilderness
Educating and understanding where your loved one
is in the cycle can help normalize what they are
experiencing.
It’s important to remember that the stages of change
can be cyclical and it may take many revolutions
before an individual is able to leave the problem
behavior behind.
+
Support is needed in all the stages!
Slide 16
Thank you for
participating!
Dr. Paul Case
[email protected]
970.382.8181
+
Please keep this browser window open. When
the presentation is complete, it will take you to a
short survey for today’s webinar.
+
Welcome to the Open Sky
Webinar
We will begin at 6 pm- see you soon!
Slide 2
Stages of Change:
Understanding Your
Loved One’s Process in
Wilderness Therapy
+
Presented by Dr. Paul Case, PsyD
Open Sky’s Assistant Clinical Director
Clinical Psychologist
Clinical Therapist, Team D
Slide 3
+
Agenda
Introduction to the Transtheoretical Stages of Change Model
The Stages: Pre-contemplation, Contemplation, Preparation,
Action, Maintenance, Relapse
The Stages in wilderness therapy
Supporting loved ones in change outside of wilderness
Slide 4
+ Transtheoretical Stages of Change Model
Developed at the University of Rhode Island in 1977 by James
Prochaska
Based on analysis and use of different theories of
psychotherapy, hence the “transtheoretical”
This is one measure Open Sky uses in our outcome research
with both adolescents and young adults. Our research shows
all students leave Open Sky with a stronger readiness to
change their problem behaviors.
Slide 5
+
The Stages: Pre-contemplation
Entry Point to the change process
Individual doesn’t see that there is a problem to be changed, it
is beyond their awareness
Often it is the people closest to the
pre-contemplator who have the
greatest awareness that something
needs to change
“I don’t have a problem”
not a big deal”
don’t understand what the issue is”
“It’s
“I
Slide 6
+
Contemplation
Individual begins to consider the possibility of change
This stage can be rather long lasting and is characterized by
ambivalence
May attempt to reduce the frequency of the behavior or make
resolutions to address it at a future moment
Individuals in the contemplation stage may act out in
increasingly problematic ways
“Maybe I do have a problem”
“Maybe there is something I can work on”
“Maybe this has something to do with me”
Slide 7
+
Preparation
Individual has reached a point where they want to make a
change
Committing to getting treatment, researching
Demonstrate an openness to help and support from others
Problem behavior is still exhibited,
addressing it is actively pursued
“I can’t go on like this”
“What do I need to do?”
“I need help”
but
Slide 8
+
Action!
Commit to a plan and actively engage in that plan
Sometimes action is externally motived; the individual is
required to engage in treatment as part of their probation
The hope is that the motivation to change becomes internal
Internal motivation produces more sustained motivation to
change and to sustain that change over time.
“I’m checking myself into rehab”
“I commit to attending 90 AA meetings in 90 days”
“I am going to Open Sky”
Slide 9
+
Maintenance
Realistic plan for relapse prevention
The change is not yet part of the individual’s internal way of
being in the world and is vulnerable
If returning from treatment, much support
is required to re-enter the “real world”
“I’’ve got a plan”
“I need support”
Slide 10
+
Relapse
Generally part of the process
Does not negate gains made
Re-enforces importance of support and maintenance
Important to minimize shame while maximizing responsibility
“I slipped”
“If I relapse, what’s the point?”
“This doesn’t work; I’m a bad person”
Slide 11
Enter
Permanent
Exit
Relapse
PreContemplation
Contemplation
Maintenance
+
Preparation
ACTION
ACTION
Slide 12
+
Stages in Wilderness Therapy
Pre-contemplation: This stage often takes place at home,
unless an adolescent student comes in with still no awareness
of the challenges they are facing.
Contemplation: With Young Adults, this
is often experienced at home, leading
the individual to Open Sky. With
adolescents and sometimes young
adults, just being at Open Sky opens
space for students to begin
contemplating., i.e.: “If I am at Open
Sky, there must be something to look at”.
an
a
Slide 13
+
Stages in Wilderness Therapy
Preparation: This stage can be characterized by an individual’s
commitment to coming to Open Sky or choosing to go to a next
phase of treatment. Once in wilderness, we see preparation
when a student begins to actively engage in therapy and
positive relationship with their field guides and peers.
Action: Coming to Open Sky for many (especially young adults)
is a strong action. Once here, students in the action stage are
diligently involved with their treatment plan and utilize the Open
Sky treatment resources to the fullest.
Slide 14
+
Stages in Wilderness Therapy
Maintenance: This often involves developing an aftercare
treatment plan, which can include everything from a therapeutic
boarding school to a supportive living environment to home
therapy.
Relapse: For some students, we see relapse happen even
while they are at Open Sky: a student struggling with
dishonesty or manipulation can exhibit these behaviors while in
the field. For others, relapse may be tied to a substance or
other stimulus available only away from Open Sky.
Slide 15
Supporting Loved Ones In
Change Outside of
Wilderness
Educating and understanding where your loved one
is in the cycle can help normalize what they are
experiencing.
It’s important to remember that the stages of change
can be cyclical and it may take many revolutions
before an individual is able to leave the problem
behavior behind.
+
Support is needed in all the stages!
Slide 16
Thank you for
participating!
Dr. Paul Case
[email protected]
970.382.8181
+
Please keep this browser window open. When
the presentation is complete, it will take you to a
short survey for today’s webinar.