Behavior Change with Alcohol and Other Drug Use (AOD) and Mental Health (MH). Training for Promotoras/Community Health Workers. Primary Authorship: Mary Sowder, MA, LCDC Contributions in writing and editing: Kimber Dowdy, BA Susan M. Gallego, LCSW. Purpose.
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Behavior Change with Alcohol and Other Drug Use (AOD) and Mental Health (MH)
Training for Promotoras/Community Health Workers
Mary Sowder, MA, LCDC
Contributions in writing and editing:
Kimber Dowdy, BA
Susan M. Gallego, LCSW
To educate Promotoras/Community Health Workers on behavior change concepts and specifically how they can be implemented with persons who have substance use or mental health issues.
People change their behavior for different reasons. Some make changes on their own and others change with intervention from professionals, family friends, etc. And sometimes, people don’t ever change a behavior.
As the trainer goes over each of these, write down your answers to the following questions:
“Motivation can be understood not as something that one has but rather as something one does. It involves recognizing a problem, searching for a way to change, and then beginning and sticking with that change strategy. There are, as it turns out, many ways to help people move toward recognition and action.”
1. Motivation is key to change
2. Motivation is multidimensional
3. Motivation is dynamic and fluctuating
5. Motivation can be modified
STAGES OF CHANGE
6. Permanent Exit
Adapted from Prochaska & DiClemente (1982), “Transtheoretical therapy: Toward a more integrative model of change.” Psychotherapy: Theory, Research, and Practice, 19: 276-288.
Brief Interventions are those practices that aim to investigate a potential problem and motivate an individual to begin to do something about his/her behavior.
How to begin:
*State your concern
*Give feedback based on the behavioral observations and consequences the patient reports
*Give your advice
*Emphasize the patient’s responsibility for change
*Convey your confidence in patient’s ability to change
*Involve the patient in making choices
The following signs and symptoms may indicate substance abuse problems:
Sleeping less or more than normal
Crying easily, sadness
Feeling hopeless, worthless or guilty
Weight loss or gain
Feeling restless or agitated
Difficulty concentrating or making decisions
*If persons have several of these symptoms and they last over a period of time, it may be an indication of a more serious mental
or physical health problem. They should be referred for assessment as soon as possible.
List of resources found in participants manual
Include list of Spanish links from Clearinghouse in resources