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Stages of Change in AOD

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What are some advantages of using the stages of change in treatment of AOD problems?

What are disadvantages of using the stages of change or motivational interviewing model in treatment of AOD problems?

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(1) What are some advantages of using the stages of change in treatment of AOD problems?

As noted in the research the most prominent problems associated with AOD is lack of prevention and/or early or ineffective treatment (Crane, Berckley, & Frank. 2012). A variety of behavioral and social science interventions that have been developed are aimed at the effective treatment for AOD patients. The Motivational Enhancement Therapy stages of change model developed by Prochaska and Diclemente (1986 as cited in Crane et al, 2012) is commonly used as a tool for guiding AOD intervention. The MET model has been modified to adapt to several strategies for use in treating AOD. Lachance, Feldman & Ewing (2009) explain that the individual in a growth pattern can progress from contemplation to preparation, to action to maintenance, ...

Solution Summary

This solution describes the stages of change involving AOD treatment; it discusses the advantages and disadvantages of motivational interviewing in treating AOD problems.

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Motivational interviewing case study:

(1) What are some advantages to using Motivational interview on the case study of andrea?
(2) What are some disadvantages to using Motivational interviewing on Andrea?


Andrea is a 17-year-old Hispanic in the U.S. illegally. She crossed the Mexican border with her mother last year. Mama is finding sporadic work. At times Andrea has been able to work with her mother. However, there are many days when Andrea is left by herself in the rundown building where they live with other illegal immigrants. Various drugs have been offered to Andrea. Mama has on a couple of occasions returned to find Andrea passed out on the couch next to a bottle of aerosol spray. Mama doesn't know what to do to help Andrea. She has gone to the local Migrant Council to ask for help.

"Sometimes I like it here in the U.S., and at other times, no. We never have enough money and people are always asking my mother for money. There is no water in our building, and most of the time no electricity. There is nothing to do. We are afraid to ask for help because of being illegal. We had so much hope when we dreamed of coming here. But we had to pay everything to the Coyotes to get across the border so we had nothing when we got here. My mama tries her best. She cleans houses. Sometimes I help her. But other days I am left here by myself, with nothing to do and no money. So I talk with other people here, and they are mostly out of work with no money too. I started smoking pot with some of the other young people. Some of them are mean, so I try to stay away. But I get so bored that I have to find somebody to talk with. My friend Angela is good to talk with, but she has bad drug habits. A couple of times I have huffed with her, but I really do not like it that much and will not do it anymore. Mama is so worried about me, and I think it is ridiculous. It was her idea for me to come in here (to the Migrant Council). I am really alright, if we just had a little more money."

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