The Stages of Change Readiness and Treatment Eagerness Scale

Added on - 28 May 2020

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Running head: Intake AssessmentsIntake AssessmentsName of the StudentName of the UniversityAuthor Note
1Intake AssessmentsUniversity Rhode Island Change Assessment Scale (URICA) is a questionnaire thatthat can describe how a person might feel when starting a therapy or addressing problems intheir lives. The responses to the questions are measured in a Likert scale of 1 to 5, and thevalues can be used to develop a readiness score, that can be used before treatment or topredict their outcomes (URICA – Readiness Score - HABITS Lab – UMBC, 2018). Thequestionnaire is divided into 4 domains: pre contemplative items, contemplation items, actionitems, and maintenance items. Each domain measures the perception or outcome of the client,in relation to the questionnaire, and means of each domain value is used to calculate areadiness for change value that measures the readiness of the client towards changes beforestarting the treatment (University of Rhode Island Change Assessment Scale, 2018). Thereadiness score is calculated using the means of pre contemplation, contemplation, and actionand maintenance scores using the formula below:Readiness score= (Avg C+ Avg A+ Avg M)-Avg PC (URICA – Readiness Score - HABITSLab – UMBC, 2018).The URICA assessment for Justin shows the following values:Pre contemplation Mean:1.875The pre contemplation stage is identified by a lack of motivation to change, andshows resistance towards feedback, discussion and also lacks openness towards newinformation. The mean value of 1.875 shows limited pre contemplation of Justin, highlightingthat he is already past the stage of pre contemplation.Contemplation Mean:4.125
2Intake AssessmentsContemplative mean of 4.125 shows high level of agreement to contemplation forchange. His points out the openness of the client to make necessary amendments to hisbehavior. However, individuals at this stage are still aware of the costs of the change, tryingto balance the benefits to the costs of change.Action Mean:4.125Action mean shows the actions taken by the individual for changing their behavior.The client has already taken measures before, and hence shows a mean value of 4.125. Thisshows that the client is both open for new changes as well has attempted implementingchanges before. This is a positive attitude that highlights the constant effort given by Justin toovercome his challenging behavior.Maintenance Mean:3.625A lower maintenance mean shows an uncertainty towards the perception of how theclient can be assisted though the changes. This is a significant area to be worked in, to ensurethe client is primed to maintain the activities suggested to him.Readiness for change score= (4.125+4.125+3.625)-1.875= 10Teixeira et al. (2013), differentiated the readiness for change based on the scores, aspre-contemplative stage (score less than 8), contemplative stage (score between 8 and 11),ready for an attitude for action (score between 11 and 14).Based on the cut of score, Justin isat a pre contemplative stage of improvement.The stages of change model outlines 6 stages though which change can occur:1.Pre contemplation2.Contemplation
3Intake Assessments3.Preparation/ determination4.Action/willpower5.Maintenance and Relapse.(The Stages of Change 2018).The contemplation stage is characterized by the awareness of the individuals towardsthe effects of their bad habits, and marks a contemplative effort given by them about theirproblems. Here they are able to consider the possibility of making changes in their behavioror habits to manage the effects on their personal lives. Here individuals often measure thepros and cons of endeavoring through the changes, however with some ambivalence. Theambivalence exists due to their doubts on the perceived long term benefits of the behavioralmodifications, compared to the short term efforts and expenses. In the contemplative stage,people also tend to be more open towards suggestions and feedbacks about their bad habits,and utilize educational interventions, while showing an increased reflection about how theyfeel and what they actually think about their bad habits. This is better than being in the precontemplative stage however is worse off than preparation stage. Studies by Mander et al.(2018)points out that contemplative stage having a better behavioral modification outcomecompared to contemplative state, thereby pointing out a comparatively lesser effort needed tohelp Justin.This is a crucial step in the ability of individuals to acknowledge the negative effectsof their habits, on their well being, and therefore a step towards determination and action,followed by maintenance of the action.Mean scores of 4.125 for Contemplation and Action also shows the motivation ofJustin to contemplate and take measures to modify his behavior. I believe that with support,Justin will be able to implement necessary actions to rectify his bad habit, and maintain the
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