Stages of Change Application

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The Stages of Change Model (also referred to as the “Transtheoretical Model” or “TTM”) is a widely accepted and empirically supported process construct that describes both the manner and mechanisms of change. It is not a substitute for treatment theory, but rather an overlay to a chosen clinical approach that can aid the counselor in client conceptualization and effective treatment delivery. It can also help clinicians adapt interventions to align with the client’s stage in the change process and offers insights into how to enhance motivation and engagement.

In this Assignment, you will analyze the Stages of Change Model and how you can operationalize it as an overlay to your own preferred treatment theory.

Complete a 3- to 4-page paper in which you do the following:

  • Provide an overview of the stages of change model. Include ways to determine a client’s stage in the change process.
  • Identify at least one challenge and one potential intervention for each of the stages of change, based on a theoretical approach of your choice.
  • Justify your response with specific references to this week’s Learning Resources and the current literature.

Readings to use to complete the assignment


  • Van Wormer, K., & Davis, D. R. (2018). Addiction treatment: A strengths perspective (4th ed.). Boston, MA: Cengage.
    • Chapter 4, “Substance Misuse with a Co-occurring Mental Disorder or Disability” (pp. 151-190)
  • Drapalski, A., Bennett, M., & Bellack, A. (2011). Gender differences in substance abuse, consequences, motivation to change, and treatment seeking in people with serious mental illness. Substance Use & Misuse, 46(6), 808–818.
    Retrieved from the Walden Library databases.
  • Kennedy, K., & Gregoire, T. K. (2009). Theories of motivation in addiction treatment: Testing the relationship of the transtheoretical model of change and self-determination theory. Journal of Social Work Practice in the Addictions, 9(2), 163–183.
    Retrieved from the Walden Library databases.
  • Kerfoot, K., Petrakis, I. L., & Rosenheck, R. A. (2011). Dual diagnosis in an aging population: Prevalence of psychiatric disorders, comorbid substance abuse, and mental health service utilization in the Department of Veterans Affairs. Journal of Dual Diagnosis, 7(1/2), 4–13.
    Retrieved from the Walden Library databases.
  • Lachman, A. (2012). Dual diagnosis in adolescence—An escalating risk. Journal of Child & Adolescent Mental Health, 24(1), pv–vii.
    Retrieved from the Walden Library databases.
  • Torrey, W. C., Tepper, M., & Greenwold, J. (2011). Implementing integrated services for adults with co-occurring substance use disorders and psychiatric illnesses: A research review. Journal of Dual Diagnosis, 7(3), 150–161.
    Retrieved from the Walden Library databases.
  • Woods, M. R., & Drake, R. E. (2011). Treatment of a young man with psychosis and polysubstance abuse. Journal of Dual Diagnosis, 7(3), 175–185.
    Retrieved from the Walden Library databases.

Link to Walden Library: username and password: Naurelton88

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