2.2 Schaeffer's modelQuestion - Under each of the five patterns of use identified by Schaeffer, list three potential harms associated with that use. (There may be some overlap between the types of use and associated harms.)
Possible answers include:
- Experimental – Lack of knowledge, experience and low tolerance could lead to accidental overdose or risk-taking behaviours.
- Recreational/social – Peer influences, tendency to get lost in the moment, excitement, using too much or uncertainty about the concentration of the drug could lead to accidental overdose or risk-taking behaviours.
- Situational/circumstantial – Not coping or using to cope could lead to risk behaviours, accidents etc.)
- Intensive – Accidents, overdose, legal/financial issues.
- Compulsive/dependency – Health problems, relationship issues, legal/financial issues, accidents/overdose.
3.3 The states-of-change modelQuestion - Which stage of readiness for change seems to fit each young person?
- Sarah - Preparation
- James - Precontemplation
- Sammie - Precontemplation
- Gracie - Action
5.2 Good things/less good thingsQuestion - In terms of the Stages-of-Change model, in which stage/s do you think this tool might be appropriately used with a young person? Why?
Answer - This tool may be useful at the beginning of conversation with a young person as it can assist in developing rapport and avoids discussing drug use as a 'problem'. The good/less good things strategy can also be used when young people are thinking more about change (in the contemplative/action phases). You may ask the young person to describe the good things about their current (or past) efforts to change and some of the less good things. Remember the goal is always to facilitate or lead movement to the next stage-of-change without forcing the young person.
Question - In terms of the ten-point change scale, at which end of the spectrum do you think this strategy might work best?
Answer - This strategy is probably most useful in the lower half of the scale where people are either not considering, are beginning to consider or have tried to make small changes (0-5).
6.2 Range of brief interventionsQuestion - Are there times when it may not be appropriate to undertake a brief intervention?
Possible answers include:
- When the person does not wish to engage in conversation and becomes visibly distressed or angry by your questioning
- When a person is in a highly emotional state
- When a person is extremely intoxicated and will gain little benefit from any conversation or intervention until they begin to sober up
- When a person is on medication that is mood/mind altering (i.e. methadone or some anti-psychotics).