Stages Of Change Assessment

Assessment & Plan Elements, Psychiatry
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Assessment:
[select name="stage" value="Precontemplation|Contemplation|Preparation|Action|Maintenance|Relapse"]
[conditional field="stage" condition="(stage).is('Precontemplation')"]No intention to change now or in the near future. May not accept and/or be aware that there's a problem.[/conditional][conditional field="stage" condition="(stage).is('Contemplation')"]Thinking about changing but has not made a commitment to take action.[/conditional][conditional field="stage" condition="(stage).is('Preparation')"]Intends to take action in the next month. May have made some small changes.[/conditional][conditional field="stage" condition="(stage).is('Action')"]Making change - modifying behavior, experiences, and/or the environment.[/conditional][conditional field="stage" condition="(stage).is('Maintenance')"]Working to prevent relapse and consolidate gains.[/conditional][conditional field="stage" condition="(stage).is('Relapse')"]Regression to an earlier stage.[/conditional]
Plan: [html]<em>Counseling techniques to move from one stage to the next (no skipping steps)</em>[/html]
[checkbox value="Pros and cons worksheet" memo=" for quitting and continuing the behavior"] [text]
[checkbox value="Bibliotherapy" memo=" recommending books for self-help"] [text]
[checkbox value="Values clarification" memo=" brainstorming, collecting, and prioritizing values, then determining how to achieve success towards those values"] [text]
[text size=80]

[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/6863699" target="_blank">Prochaska JO, DiClemente CC.J Consult Clin Psychol. 1983 Jun;51(3):390-5. Stages and processes of self-change of smoking: toward an integrative model of change.</a>[/html][/conditional]
Assessment:


Plan: Counseling techniques to move from one stage to the next (no skipping steps)
for quitting and continuing the behavior
recommending books for self-help
brainstorming, collecting, and prioritizing values, then determining how to achieve success towards those values



display/hide references
Result - Copy and paste this output:

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