Application to peer support Here are some ways to consider peer support informed by a peer’s general stage of change: Stage of Change Peer Support Pre-contemplation.
• Connect and build the relationship. • Avoid listening roadblocks, especially refrain from giving advice. • Listen carefully and offer many reflections; come alongside, side with no change, reflect feeling. • Look for strengths and affirm. • With permission, share one relevant aspect of the recovery story. • Continue to connect and build the relationship. • Explore ambivalence ( Advantages and Disadvantages Worksheet ). • Listen carefully and offer many reflections; double-sided reflection to reflect ambivalence. • With permission, share one relevant aspect of the recovery story. • Explore multiple pathways to recovery. • Explore how values fit with the change ( Personal Values Card Sort ). • Look for strengths and affirm. • Continue to listen carefully and reflect. • Continue to explore natural supports. • Continue to brainstorm strategies for change. • Offer assistance in adjusting the recovery plan. • Express optimism for recovery. • Continue to listen carefully and reflect. • Continue to look for strengths and affirm. • Ask open questions that draw out lessons learned. • Continue to offer assistance in adjusting the change plan. • Continue to express optimism for recovery. • Continue to connect and build the relationship. Listen carefully, come alongside, and reflect feeling. • Frame relapse as a setback or a “bump along the road.” • Identify potential barriers to change. • Brainstorm strategies for change. • Offer assistance in developing a recovery plan. • Explore natural supports. • Look for strengths of initial change efforts, affirm, and celebrate. • Express support and acceptance of harm reduction changes. • Consider returning to an earlier stage of change. For example, explore advantages and disadvantages of change OR explore multiple pathways to recovery OR explore how values fit with the change. • With permission, share one relevant aspect of the recovery story. • Provide advocacy, as needed.
No recognition of need to change.
Contemplation . Ambivalent about change.
Preparation . Getting ready for change.
Action . Initiate change.
Maintenance . Keep change going.
Relapse . Temporary setback.
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