Re: Early recognition of seriousness

["Julia H. Littell" <jlittell@xxxxxxxxxxxx>]

Bill, I think you're right. Although the stages of change have been widely
studied in relation to a number of problem behaviors in health psychology
(e.g., smoking cessation, suncreen use, substance abuse) and mental health,
the evidence for discrete stages of change is very shakey even in those
fields. A review of the empirical evidence for stages of change (by Heather
Girvin and me) is in press in Behavior Modification.

At 12:57 PM 5/11/2001 -0700, you wrote:
>It was my understanding that there is little or no
>evidence to support stages of change in a social work
>setting.  Is this not true?
>
>Bill
>
>
>--- DSWLFSU@aol.com wrote:
>> Two thoughts occur to me about this:
>> 1) I think there is a great need to build into
>> assessments and subsequent 
>> family work the Prochaska/diClemente model of change
>> which i think isn't as 
>> central to practice as it should be. There's a
>> summary of this work in the 
>> Reader accompanying the new Framework
>> 2) I believe that all case files should have a
>> Critical Incident File at the 
>> front of the file so that all incidents of note can
>> be put down and this, 
>> freed from all the vast accumulation of detail that
>> files inevitably gather, 
>> can give a readily available overview of the pattern
>> of events. A particular 
>> inquiry into a child death in Sheffield a few years
>> ago argued this point 
>> very persuasively.
>> 
>> David Saltiel
>> Service Manager
>> West Leeds Family Service Units
>> Tel: 0113-275-7600
>> email: dswlfsu@aol.com
>> 
>
>
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