Contents Introduction I. How to Help People Change 1. How People Change: The Transtheoretical Model 2. Strategies for Facilitating Change 3. Putting It All Together: Setting Up and Carrying Out the Intervention II. Thinking about Changing Substance Use P/C/P Sequence: Precontemplation-Contemplation-Preparation Client Handouts: P/C/P Session 1: The Stages of Change Change Process Objective: Consciousness Raising P/C/P Session 2: A Day in the Life Change Process Objective: Consciousness Raising P/C/P Session 3: Physiological Effects of Alcohol Change Process Objective: Consciousness Raising P/C/P Session 4: Physiological Effects of Drugs Change Process Objective: Consciousness Raising P/C/P Session 5: Expectations Change Process Objective: Consciousness Raising P/C/P Session 6: Expressions of Concern Change Process Objective: Self-Reevaluation, Dramatic Relief P/C/P Session 7: Values Change Process Objective: Self-Reevaluation P/C/P Session 8: Pros and Cons Change Process Objective: Decisional Balance P/C/P Session 9: Relationships Change Process Objective: Environmental Reevaluation P/C/P Session 10: Roles Change Process Objective: Environmental Reevaluation P/C/P Session 11: Confidence and Temptation Change Process Objective: Self-Efficacy P/C/P Session 12: Problem Solving Change Process Objective: Self-Efficacy P/C/P Session 13: Setting a Goal and Preparing to Change Change Process Objective: Self-Liberation P/C/P Session 14: Review and Termination III. Making Changes in Substance Use A/M Sequence: Action/n/Maintenance A/M Session 1: The Stages of Change Change Process Objective: Consciousness Raising A/M Session 2: Identifying "Triggers" Change Process Objective: Stimulus Control A/M Session 3: Managing Stress Change Process Objective: Counterconditioning A/M Session 4: Rewarding My Successes Change Process Objective: Reinforcement Management A/M Session 5: Effective Communication Change Process Objectives: Counterconditioning, Reinforcement Management A/M Session 6: Effective Refusals Change Process Objectives: Counterconditioning, Reinforcement Management A/M Session 7: Managing Criticism Change Process Objectives: Counterconditioning, Reinforcement Management A/M Session 8: Managing Thoughts Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management A/M Session 10: New Ways to Enjoy Life Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management A/M Session 11: Developing an Action Plan Change Process Objective: Self-Liberation A/M Session 12: Recommitting after a Slip Change Process Objective: Self-Liberation A/M Session 13: Social Support Change Process Objective: Helping Relationships A/M Session 14: Identifying Needs and Resources Change Process Objective: Social Liberation A/M Session 15: Review and Termination Change Process Objectives: Self-Efficacy, Reinforcement Management Appendix. Professional Contacts and Suggested Resources References Index.