TRANSTHEORETICAL MODEL
Harm reduction includes models and action plans to decrease risky behaviours when engaging in potentially dangerous substance use. This article included several techniques to stay healthier, safer, and requires less, when consuming alcohol. This Safer-drinking strategies list reminded me of the Transtheoretical model for behavioral change. The Transtheoretical model suggests that substance users will progress through a cycle of stages in their addiction, beginning with precontemplation, and progress through contemplation, preparation, action, relapse, and finally, maintenance. In precontemplation, the individual doesn’t consider the need or want for changing their behaviour in substance use. In contemplation, the individual weights the benefits and costs of changing their behaviour, however are not yet prepared to make those changes. In preparation, the individual is taking necessarily actions to begin changes, for example purchasing nicotine patches, or signing up for a safe injection site ID. They plan to engage in behavioral changes in the near future. In action, the individual is ready to begin participating in routines of the new behaviour, and discontinue in risky behaviours. Relapse is the stage where the individual struggle with their action plan, and may resume or participate in some prior risk behaviours. Finally, maintenance is when the individual has continuously engaged in safer behaviours for an extended period of time.
I believe that the Transtheoretical model aligns with a spectrum of safe drug use, or decreased drug use, and abstinence from drug use. The important aspect of this model is its forward motion in progression. It appreciates every transitional stage as an accomplishment, regardless of the order in the stages. It also acknowledges that there will be relapses throughout the progression, in which the individual may enter or exit the stages repeatedly, and that is okay. This model ultimately allows the individual to advance at their own pace, as it is completely dependent on their own comfort level.
Safer-drinking strategies
Ways to stay healthier when you drink
· Drink water (dilute, urinate)
· Count your drinks (awareness)
· Try to eat (self care)
· Take vitamins
Ways to make your drinking safer
· Avoid nonbeverage alcohol
· Drink beer vs. malt liquor
· Space your drinks
· Avoid mixing drugs
· Drink in a safe place
Ways to change how much you drink
· Less is more
· Chose not to use
· Avoid withdrawal
Image obtained from https://www.atrainceu.com/course-module/3028312-171_teaching-diabetes-module-02
Grazioli, V. S., Hicks, J., Kaese, G., Lenert, J., & Collins, S. E. (2015). Safer-drinking strategies used by chronically homeless individuals with alcohol dependence. Journal of Substance Abuse Treatment, 10.1016/j.jsat.2015.01.010 Retrieved from http://resolver.scholarsportal.info/resolve/07405472/unassigned/nfp_ssubchiwad
