Inexact Science:

Remember that the stage of change is not a static thing, and like Mentalization it is in a constant state of flux - you are looking for a broad estimate of where the young person is at this point in time...

Ask the following questions:

To help clarify which of the Stages of Change your client is in...

1. How important?

How important does it feel for you to change now?

• Scale 0 - 100
• Where 0 is completely unimportant and 100 is the Most Important thing.

2. How confident?

How confident are you about making those changes?

• Scale 0 - 100
• Where 0 is no confidence and 100 is complete confidence.

3. How far?

How far have you got in the journey towards making those changes?

• Scale 0 - 100
• Where 0 is "haven't started any planning yet" and 100 is "job done".

Record your findings:

This should be recorded in your notes.

If you are using this manual as an ICR, then you can record this in the Formulation and Treatment Aims (you do this via Make or View Client Notes) to record your estimation of this.