The Precontemplation Stage is the first stage of change in the Transtheoretical Model and represents the time in a person's treatment where they are in denial regarding their drug and alcohol use. The person does not see the use as problematic and does not see a reason to change their behavior regardless of probable or possible consequences from use.

The Transtheoretical Model (also called the Stages of Change Model) was developed by Prochaska and DiClemente in the late 1970s. This model focuses on the decision-making of the individual and is a model of intentional change. The Transtheoretical Model operates on the assumption that people do not change behaviors quickly and decisively. Rather, change in behavior, especially habitual behavior, occurs continuously through a cyclical process.

The stages in this model are as follows:

  1. Precontemplation
  2. Contemplation
  3. Preparation (Determination)
  4. Action
  5. Maintenance
  6. Relapse
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Recovery addiction SUD Substance Use Disorder treatment drug alcohol drugs States of Change