PRE-CONTEMPLATION

Pre-contemplation

If you or your loved one are thinking “I’m not ready to stop using” or “my use isn’t that bad,” then you might be in the pre-contemplation phase. We have gathered some educational resources on how opioids work on the brain. In addition, we have included some harm reduction resources. If you don’t want to stop using, or aren’t ready to start your treatment journey, then let’s reduce any risks related to opioid use.

Opioid Use Disorder

Self Assessment quiz

Before we get started, here is a quick self-assessment to think about your substance use. Use the link below to Drug Abuse Screening Test by NIDA Clinical Trials Network

What does Opioid Use Disorder mean?

The DSM-5, or the Diagnostic and Statistical Manual of Mental Disorders, is used to diagnose mental health and substance use. If you want to learn more about those criteria, these are provided on the link below.

What happens when someone takes opioids?

Title: 2-Minute Neuroscience: Opioids

Title: This Is What Happens to Your Brain on Opioids

Title: What causes opioid addiction, and why is it so tough to combat?

Harm Reduction

What is harm reduction?

Harm reduction is a non-judgmental approach that does not require that someone quits using before receiving support and does not promote abstinence (not using at all) as the only option. Harm reduction focuses on positive change, and working with people in a way that is non-judgmental or based in coercion or discrimination Read More About Harm Reduction Tools

Overdose

What is Overdose?

A good resource for information on opioid overdoses, how to avoid, recognize, and act on opioid overdoses.

How to recognise Opioid Overdose

Overdose Lifeline, Inc. Executive Director Justin Phillips discusses the possible causes and signs of an opioid overdose. The video is part of the Adolescent Addiction Access (AAA) Program, a free provider-to-provider helpline for Indiana providers caring for youth ages 17 or younger with substance use disorders.

Naloxone: Preventing Opioid Overdose

Title: How to Use Naloxone or NARCAN Nasal Spray

How to use narcan?

Naloxone, commonly known by the brand-name NARCAN, can save the life of someone who is having an opioid overdose. The life-saving drug works in seconds when it is sprayed into the nasal passages of the person having an overdose, reversing the effect of the opioid drug causing that overdose.

Overdose Prevention

Narcan is an opioid-antagonist that can be used for emergency treatment of opioid overdoses. It has recently been approved as an over-the-counter treatment. You can ask your doctor or pharmacist about it. Visit to fill out a Narcan request form for your pharmacy.

Emergency Response for opioid Overdose

EMERGENCY RESPONSE FOR OPIOID OVERDOSE

Step 1: Try to Wake The Person Up

  • Shake them and shout
  • If no response, grind your knuckles into their breast bone for 5 to 10 seconds

Step 2: Call 911

If you report an overdose New York law protects you and the overdosed person from being charged with drug possession, even if drugs were shared.

Step 3: Administer Nasal Naloxone

  • Assemble nasal naloxone
  • Spray half up each nostril
  • Repeat after 2 to 5 minutes if still not conscious

Step 4: Check For Breathing

Give CPR if you have been trained or do rescue breathing:

  • Tilt the head back, open the mouth, and pinch the nose
  • Start with 2 breaths into the mouth. Then 2 breaths every 5 seconds
  • Continue until help arrives

Step 5: Stay With The Person

  • Naloxone wears off in 30 to 90 minutes
  • When the person wakes up, explain what happened
  • If you need to leave, turn the person on his or her side to prevent choking
HIV/Hepatitis C Testing

HIV/Hepatitis C Testing

Another way to practice harm reduction is regularly getting tested for HIV and Hep C.

Were to get tested for hiv?

This website is a useful tool to search for places in your area that do HIV testing. If you have a regular doctor, then getting tested through them is also an option.

Centres for disease control and prevention

HIV has become controllable when on right medications. The CDC has a lot of information on HIV treatment, when to start, and what treatment options are out there.

Testing at CVS

Hepatitis C testing can also be done at your doctor’s office or even a local CVS and a very effective treatment is now available to cure HCV that is covered by insurance and multiple resources are available to get it for free or at a very reduced price.

Friends & Family
Check-in

HOW TO HANDLE PRE-CONTEMPLATION WITH A LOVED ONE?

Quick tip 1

Don’t push against the resistance

While a loved one is in pre-contemplation, it may be best to meet them where they are at, rather than pushing against their resistance. This can look like encouraging them to use harm reduction practices that have been introduced in this pre-contemplation phase, along with getting them to their doctor to check on their health.

resources

This website provides information on how to talk with someone who may be struggling with their substance use but not ready for treatment and how to support them.

Family struggling with substance use

If you need extra support, there are groups such as Al-Anon that you can attend. Al-anon is for family and loved ones of someone who is struggling with substance use.

Want to explore more resources?

check-in: Take a few minutes to ponder these questions related to your opioid use

You will be able to download them or send them to yourself to keep them.

"*" indicates required fields

Question 1

On a scale of 1-10, with 1 being not important and 10 being very important, how important is it to you to engage in the harm reduction practices that have been mentioned?*

Question 2

On a scale of 1-10, how confident do you feel in engaging in some of these harm reduction suggestions?*

Question 3

On a scale of 1-10, consider how important it is to you to change your opioid use, with 1 being not important and 10 being very important.*

Question 4

On a scale of 1-10, how confident are you in making this change? What would you need to be more confident in changing?*

Question 5

What do you like about your drug use?*

Question 6

What do you not like about your drug use?*

Question 6

What do you not like about your drug use?*

Question 7

How does your use add to your life?*

Question 8

How does your use take away from your life?*

Question 8

How does your use take away from your life?*