The Stages of Change model (Prochaska and DiClemente) is used in psychiatric rehabilitation to assess an individual's readiness to modify behaviors, such as substance use. The CPRP Exam Blueprint (Domain IV:
Assessment, Planning, and Outcomes) includes assessing readiness for change to inform person-centered planning (Task IV.A.2: "Assess individual's stage of change and readiness for goal-setting"). Option C (Precontemplation) aligns with this, as individuals in the precontemplation stage are not yet considering change, often denying or minimizing the problem (e.g., the individual does not believe his substance abuse is a problem and has no intention of changing).
Option A (Denial) is not a formal stage of change, though denial may characterize precontemplation. Option B (Bargaining) is a stage in the Kubler-Ross grief model, not the Stages of Change. Option D (Contemplation) involves considering change but not acting, which does not match the individual's lack of intention to change. The PRA Study Guide details the Stages of Change model, confirming precontemplation as the stage for lack of problem recognition, supporting Option C.
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CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.2.
PRA Study Guide (2024), Section on Stages of Change Model.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.