Case Study Abigail

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The initial screening tools as well as the assessment process will determine the level of treatment that is required for the client system. O 'Hare (2005) asserts that there are five major areas that are the emphasis on in the substance-focused assessment. These area of focus include identifying what substances are use, how much and how often; precipitating factors appear to be associated with problem usage; and consequences (acute and chronic) of substances use across physiological, psychosocial and health domains.
Abigail is a thirty-five Latino women who is divorce single mother with two children. Abigail and her children reside with her mother; and while Abigail is working at the local tavern, grandmother is the caregiver of her children. The grandmother contacted the agency over concerns over her daughter’s substance abuse as well as her grandchildren’s acting out behavior.
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She is also reported to be using cocaine during worktime and drinking alcohol during the work week. Abigail has experimented with several different substances and her drug of choice is cocaine. Abigail reports that she had begun drinking and using illegal substances after her divorce was finalize. She also indicates that she married very young and began enjoying her new found freedom and social life. According, she admits that she has not experienced any consequences (acute and chronic) of substances use across physiological, psychosocial and health domains.
DiClemente et al (1991) analysis the stages of changes as it related to smoking cessation These stages include pre-contemplation, contemplation, preparation, action and maintenance. Abigail is identified in the pre-contemplation stage as she has not acknowledged that her drinking and using substances is a problem behavior that needs to be

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