Diagnostic Impressions Sharon is a 34 year old mother that is being forced by Department of Human Resources (DHR) to complete treatment to get custody of her two children. Sharon was married 10 years to her husband after he passed away from a car accident two years ago. Client reported that she started using opiates two months after her husband passed away. Sharon’s husband was her high school sweetheart and was the only reliable man in her life. Sharon married two years after graduating from high school and hasn’t had the opportunity to live by herself. Sharon was a stay at home mom that didn’t have to work because her husband took care of her and the children. Sharon also reported that she was raised by her mother and didn’t have a father figure in her life. After her husband passed away she had to start working to financially provide for the children. Sharon reported she started using opiates more after she started working. As a result, she was fired from her job for her poor work …show more content…
Throughout the internship process, these two theoretical approaches have been very effective in assisting the client to healthier living. The hierarchy of needs theory is based on Abraham Maslow emphasize on self-actualization. The hierarchy of needs consist of basic needs, safety, and esteem that are sequence from highest to lowest in achievement. It is important that in this setting at an outpatient treatment center primarily assessing individuals with substance abuse issues that self-actualization is discussed and explained. Clients dealing with substance abuse problems loss so much of their lives as it relates to their job, children, and shelter. Therefore, it is imperative that we focus on establishing the client with the basic necessities before tackling the psychological
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The service user I chose to assess is a 17-year-old Hispanic female whose modified name is Tiana Santos. I provided therapeutic casework services to Tiana for a year in my previous role as a Therapeutic Caseworker at the Children’s Village, a foster care agency. Tiana was placed in foster care after been removed from her mother’s care due to emotional and physical abuse. Tiana’s father abandoned her mother and her youngest sibling when she was 5 years old. Tiana’s memories about her father were very limited due to her young age.
D-The patient reports he is stable at his current dose and haven 't used any illicit drugs. The patient appears to excited about applying for his 1st take home bottle as it will be helpful to not come to the clinic on the weekend. This writer and the patient completed the 1st take home bottle application and further discussed the take home bottle expectation and what he had learn during the take home group session on 03/03/2016. Lastly, this writer and the patient discussed about he learned during his Methadone Stabilization.
Intro: Opiate use has remained relatively stable over the past decade. Opiate dependence has been associated with multiple problems and some people report high rates of dissatisfaction in multiple spheres of their lives including finances, family relations and living situations. Neurological changes associated with prolonged opiate use such as decreased
By the mid 1970’s, now Dr. Shipman, had two children and obtained work as a family practitioner in Yorkshire (Harold Shipman, 2014). His first assignment as a doctor was short lived as he became addicted to a drug called Pethidine, which is a very similar drug to the painkiller Morphine (England, 2015). Dr. Shipman was eventually found guilty of forgery, fraud, and self-prescribing himself Pethidine (England, 2015). Dr. Shipman agreed to admit himself into a rehabilitation program, which substantially reduced his punishment (Harold Shipman, 2014).
He also seemed confident and showed an understanding of the seriousness of his medical problem. While the social worker can empathize with the client and has noticed some similarities in their backgrounds and life experiences, the client showed poor judgment in drinking and using alcohol to lower his stress. The counselor does not believe that counter-transference issues developed during the assessment. Patrick is a sixty-eight-year-old single, male.
Cultural Competence Significance While in actuality, there are high-ranking alcohol dependence rates among American Indians and Alaskan Natives, mixed racial and ethnic heritage populations (Lassiter & Chang, 2006). The aforementioned authors described that ethnic, and culturally diverse populations pose the possibility of being at a higher risk for developing substance abuse related issues, making it imperative that substance abuse counselors take into account the specifics surrounding the increase of diverse populations within the United States. Conveying the logicality that substance abuse counselors have the prospect of engaging and treating these diverse populations, causes a need to administer effective treatment options that can be gained
Pt is 43 years old AA female who decided to return to OMHC after the program that she attended, Universal Counseling, was closed down. Initial admission to OMHC was around 2012. Pt has been diagnosed with PTSD, Bipolar, and Anxiety Disorder in the past. Her depressive episodes started at the age of 13 and after she was sexually assaulted by distant uncle. She later developed aggressive behavior around late teen and was involved in numerous arrests, starting the age of 18.
Rationale: client has difficulty trusting others, and establishing such a relationship may take time but will help in the overall care. 2. Discuss each separate personality with the client. Rationale: knowing about each personality and its traits will make it easier to work towards personality integration. 3.
Paula is a 43-year-old HIV-positive Latina lady initially from Colombia. Aside from confronting the disgrace of her HIV status and a bipolar issue, she is a divorced person who loses custody of her child’s (Plummer, Makris, Brocksen, 2014). She is accordingly inclined to psychological and emotional distress (Plummer et al., 2014). The Physician who is treating Paula with her may physical ailment ended up baffled with her because she utilizing all-encompassing medication instead endorsed prescription (Plummer et al., 2014).
Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.
Maslow proposed five-level classification of human needs as physiological, safety, love, esteem and self-actualisation. He suggested that physiological needs are the basic needs and these needs should be satisfied first and then subsequent needs emerge. Self-actualisation is the highest order of needs and to fulfill this need a person should be biologically efficient, usually in better health, both mentally and physically. The degree of satisfaction is resulted by fulfillment of these hierarchy of needs. However, these needs can vary individual to individual regarding their personal characteristics, pathology, and health care settings.
Ms. Smith inform the counselor that the majority of her stress comes from her boss in which she describes as “very stressful” and since she started the job, the boss has been on her case since then and it makes her depressed. She reports having a difficult time standing up for herself with her boss at work since she is constant stressor. She also reports consuming more alcohol and using crack daily. Client stated to staff that she needs to get her life together and support her daughter before her ex-husband take full custody of her daughter, Crystal. The client referred herself for substance abuse counseling and treatment session at an outpatient chemical dependency clinic.
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.
Those who are missing this level could fall victim to several dangerous behaviors. Next, the fourth level focuses on esteem and having other people’s respect. Finally, the last level is self-actualization (Taormina & Gao 156). Self-actualization refers to fulfilling ones goals and improving oneself to reach a point of happiness (Textbook 44). Thus, the main ideas of Maslow’s theory are commonly placed into a pyramid to represent the reaching of each