The applicant is a 49 year old male with two adult children. The applicant has never been married is currently in a relationship with his significant other, Kim for the past 17 years. The applicant currently resides with his 2 sisters and his mother. Also, the applicant is employed as a car sales person with Toyota and is at risk with losing employment due to his drug habits as to why the patient is seeking treatment. The applicant reports that methadone works well for him. Addressing the drug history- The applicant had his first alcohol at the age of 16 and his last use was 3-11 months ago. According to the applicant, he only drinks occasional during celebration of an event. The applicant is willing to discontinue drinking alcohol occasionally as it will interfere with his methadone treatment once if he was to be admitted. Furthermore, the applicant used cocaine at the age of 19, inhalation. The applicant reports that he haven 't used cocaine for a year, prior to his usage, it would have been 1/2 gram. In addition, the applicant then reports at the age of 29, he used heroin and still uses heroin by IV daily. His last use was this morning. Lastly, the applicant first began using marijuana at the age of 16, on/off for 33 years. The patient reports only smoking THC less than once a month, 1-2 blunts. …show more content…
SCAAD (Southerneastern Council Alcoholism and Drug, Inc) in 05/2011 and 11/2011, 5 days
Rushford in 10/2013, 6 days then completed a 28 day program.
Residential:
The patient completed two residential facilities during his
Your affiant transported CONTI to the police station where a series of psychophysical divided attention tests were performed; some of which he was unable to successfully complete. The tests were performed inside the Shenandoah Police station on a flat, dry surface due to the weather conditions and snow covered roadways. I explained my findings to CONTI and requested him to submit to a chemical test of blood. CONTI related he recently ingested marijuana and indicated it would appear on the blood test. CONTI agreed to submit to the blood test and was transported to the Schuylkill Medical Center South Hospital where the blood sample was drawn from his right arm at approximately 1519 hours.
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.
Pt. is currently in Phase 7 of the tx program. Pt. has been able to maintain abstinence from mood-altering substances, her drug screen results has shown no evidence of ongoing BZP use. During the recent quarter, Pt. has maintained a positive balance in his AMS account. Pt. maintained his full-time employment status and self-reported that he has no issues or concerns with his current financial status. Pt. remains at 130 mg.
PO started Intensive Outpatient Treatment on 05-24-2016. PO attended all scheduled groups and actively participated in the group activity. The individual treatment goal is to maintain abstinence. PO response to treatment overall is positive and is making progress towards to his treatment goal, as evidenced by attending sober support group regularly, and used learning skills to manage urges and cravings. No positive UA was reported.
A list of Alcoholics Anonymous and Narcotics Anonymous meetings, treatment providers, and other support mechanisms were provided, and probationers were informed of testing timing and protocol sanctions and incentives. Phase 1 random weekly urine tests. A color procedure was used in which probationers called in daily to see whether their color had been chosen that day. Probationers were required to report to their probation office and provide a urine sample for testing. If they provided clean samples for 3 months, they would be placed on Level 2 probation, which required only monthly
Pt has history of drug abuse and numerous admission to substance abuse program for heroine and crack/cocaine abuse. She was able to maintain abstinence for certain period of times only during incarceration. Pt has recently arrested after fighting with a woman, whom pt perceived as threatening. Pt was arrested since pt's attack led to the other woman's injury. Pt is currently on probation for 4 1/2 years for second degree assault and theft.
During those two years K was sober. Clinical Impressions Including Mental Status Assessment
Three things I found interesting about the Methadone treatment is: 1. In the video a man said that all they are given is another drug without therapy or counseling even though research suggests that methadone maintenance programs are most effective when combined with things like psychotherapy and family therapy. 2. Another man in the video said that the withdrawal symptoms while using methadone were worse than when he tried to quit using heroin by stopping completely. It seems then that methadone has terrible side effects that might discourage those trying to treat a heroin addiction.
DOI: 08/29/2006. Patient is a 57-year-old male bookbinding operator/route salesman who sustained injury when he was startled by a cat while making a delivery and fell. Per OMNI, he was initially diagnosed with lumbar herniated disk. The patient is currently temporary totally disabled due to knee surgery in April 2013. Based on the progress report dated 03/21/16, the patient reports that his low back pain tweaked again, after making the bed.
Methadone Maintenance Treatment The Methadone Maintenance Treatment (Camh) helps patients overcome an addiction of opioid dependence. The treatment uses methadone as a replacement for the opioid. Methadone is a narcotic drug that helps suppress opioid withdrawal symptoms, reduce cravings for opioids, not induce intoxication (e.g., sedation or euphoria) and reduce the euphoric effects of other opioids, such as heroin (Camh). MMT is beneficial to the patient in many reasons.
1.6 Alcohol relapse Alcohol relapse is the situation in which the person is returning to the previous pattern of alcohol use usually followed by the period of abstinence. Many studies have documented high rates of relapse upto 65-80 percent in the first year of treatment among substance dependents(Vyas and Ahuja 2008).It is a perplexing situation among the substance abusers. Eventhough there are dramatic advancements in the treatment modalities, client compliance is generally poor and response to a drug or alcoholic use is a common occurrence (Kumar, 2014). The major research finding of substance dependence treatment outcome is relapse with approximately 66 percent returning to drinking by the 90th day follow-up assessment. However a variety
mends the Controlled Substances Act to increase the number of patients that a qualifying practitioner dispensing narcotic drugs for maintenance or detoxification treatment is initially allowed to treat from 30 to 100 patients per year. Allows a qualifying physician, after one year, to request approval to treat an unlimited number of patients under specified conditions, including that he or she: (1) agrees to fully participate in the Prescription Drug Monitoring Program of the state in which the practitioner is licensed, (2) practices in a qualified practice setting, and (3) has completed at least 24 hours of training regarding treatment and management of opiate-dependent patients for substance use disorders provided by specified organizations.
During an anonymous Methadone addiction study, a participant articulated experiences with addiction stigma: “They look at you like you’re a drug addict and then they look at you like they can treat you any way they want. You know what I mean. You’re a drug addict. Well, you’re lower than I am if you use drugs.”
Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances. Notification of Purpose and Limits of Confidentiality Upon arriving for her appointment, the Informed Consent and confidentiality agreement was discussed both verbally and in writing with Ms. Lewis. The purpose of evaluation was reviewed along with mandated reporting laws and danger to self (DTS) and danger to others (DTO).
Dear FAA Medical Certification Division, 1. A detailed statement from you detailing the frequency of your past and present substance and alcohol use/abuse. I first smoked pot when I was 12 years old. My mother used marijuana, to relax and cope with the stresses of life.