Evaluating for Substance Use Disorders From reviewing the scenario of Maricella’s case, it is quite evident that she has experienced more than one of the risk factors that would ultimately put her at risk for developing a substance use disorder. Some risk factors that could potentially contribute to any instance of substance abuse are: drug availability, academic failure, lack of parental involvement, poor social skills, gender, race, and family history of substance abuse (Miller, Forcehimes, & Zweben, 2011). These are all risk factors that are present in Maricella’s life; however, there are also protective factors present as well, but there are some that can be implemented also. While Maricella has many risk factors present in her life, …show more content…
When utilizing this I will be able to determine the drug that is used, how frequently it is used, problems that have resulted from the use, degree of drug dependence, any presence of medical harm, and if she has any motivation to change (Miller, Forcehimes, & Zweben, 2011). Through the collection of this information, I would be able to determine that prescription pain medication and alcohol would be the drugs being evaluated and the reason for treatment. The reasoning for this is because not only has she been exposed to drinking by her family, but she has also tried it. Which could develop into a problem, if not addressed. Also, overdosing on prescription pain medication that was not hers points to more potential problems, if not addressed right away. I would discuss Maricella’s strengths and weaknesses with her, with particular emphasis on her strengths, what she finds enjoyable, and how those things together can be utilized to benefit treatment (Miller, Forcehimes, & Zweben, 2011). According what is listed in the DSM-V, Maricella does not meet the diagnostic criteria listed for a substance use disorder. The reasoning for this is because she only drinks on occasion, and claims to have never been intoxicated. I believe the best course of action to take in this case would be to help Maricella keep her occasional drinking from becoming an addiction, and to keep in contact with her to avoid another potential suicide
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.
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.
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
The Addiction Services Council is a non-profit organization. It provides services to those that have an addiction to tobacco, or other drug related issues. They have provided services since 1957 they have always aimed at providing services to help improve the quality of life to the residents of Cincinnati and the surrounding areas. Since 1949 the focus of Addiction Services Council has been to reduce problems related to alcoholism, and drug addiction through the delivery of treatment and prevention services. The Addiction Services Council has been providing services for 65 years they have a wide range of programs that serves children, adolescents, families, women, older adults.
This section will provide a rational for the prioritized issues, as well as, a brief examination of possible treatment outcomes. Marci’s encounters with the law have been an immediate consequence of her alcohol use. Five months prior, Marci was arrested for driving while impaired,
As long as people have access to illegal and dangerous substances, American will continue to have issues with substance abuse. If you have fallen victim to the insidious disease of addiction, it is incumbent on you and perhaps your family members to become aware of all that could potentially go wrong with extended substance abuse. It 's also important for you and perhaps your family members to know help is out there and available. In Louisiana, there is a number of drug and alcohol treatment centers located in interesting communities.
For the last six years, I have been working in the substance abuse industry in both inpatient and outpatient settings. It would be fair to say that most people that are in need of substance abuse treatment have a co-occurring disorder such as depression, bipolar disorder, schizophrenia, and anxiety. These people are diagnosed by a psychiatrist or medical doctor and are typically given medication to help the patient. However, the problem can be that if a person sees a psychiatrist and is not honest about their substance abuse history the mental diagnosis can be deceiving.
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.
Samkisha has used alcohol, but not in the last three months and marijuana approximately 12 times in the last three months. She admitted to using marijuana about “every weekend.” She reported she used alcohol only once when she was in the 10th grade. Samkisha has never participated in treatment for alcohol or other drug use, but stated she would be willing to participate in such a program if ordered. Mental and Physical Health There are no indications of mental health problems in Samkisha 's case.
Triggers, warning signs, and crisis planning are the components of the process, and require interdisciplinary work from the patient, nurse, doctor, counselor and other support staff. As with every human being, stress is a normal part of life. How we cope with those stressors is the difference between mental illness and mental wellness. With patients with substance-abuse issues, their coping mechanism is their substance of choice. So it is important to identify those stressors early on, identify early warning signs, look for inevitable situations where the patient feels like everything is falling apart, and most of all, prevent them from using.
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).
Some areas in the United States face higher rates of crime and drug abuse. This contributes to the prevalence of health disparities within different communities. In order to eliminate or decrease the distinct difference between areas that are at higher health risks than others one must begin to understand why they exist. Some areas have higher drug abuse rates than others due to factors such as poor education, poverty, unemployment rates, and lack of community involvement. These things play a major role in whether or not a young adult is going to start the use of drugs or drinking alcohol.
In today’s society, substance abuse is a serious issue that has many explanations as to why it occurs. Peer pressure, boredom, rebellion, etc., are all common examples of why a person uses drugs and alcohol but there is more depth to it. Individuals will often get blamed or judged on the actions they perform and do not usually think of society itself as a factor. There are relatively stable patterns of social relations that contribute to the values and decisions of humans. Three levels of social structures that surround and permeate us are macrostructures, microstructures, and patriarchy.
Presenting Problem: Pt is a 15 y/o female, domiciled who recently was admitted to Dominion Hospital after overdosing on 200 pills of Tylenol and aspirin 11/29/15. Pt has also been caught drinking in school. She drinks about a half liter of liquor a day morning and night. She is currently in some honors class at Stuart High school and failing all of them. She states that biological parents were prostitutes and currently serving time in jail.
Smith informed staff the reason of herself referral for service is due to her rape incident when she hooked up with a guy she met at the bar where she was going to buy crack. Another reason Client is seeking for service is due to her daughter safety and protecting her daughter from the child’s father. Client report that she began drinking several times a week around the age of 13. She stated she started drinking heavily, when she felt depressed and that is an everyday situation. Jessica drinking became progressively worse over the years and she did not notice it was a problem until after she began using crack.