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Juvenile Addiction-Basketball Diaries


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This presentation was based on a graduate level Addictions class requirement. The assignment asked students to chose a movie or television show as a group that illustrates the theme of addiction through one of the main characters. First the students will determine a diagnosis of one of the characters in the movie. In addition, students will be required to provide a treatment plan. The group presentation should (1) include a detailed client description, including the issues of concern. It should be evident that a mental status exam was completed, (2) reflect a thorough understanding of the client’s bio/psycho/social profile, (3) reflect any culturally relevant information that may impact the course of treatment and addiction, (4) provide some psychoeducation on the client’s drug of choice, and (5) develop an effective treatment plan for the addiction. Your chosen treatment plan and interventions should be reflective of best practice and be empirically supported.

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Juvenile Addiction-Basketball Diaries

  1. 1. Addictions: Diagnosis and Treatment Plan Vanessa Migliorini, Kristen Anderson, Shanika Torres, and Kelsie Wells
  2. 2. Meet Jim...
  3. 3. Client Description ● The client is a 16 year old caucasian male, by the name of Jim Carroll. ● Jim is an only child and was raised by his single mother, Lorraine Bracco. ● ● ● ● Jim does not have a known male role model present in his life. Jim and his mother reside in a low income community in New York. Jim attended an all boys Catholic school, but quit after he was kicked off the basketball team. Jim has a history of drug abuse and was recently incarcerated for drug possession and theft.
  4. 4. Presenting Concerns ● Jim recently lost his best friend Bobby, to Leukemia. ● Jim stated that he was sexully harrassed by his basketball coach and that he began stealing and performing sexual acts, to feed his drug addictions. ● Drugs of choice include: smoking cigarettes, drinking alcohol, snorting cocaine, and shooting up heroin. ● Jim states that he is an addict and is depressed.
  5. 5. DSM-IV-TR Diagnosis Axis I: 304.0 Opioid Dependence 292.84 Opioid-Induced Mood Disorder (With Mixed Features) 312.82 Conduct Disorder (Adolescent-Onset Type; Severe) V61.20 Parent-Child Relational Problem V61.21 Sexual Abuse of a Child (Victim) Axis II: 799.90 Diagnosis Deferred Axis III: None Axis IV: Addicted to Heroin, poor social support, negative peer influence, possible criminal charges pending,parent-child relational problems, victim of sexual abuse by an adult. Axis V: GAF 38
  6. 6. Bio-Psycho-Social
  7. 7. Bio-Psycho-Social Profile ● ● ● • Client is a high school student growing up in an lower socio-economic neighborhood with his single mother. Drug use is apparent among civilians, as is prostitution. His father is absent and he does not have a prominent male figure present in his life. His basketball coach displays signs of pedophilia. He does have one older male friend whom he has an on-going game of bball with, and who shows concern for his well-being Client’s support system seems to be his teammates/friends. His best friend becomes sick with cancer and dies. After his best friend’s death client’s behaviors become more impulsive and risky
  8. 8. Bio-Psycho-Social Profile ● ● ● Despite Catholic Schooling, client does not appear to have a particularly strong spiritual/religious affiliation or respect for his Priest/teacher Client appears to be extroverted in nature, but expresses himself through his poetry—which he keeps private. Initial drug use appears to be social, and then becomes alluring as a coping mechanism to numb pain of loss
  9. 9. Cultural Implications
  10. 10. Cultural Implications - Negative ● Son of a single mother, no father figure present ● Lives in a lower socioeconomic status neighborhood ● Goes to a catholic school in which authority figures are abusive ● Friends find drugs and alcohol as fun and a way to fix problems ● Oppression by those outside of his neighborhood lead to feelings of : hopelessness, and low self esteem
  11. 11. Cultural Implications - Positive ● Strong mother to provide support ● Adult friend who supported him and saved his life
  12. 12. Psychoeducation
  13. 13. Psychoeducation-Inhalants ● ● ● ● ● ● ● Four types: volatile solvents, gases, aerosol sprays, and nitrates Used multiple ways that are all very harmful to the body Cheap, can be purchased legally Effects of “high” last only a few minutes Common household products often used as inhalants Can result in brain damage Death can occur after using inhalants just once Retrieved from:
  14. 14. Psychoeducation-Cocaine ● ● ● ● ● ● ● Extracted from the leaves of the coca plant Used: Snorting or Smoked “Crack Cocaine” Increases heart rate, blood pressure, and body temperature, nasal scabs Overstimulates the bodies natural reward system Uses may experience temporary states of paranoid psychosis Creates a feeling of being “wired” Prolonged use can result in cardiac arrest or seizures Retrieved from:
  15. 15. Psychoeducation-Heroin
  16. 16. Psychoeducation-Heroin ● ● ● ● ● ● ● ● Heroin is a highly addictive drug Derived from the seed of poppy plant Used: Injection, Snorting, or Smoking Most begin using in teens or early 20s Tolerance happens quickly Multiple health risks associated with its use Withdrawal can happen within just a few hours Heroin cravings can persist years after drug use stops Retrieved from:
  17. 17. Intervention and Treatment Retrieved from:
  18. 18. Intervention-Strength Based ● Drawing on client’s talent/interest in poetry allow the client to work through his feelings of loss/abandonment through that medium. Write a poem about his best friend, or to his best friend. ● Enlisting in a support group for heroin addicts as well as abstaining from future use. Client is in need of a support system of individuals who are also clean, and can be empathetic
  19. 19. Intervention-Behavioral Therapy ● Motivational Interviewing ● Skills building to resist drug use ● Identifying psychological and social factors that could trigger relapse ● Family therapy ● Group therapy ● Peer Support/Sponsor Retrieved from: Van Wormer, K and Davis, D (2013). Addiction Treatment: A strengths perspective. p.419-442
  20. 20. Intervention-Pharmaceutical Cocaine-Gama vinyl-GABA (GVG) blocks production of dopamine produced in conjuction with cocaine use. Heroin-Methadone is a synthetic form of heroin that is legally provided for persons with heroin addiction to keep them stabilized and from having withdrawl symptoms. Retrieved from: Van Wormer, K and Davis, D (2013). Addiction Treatment: A strengths perspective. p.185-186
  21. 21. Treatment Plan ● Recommended treatment for client entails a 90 day stay at a methadone treatment clinic due to drug type, duration, and underlying issues of concern. ● Treatment would include a combination of behavioral therapy and pharmacologic intervention.
  22. 22. References ● ● ● American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013. Heroin Addictions, Abuse, and Recovery - Complete Heroin Resources. Retreived November 6, 2013, from http: Kalvert, S. (Director). (1995). BasketballDiaries[MotionPicture]. United States. Palm Pictures, LLC. ● Miller, Geri. (2010). Learning The Language of Addiction Counseling (3rd edition).Hoboken, New Jersey. John Wiley & Sons, Inc.
  23. 23. References ● ● National Youth Anti- drug Media Campaign. Retrieved November 6, 2013, from Teens Health 1995 - 2013. Retrieved November 6, 2013, from ● Wormer, K. A. & Davis, D.R. (2013). Addiction Treatment: a strengths based perspective (3rd edition). Belmount, CA. Brooks/Cole.