Client Background Information· Marge C.· 41 year old female·
1. Client Background Information
· Marge C.
· 41 year old female
· Married
· Husband, Ken works two jobs to make ends meet, so he is not
home much. Husband noted that he didn’t know what else to do
about his wife’s drinking and that he bought her to the facility
out desperation.
· Patient has three children 10, 12 and 16
· Patient was a teacher but she lost her job due to alcohol
related reasons
· Patient had a one car alcohol related accident three days
earlier. She received minor injuries and was issued a ticket for
DUI. Husband, family members and friends determined that
they needed to intervene to prevent Marge from harming herself
or others.
· An intervention occurred earlier today, culminating in her
being brought for treatment.
· Patient will go through a week of detoxification during her
first week of treatment.
_____________________________________________________
_____________
· On the sixth day of detoxification
· Patient is experiencing residual physical withdrawal
symptoms. Patient is shaky and groggy, has been given a mild
sedative to keep her calm during withdrawal.
· Patient is cooperative and still open to treatment. Patient
expressed feelings of loneliness and concern for her children.
· Patient is exhibiting sign of depression
_____________________________________________________
_____________
· 15th day of 30-day treatment
· Family sessions scheduled for today. Husband interviewed
individually earlier today; the children will be interviewed later
2. this afternoon.
· Patient is showing signs of improvement. Withdrawal
symptoms have disappeared, patient no longer takes a sedative.
· Patient continues to exhibit signs of depression.
Research Critique Guidelines – Part II
Use this document to organize your essay. Successful
completion of this assignment requires that you provide a
rationale, include examples, and reference content from the
studies in your responses.
Quantitative Studies
Background
1. Summary of studies. Include problem, significance to
nursing, purpose, objective, and research question.
How do these two articles support the nurse practice issue you
chose?
1. Discuss how these two articles will be used to answer your
PICOT question.
2. Describe how the interventions and comparison groups in the
articles compare to those identified in your PICOT question.
Method of Study:
1. State the methods of the two articles you are comparing and
describe how they are different.
2. Consider the methods you identified in your chosen articles
and state one benefit and one limitation of each method.
Results of Study
1. Summarize the key findings of each study in one or two
comprehensive paragraphs.
2. What are the implications of the two studies you chose in
6. Case Management of Addiction COUN 6202A
SPP Treatment Plan Template
INSTRUCTIONS and TEMPLATE for Marge’s Treatment Plan
1. Develop a hypothetical treatment plan for Marge (from the
course media) as you think it would look at the end of the first
year of her course of treatment.
2. Begin with her admission into residential treatment
(Counseling Session 1).
3. The plan should include Marge’s course of residential
treatment, plans for discharge from residential treatment, and
aftercare plans for the next 12 months.
4. The plan should include all aspects of Marge’s life that are
related to her recovery and reflect the case management role of
the counselor (e.g., counseling/treatment, family, social,
vocational, legal, mental health, medical).
Identified strengths: Strengths that will help client achieve
long-term goal(s) (e.g., supportive family). Client should help
identify. Initially it may be difficult to help client identify
more than one or two strengths but as the course of treatment
continues, more should become evident.
Identified problems/deficits: Factors in client’s life that may
impede successful recovery
Long-term goal(s):
Short-term Goals
Objectives
Strategies
Expected Outcome
(with Timeframe)
Stated as broad desirable outcome that will be broken down into
short-term goals and objectives. Usually, one long-term goal
will be adequate for first year.
8. 2. Your case study will consist of two sections: A narrative case
study section and a treatment plan section.
3. The narrative case study section will be written using the
required APA style. You will use this document as a guide for
the narrative section of your case study and include at a
minimum the 18 elements presented below. The final narrative
case study section should be approximately 15–20 pages in
length.
4. Your treatment plan section will follow the Treatment Plan
Template introduced in your Assignment for Week 5.
5. The timeline for your case study will extend from the client’s
admission into residential treatment (Counseling Session 1),
proceed through her course of treatment there (Counseling
Sessions 2 and 3), and conclude with a discharge plan of her
projected long-term treatment extending through the next 12
months.
Case Study Format
Treatment Plan Section
· Treatment plan developed using Treatment Plan Template and
attached at end of case study.
Narrative Case Study Section
IDENTIFYING INFORMATION
· Name, age, race/ethnicity, gender, marital status, and any
other appropriate information
PRESENTING PROBLEM
· Brief summary of the problem(s) and concerns that brought the
client to treatment
9. · Description of current condition including physical and mental
status and attitude on admission
· Who accompanies client and provides collateral information
· Other relevant information
ASSESSMENT
· Description of how initial screening was conducted to validate
the existence of a problem and make initial treatment
recommendations. Include how information was gathered (e.g.,
verbal clinical interview, paper-and-pencil assessment
instrument) and sources of information (e.g., client, family
members).
· Overview of ongoing assessment process to evaluate severity
of the addiction, rule out the co-existence of other relevant
problems, assist in treatment planning, and monitor progress
(e.g., continued more detailed interviews with client and family
members, observation, standardized assessment instruments).
ADDICTION HISTORY
· Substance(s) used and/or any addictive behaviors identified
· Age of first use
· Family history of addiction (chemical and/or behavioral)
· Progression of use to current stage
· Average frequency and amount over last six months
· Other signs and symptoms of addictive use (e.g., blackouts,
increased tolerance over time, physical withdrawals if use
stopped)
· Negative consequences experienced due to use
· Previous attempts to stop on own and/or treatment history
10. · Level of denial of problem (e.g., none, mild, moderate, severe)
· Level of motivation to change on admission (low, moderate,
high)
CO-OCCURRING DISORDERS
· Any other current or past mental disorder or mental health
problem
· Signs, symptoms, course of disorder, and other pertinent
information necessary to plan treatment
· Past history of treatment or counseling
MEDICAL HISTORY
· Pertinent current or past medical history related to or affected
by addiction
· Current medications (in particular psychotropic and/or
prescribed addictive medications)
EDUCATIONAL/VOCATIONAL HISTORY
· Education
· Work/career history including problems related to addiction
· Current financial status
LEGAL HISTORY
· Current or past legal problems
· Current status of any existing legal problems
SOCIAL/CULTURAL STATUS
· Socioeconomic status
· Any cultural/ethnic factors influencing addiction and recovery
· Social/leisure activities
FAMILY/RELATIONSHIP STATUS
11. · Composition of immediate family
· Description of roles identified for each family member
· A explanation of the potential impacts of these roles on family
members
· Include family in client’s treatment plan and a minimum of
two resources that would be useful to them
MODEL(S) OF ADDICTION
· Model(s) of addiction used to plan treatment approach.
Rationale for use and strengths and weaknesses of chosen
model(s)
MODEL(S) OF TREATMENT
· Model(s) of treatment used. Rationale for use and strengths
and weaknesses of chosen model(s)
MODEL(S) OF CASE MANAGEMENT
· Model(s) of case management used. Rationale for use and
strengths and weaknesses of chosen model(s)
THE ROLE OF SPIRITUALITY
· Describe how spirituality could be an important factor in
client’s recovery
· Ways in which client’s spiritual needs might be addressed
through case management referrals to community 12-step
support groups or other spiritual resources
COURSE OF TREATMENT