Casey is a 30-year-old male who was referred for a substance abuse evaluation following a DUI charge. He has a long history of abusing alcohol since age 15 as well as prescription pills, including currently abusing Tramadol. Casey meets criteria for severe alcohol and opioid use disorders. He experiences depression, anxiety, sleep problems and appetite issues. Casey would benefit from inpatient treatment at a residential prescription drug recovery center to address his substance use disorders and mental health issues through counseling. A treatment plan was created focusing on detoxification, long-term residential treatment, and employment assistance.
Assessment of substance use disorders 010915Tom Wilson
A presentation on screening and assessment of substance use disorders made to the Leadership in Rehabilitation Counseling Graduate Program at the Boise Campus of the University of Idaho, Boise campus.
This is lecture 1 of a 10 week Lecture series for Level 6 students Introducing them to Complex Trauma. This module is based on Courtis & Ford (2013) Treatment of Complex Trauma : A sequenced relationship based approach.London. Guildford Press.
Assessment of substance use disorders 010915Tom Wilson
A presentation on screening and assessment of substance use disorders made to the Leadership in Rehabilitation Counseling Graduate Program at the Boise Campus of the University of Idaho, Boise campus.
This is lecture 1 of a 10 week Lecture series for Level 6 students Introducing them to Complex Trauma. This module is based on Courtis & Ford (2013) Treatment of Complex Trauma : A sequenced relationship based approach.London. Guildford Press.
Characteristics and Outcomes of Adult Opiate Users in Abstinence-Based Resid...Siobhan Morse
Prior research in this population suggests that, overall, opiate and non-opiate addicted users have different issues and ought to be treated differently for their addiction—and that young and older adult opiate users present at treatment with different issues. This study investigated what significant differences in treatment motivation, length and outcome, if any, exist between opiate and non-opiate users and further investigates young adult (18-25 years of age) and older adult (26 and older) opiate users and the impact of any differences. Data for this study was drawn from 1972 individuals who entered voluntary, private, residential drug treatment and rehab. Study measures included the Addiction Severity Index (ASI), the Treatment Service Review (TSR), and the University of Rhode Island Change Assessment (URICA). Interviews were conducted at program intake and six-months post-discharge. Implications for addiction treatment providers and planners are discussed.
A vivid account of the 3 year olds' journey and progress through a semester at L'avenir preschool - an example of a comprehensive evaluation integrating the subjective & objective realms of children's progress
Of the substance disorders, alcohol-related disorders are the mo.docxAKHIL969626
Of the substance disorders, alcohol-related disorders are the most prevalent even though only a small percentage of individuals actually receive help. Recidivism in the substance treatment world is also very high. As research into treatment has developed, more and more evidence shows that genes for alcohol-metabolizing enzymes can vary by genetic inheritance. Women have been identified as particularly vulnerable to the impacts of alcohol. Native Americans, Asians, and some Hispanic and Celtic cultures also have increased vulnerability to alcohol misuse.
Even with these developments, treatment continues to spark debate. For many years, the substance use field itself has disagreed with mental health experts as to what treatments are the most effective for substance use disorders and how to improve outcomes. The debate is often over medication-assisted treatment (MAT) versus abstinence-based treatment (ABT). Recently the American Psychiatric Association has issued guidelines to help clinicians consider integrated solutions for those suffering with these disorders. In this Discussion, you consider your treatment plan for an individual with a substance use disorder.
To prepare for our discussion, Please r
ead “THE CASE OF XAVIER” and the materials for the week. Then assume that you are meeting with XAVIER as the social worker who recorded this case.
Then, by Wednesday night, Please post
a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for Xavier Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Describe the assessment(s) you would use to validate her diagnosis, clarify missing information, or track her progress.
Summarize how you would explain the diagnosis to Him.
Explain how you would engage him in treatment, identifying potential cultural considerations related to substance use.
Describe your initial recommendations for her treatment and explain why you would recommend MAT or ABT.
Identify specific resources to which you would refer her. Explain why you would recommend these resources based on his diagnosis and other identity characteristics (e.g., age, sex, gender, sexual orientation, class, ethnicity, religion, etc.).
CASE OF XAVIER
INTAKE DATE: May 2018
DEMOGRAPHIC DATA:
This is a voluntary admission for this 32 year old Black male. This is Xavier’s first psychiatric hospitalization. Xavier has been married for 13 years and has been separated from his husband for the past three months. He has currently been living with his sister in Atlanta, GA., where his husband and son reside. Xavier has a two year degree in nursing. Xavier works as an RN. Religious affiliation is agnostic.
CH.
Case Study Treatment PlanIntroductionStellaOscarIntroductionFor yo.docxketurahhazelhurst
Case Study Treatment PlanIntroductionStellaOscarIntroduction
For your course project, you will develop a treatment plan for one case study subject that you select from two possible candidates. These potential clients are ethnically diverse and are struggling with psychological disorders, which may require medication.
During the course of this project you will:Evaluate client information.Review possible assessment techniques.Offer a diagnostic impression.Review various behavioral and pharmacological treatments.Discuss the legal and ethical ramifications of the disorder and proposed treatments.Review the impact of diversity issues on various disorders and their treatments.Develop a suggested treatment plan for the client.
You will select one of the case studies presented on the next page of this presentation as your client for this treatment plan project. Then you will use the Case Study Treatment Plan Template, provided in the Resources to complete your assignments for this project. Each section of the template includes a description of the type of information you will need to include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area.Stella's Case Study
Stella is a 38 year old biracial (African American and Native American) woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency. You received the following information about her as background and history.
Stella is the only child of a Caucasian couple who are now deceased. She was adopted as an infant in a closed adoption, so that none of her birth parents' records are available. The only informal information that Stella remembers her parents telling her is that her mother was 16 years old at the time of Stella's birth and had been raped while at a high school football game.
Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local meat packing plant. She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people.
She has been married to her husband (Doug) for 18 years and has a 16 year old son (Tyrone), who is currently a junior in high school. Her son plays baseball on the school team and is a solid B student. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for 3 to 4 days before he leaves on another trip. Stella reports that she stays at home and feels "blue" when her husband is on the road. Although there have been some problems in the marriage due to Stella's mental health concerns, the couple seems committed to each other and to staying in t ...
Complete your treatment plan template ( I WILL COMPLETE THIS)for Eli.docxskevin488
Complete your treatment plan template ( I WILL COMPLETE THIS)for Eliza based on LAST WEEKS assignments findings. Additionally, write and submit a 700-1,050-word essay that includes the following:
The treatment theory you would use and why.
A description of how you would address any mental health, medical, legal, and substance use issues that the client exhibits in the case study through the lens of your counseling theory of choice.
Include at least three scholarly sources in your paper.
Submit the paper and the treatment plan to your instructor.(I WILL COMPLETE THE ATTACHED TREATMENT PLAN) I JUST WANTED YOU TO HAVE IT FOR REFERENCE, PLUS THE PAPER YOU WROTE LAST WEEK.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful
CLASS TEXTBOOK REFERENCE:
Schwitzer, A. M., & Rubin, L. C. (2014).
Diagnosis and treatment planning skills: A popular culture approach
(2nd ed.). Los Angeles, CA: Sage Publications. ISBN-13: 9781483349763
Here is the example BPS for eliza
PCN-610 Eliza D Psychosocial Example
Name: Eliza Doolittle Date: ********* DOB: ********
Age: 18 Start Time: 1:15p End Time: 2:00p
Identifying Information:
The client is a Caucasian female with average height and slender build. The client stated that she is currently a freshman in college, majoring in engineering. The client also stated that her family resides in a small town approximately two hours away.
Presenting Problem:
At the onset of the session, the client stated that she had come to counseling as a result of being caught in a campus dorm with alcohol (it is an alcohol-free campus). Concerning the incident, the client stated “the RAs were called because my friends were being too loud in my dorm. When they arrived, they saw us with alcohol, and we got in trouble.” The client stated that her friends in the dorm were intoxicated but she was not, adding, “I was just buzzed” and adding that she was drinking “because they were” and “it’s just something to do.”
Life Stressors:
The client identified school as a life stressor, adding “things came easy to me in high school, I just figured it would be the same in college”. The client went on to state that, in addition to the difficulty in increased study requirements, she had struggles in making friends, stating, “a lot of my friends from high school have either gone to college somewhere else or are doing other things,” although the client denied feeling lonely.
Substance Use:
Yes
No
The client denied having a drug or alcohol problem, adding that she tried marijuana once in high school but “I didn’t like how it made me feel” and had not taken it since. The client stated that she was introduced to alcohol in HS when “friends asked me to drink it with them.” The client .
University of Phoenix Material Original workWeek Five Progra.docxbreaksdayle
University of Phoenix Material
Original work
Week Five Programmatic Assessment
Scenario
Abby is a 20-year-old female college student. For at least the last 3 months, Abby has experienced ongoing anxiety and worry without a specific cause for these feelings. She has been restless and has noticed that her muscles feel tense and that these symptoms are beginning to affect her behavior in a way that is causing her to become distressed and that is preventing her from being able to complete her normal tasks. Abby correctly believed that it was normal to feel a little anxious sometimes; however, as the semester has progressed, she has not begun to feel significantly more comfortable.
On the recommendation of a friend, Abby visited the university’s counseling center and talked to Dr. Smith. Dr. Smith was warm and welcoming and, after discussing the limits of confidentiality with Abby and obtaining informed consent, encouraged Abby to describe her concerns. Dr. Smith listened attentively and asked Abby a few questions. They both agreed on an appointment date and time for the next week. Dr. Smith gave Abby a homework assignment to keep a written log of the negative thoughts or assumptions she has during the week and the circumstances under which those thoughts occurred. Abby was asked to bring the log with her to her next appointment.
Short-Answer Questions
Answer the following questions based on the scenario above. Answers should be short and concise.
1.
Which DSM-5 disorder matches the symptoms Abby is reporting?
2.
Which theoretical model does the homework assigned by Dr. Smith match?
3.
If Dr. Smith recommended medications only, which theoretical model would this match?
4.
If Dr. Smith recommended medications in addition to therapy, which theoretical model would this match?
5.
If Dr. Smith completed a free association exercise with Abby, which theoretical model would this match?
6.
If Dr. Smith used unconditional positive regard in the treatment, which theoretical model would this match?
7.
If instead of the symptoms listed in the scenario, Abby reported the following:
She had been in a car accident where she feared for her life. She had sleep disturbances including nightmares and became uncomfortable at the thought of driving, to the point that she avoided driving. She now believes she is a horrible driver, although her friends assure her this is not true. If these symptoms have lasted for longer than a month, which DSM-5 disorder label might match her symptoms?
8.
If instead of the symptoms listed in the scenario, Abby reported the following:
Every day for the past 2 weeks she felt down or sad for most of the day, had noticed an increase in her appetite, had been unable to sleep or concentrate, and felt tired. Additionally, this was interfering with her goals and tasks, and she reported that she had never felt manic or hypomanic. Which DSM-5 disorder label might match her symptoms?
9.
If instead of the symptoms l.
CASE of CARLOS R.INTAKE DATE May 2019IDENTIFYINGDEMOGRAP.docxjasoninnes20
CASE of CARLOS R.
INTAKE DATE: May 2019
IDENTIFYING/DEMOGRAPHIC DATA: Carlos is a 7 year old male in the third grade. He lives in Houston, Texas with his parents. He is the only child to two parents, both of whom have completed post-graduate education. His parents are originally from Guatemala and relocated to the United States when Carlos was 6 months old for job opportunities. Carlos is an intelligent and caring young boy who presents with significant potential to excel academically.
CHIEF COMPLAINT/PRESENTING PROBLEM: Carlos was referred for an evaluation becausehis parents and teacher indicate that Carlos is restless, and often requires reminders to help him stay on task. He is described as "constantly running around" and presenting with difficulties listening and following instructions.
HISTORY OF PRESENT ILLNESS: Carlos enjoys spending time with his friends, and participating in physical activities such as swimming, running and skating. He also enjoys participating in social events, and is often invited to play dates and birthday parties. While Carlos interacts well with peers his own age, his parents believe he is easily led and influenced by others. Carlos does get upset when he does not receive recognition or feels that he has been ignored. His teacher notes that he sometimes acts 'socially immature', and that he often demonstrates attention-seeking behavior.
Carlos has difficulty focusing and sitting still in class. He is able to 'hyper focus' on some activities of interest however he often has difficulty sustaining his attention at school. Carlos has been known to blurt out answers and interrupts other students in the classroom. His mother reports difficulties at home with following routines and remembering instructions. His parents describe emotional reactivity as well as confrontational behaviors demonstrated both at home and at school. His teacher notes that Carlos is defiant towards listening to instructions, but generally interacts well with his peers. He is easily frustrated and emotionally impulsive - Carlos has had several incidents of hitting, crying outbursts, and inappropriate behavior. Behavioral concerns with aggression, lying, arguments, and disruptive behavior were noted in his pre-school program at age 4. Each school year since teachers have reported incidents in the classroom.
PAST PSYCHIATRIC HISTORY: This is the first evaluation for Carlos.It is noteworthy that he did not know his address or home phone number, could not print his surname, and recognized only a few pre-primer words.
SUBSTANCE USE HISTORY: None reported
PAST MEDICAL HISTORY: Carlos has been vaccinated with all the needed vaccinations to attend school. There is no noteworthy illnesses to report.
FAMILY MEDICAL AND PSYCHIATRIC HISTORY: Carlos’ parents report some history of mental illness in the family. His maternal grandmother was diagnosed with depression. Carlos has always had challenges falling asleep, and sometimes find ...
Client is a 37 year old male who has presented for counseling due .docxvernettacrofts
Client is a 37 year old male who has presented for counseling due to the recent issue of finding out that his wife was unfaithful. Reports he is having difficulty in several domains of his life and wants help figuring out what to do. Client has been working at the same job for the past 16 years. He is an engineer at a local firm. Client reports that he is satisfied with his job. Client has a bachelor's degree in mechanical engineering. Client reports that he is financially secure and is not worried about financial issues at this time in his life. Client reports holding Christian faith. He states that he attends church with his wife at least 2 times per month and that is important to them to raise their daughter and son with these values. Client reports a daughter who is 8 and a son who is 6.
Client states that he has few friends and little time for extra-curricular activities. States that he does enjoy fishing, hunting, and gun collecting but that none of these activities seem very enticing over the past several weeks. Client does report having two very close friends that he has maintained since childhood. He states that these friendships have been helpful for him in the past several weeks after he discovered an email between his wife and a man from her work but both friends are telling him he should get out of the relationship because of what his wife did. Client reports that his drinking has increased over the past couple weeks and that he is utilizing alcohol as a way to cope with the current problem. He states that he is drinking 2 to 3 vodka and tonics nightly and that this amount is unusual but it is one of the ways that he is able to sleep and not have to think about what she did. Before finding out about this incident, client reports drinking one to two drinks a week. Client reports no prior problems with alcohol but he does report binge drinking with fraternity buddies while in college. Reports this stopped soon after he accepted a full-time engineering position. Client reports no current or past drug use. Does report trying marijuana while in college but stating he didn't like it. Client is a non-smoker. Client reports no other general medical concerns.
Client and wife have owned their home for the past 10 years and are satisfied with their living conditions. Reports that his parents live nearby and consist of both his mother and father. States he has not told his parents yet because he knows they will be vary mad at his wife. Also reports that he has a sister who he is close to but she lives in Georgia. States he did tell his sister because she left her husband after he cheated on her. States that his parents are still married and have always appeared to be happy. States that he does not have significant issues with his immediate family from when he was a child.
Client states that two weeks ago while looking through some emails he found an email between 'some guy' and his wife. States that he immediately knew that the emails were i ...
Both eating disorders and somatic symptom disorders involve a mi.docxjackiewalcutt
Both eating disorders and somatic symptom disorders involve a mind-body relationship. However, those living with somatic disorders tend to be highly sensitized to their body experiences in a different way than those with eating disorders. While eating disorders can cause individuals to lose their interoceptive awareness of the body, those with somatic disorders tend to have a magnified awareness, often coupled with preoccupation and a high level of anxiety that is deemed to be excessive to the cause.
These spectrums of illness require that social workers take an early-intervention, multidisciplinary, and biopsychosocial approach to treatment to be successful in supporting recovery. Both require knowledge and extensive communication with medical providers and other specialists. That priority for interdisciplinary knowledge and teamwork increases in importance given the mortality rates of eating disorders and the mind-body factors in both.
This week you analyze the impact of living with an eating disorder and the problems (nutritional, medical, social, and psychological) in the recovery process. You also consider current societal influences that impact the onset, recognition, and recovery process for eating disorders and somatic symptom disorders.
Through this week’s Learning Resources, you become aware not only of the prevalence of factors involved in the treatment of eating disorders, but also the societal, medical, and cultural influences that help individuals develop and sustain the unhealthy behaviors related to an eating disorder. These behaviors have drastic impacts on health. In clinical practice, social workers need to know about the resources available to clients living with an eating disorder and be comfortable developing interdisciplinary, individualized treatment plans for recovery that incorporate medical and other specialists.
For this Discussion, you focus on guiding clients through treatment and recovery.
To prepare:
Review the Learning Resources on experiences of living with an eating disorder, as well as social and cultural influences on the disorder.
Read the Case of O.
Post
a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for O. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Explain why it is important to use an interprofessional approach in treatment. Identity specific professionals you would recommend for the team, and describe how you might best utilize or focus their services.
Explain how you would use the client’s family to support recovery. Include specific behavioral examples.
Select and explain an evidence-based, focused treatment approach that.
Diagnostic Workup
Case: Date:
Diagnosis (is): DSM V:
1. Determine a formal diagnosis
2. Other Conditions That May Be a Focus of Clinical Attention :)
3. Discuss any alternative diagnoses that were considered, and how the differential was made.
4. What level of severity is her addiction (if there were any)
5. Rational should be in your own words
6. 2 pages based on the below reading.
Clinical Vignette
Carey is a 21-year old woman who has been struggling to maintain sobriety from polysubstance abuse over the past 3 years. Her family history includes numerous individuals with alcohol abuse and dependence symptoms.
When she was 11 years old, Carey and four classmates were arrested when they stole liquor from their homes and became intoxicated in a public park after curfew. When she was 13, Carey escaped out of back window when police arrested some of her classmates and several older “acquaintances” during a secret party that involved alcohol and marijuana. She smoked cigarettes on a regular basis throughout her teen years but was never “hooked” on them. Carey’s first semester at college was, in her words, “a complete disaster.” because she was “always” either drunk, high, or recovering from episodes of heavy daily substance use-with her room-mate’s boyfriend providing alcohol, marijuana ,and cocaine in exchange for being allowed to sell the drugs from their dorm room.
Carey was hospitalized for 3 weeks in February of her second semester at college when she accidentally overdosed on a combination of cocaine, alcohol, and unknown other drugs during a long weekend binges. Hospitalization was characterized by a period of high suicidality during detox and early recovery. Doctors initially were hesitant to use medications to manage her care because of uncertainty regarding what she had been taking. Subsequently, numerous diagnostic labels were applied, including borderline personality disorder, bipolar disorder, and attention deficit disorder without hyperactivity, attention deficit disorder with hyperactivity, depression, anxiety and polysubstance abuse. Carey was prescribed a wide variety psychotropic medication during the months of outpatient follow-up care and warned not to drink alcohol because it interacted badly with the medications. Carey developed a pattern of raking medication as prescribed Monday through Thursday but not taking them on weekends, when she planned to drink with friends and coworkers. She was no longer using “recreational” drugs other than alcohol. Carey’s moods, behavior, and ability to function fluctuated wildly during this time.
In March at age 19 ½ years, Carey returned to living in her parents’ home. She informed her psychiatric counseling team that she was refusing all medications from here on. Because she could no longer tell that side effects from her root problems, and she never felt “norm.
The Case of Sam Sam is a 62-year-old, widowed, African American ma.docxmamanda2
The Case of Sam Sam is a 62-year-old, widowed, African American male. He is unemployed, receives Social Security benefits, and lives on his own in an apartment. Sam has minimal peer relationships, choosing not to socialize with anyone except his daughter, with whom he is very close. Sam raised his daughter as a single father after his wife passed away. Melissa is 28 years old and works as an emergency medical technician (EMT). When Sam was 7 years old, he was placed in foster care and has had very limited contact with his extended family. Prior to September 11, 2001, Sam had a steady employment history in food services and retail. He had no psychiatric history before that time. Sam reported his religious background is Catholic, but he is not affiliated with a congregation or church. Sam became depressed and psychotic sometime after 9/11 and had to be taken to an emergency room. He was hospitalized at that time for several weeks. His mental status exam (MSE) and diagnostic interview showed no history of alcohol or substance abuse issues, and he had no criminal background or current legal issues. Sam was released to outpatient care but was deemed unable to return to work. At that time, he had a diagnosis of major depression with psychotic features; he also has a history of high blood pressure and migraines. After several additional multiple psychiatric hospitalizations, he was gradually stabilized. Sam has been seeing a psychiatrist once a month for over a decade for medication management and is currently prescribed Depakote®, Abilify, and Wellbutrin®. Sam has a positive history of medication and treatment compliance. He was treated by a social worker at an outpatient program for about 2 years after his hospitalizations for his psychosis and depression. He gradually stopped attending sessions with the social worker after his symptoms stabilized, and his termination from the outpatient program was deemed appropriate; he continued to see the psychiatrist monthly for medication management. After about 10 years of seeing only the psychiatrist, Sam scheduled a meeting with this social worker for increased feelings of depression. These feelings were brought on after his daughter moved out of the apartment they had shared for many years to live with her boyfriend. He reported difficulty adjusting to living alone and said he often feels lonely and anxious. He reported during sessions with his social worker that he speaks to his daughter frequently, and although she only lives 10 blocks away, he misses her terribly. Our sessions for the last 3 months have focused on his mixed feelings around his daughter’s new life with her boyfriend. He said he is happy that she is happy but misses her very much. I emphasized his strengths and helped him reframe his situation by focusing on the positive changes in her life as well as his own life. Our goals were to help him reduce his symptoms of anxiety and begin searching for new opportunities for socialization outsi.
The Case of Sam Sam is a 62-year-old, widowed, African Ame.docxarnoldmeredith47041
The Case of Sam
Sam is a 62-year-old, widowed, African American male. He is unemployed, receives
Social Security benefits, and lives on his own in an apartment. Sam has minimal peer
relationships, choosing not to socialize with anyone except his daughter, with whom he
is very close. Sam raised his daughter as a single father after his wife passed away.
Melissa is 28 years old and works as an emergency medical technician (EMT). When
Sam was 7 years old, he was placed in foster care and has had very limited contact with
his extended family.
Prior to September 11, 2001, Sam had a steady employment history in food services
and retail. He had no psychiatric history before that time. Sam reported his religious
background is Catholic, but he is not affiliated with a congregation or church.
Sam became depressed and psychotic sometime after 9/11 and had to be taken to an
emergency room. He was hospitalized at that time for several weeks. His mental status
exam (MSE) and diagnostic interview showed no history of alcohol or substance abuse
issues, and he had no criminal background or current legal issues. Sam was released to
outpatient care but was deemed unable to return to work. At that time, he had a
diagnosis of major depression with psychotic features; he also has a history of high
blood pressure and migraines. After several additional multiple psychiatric
hospitalizations, he was gradually stabilized.
Sam has been seeing a psychiatrist once a month for over a decade for medication
management and is currently prescribed Depakote®, Abilify, and Wellbutrin®. Sam has
a positive history of medication and treatment compliance. He was treated by a social
worker at an outpatient program for about 2 years after his hospitalizations for his
psychosis and depression. He gradually stopped attending sessions with the social
worker after his symptoms stabilized, and his termination from the outpatient program
was deemed appropriate; he continued to see the psychiatrist monthly for medication
management.
After about 10 years of seeing only the psychiatrist, Sam scheduled a meeting with this
social worker for increased feelings of depression. These feelings were brought on after
his daughter moved out of the apartment they had shared for many years to live with
her boyfriend. He reported difficulty adjusting to living alone and said he often feels
lonely and anxious. He reported during sessions with his social worker that he speaks to
his daughter frequently, and although she only lives 10 blocks away, he misses her
terribly.
Our sessions for the last 3 months have focused on his mixed feelings around his
daughter’s new life with her boyfriend. He said he is happy that she is happy but misses
her very much. I emphasized his strengths and helped him reframe his situation by
focusing on the positive changes in her life as well as his own life. Our goals were to
help him reduce his symptoms of anxiety and begin searchi.
SUBS 505Case Study Grading RubricElementCriteriaPoints.docxpicklesvalery
SUBS 505
Case Study Grading Rubric
Element
Criteria
Points
Possible
Points Earned
Instructor’s Comments
Content of Case Study
· History given is clear and thorough
· Most relevant history reported to justify diagnoses and treatment
· Clear diagnoses and support for diagnoses
· Appropriate representation of readings and presentations, including both books/multiple presentations
· Well-established argument for treatment
· Used empirical evidence to support treatment recommendations
· Understanding of SUD’s/ treatment is evident
· Substantive; good development of ideas and concepts
· Appropriate introduction and conclusion
· Page requirement met (12 pages)
· Other:
65
APA Format
· Title Page in current APA format with running head in correct APA style
· Font, headings, margins in correct APA Style
· Citations properly used in all needed places and match reference list
· If quotations are include, all APA requirements are met, not used unnecessarily/excessively.
· Plagiarism free*
· Reference Page is in current APA format
· Other:
* Higher deduction and other consequences might be applied for plagiarism.
20
Grammar/Writing
· Sentences: coherent, varied, complete, clear, and concise wording
· Punctuation including proper use of comma, period, semicolon, etc.
· Spelling and vocabulary: exemplifies profession writing, precise, unambiguous, appropriate
· Grammar: proper and consistent use of verb tense, noun-pronoun agreement, etc.
· Paragraph: clear and contains one major idea
· Clear transitions that maintain flow of thought
· Other:
15
Total
100
Total: _________________x 2 = ______________Points Earned (out of 200 possible)
Running head: THE CASE OF MARK SNOOZE 1
THE CASE OF MARK SNOOZE 7
The Case of Mark Snooze
Sally Student
Liberty University
This is a sample of a case study. It is not perfect and if it in anyway disagrees with the instructions or the grading rubric, follow the instructions and the grading rubric. This will hopefully give you a general idea of how to write a Case Study. There are places in the case study where you will have to use the passive voice and it will be appropriate, this is when the there is no person who can be the doer of the action and still present the case in an objective manner. An example of this would be: A personality disorder is ruled out. The only other way you could say it would be I ruled out and you do not want to use first person in this report at all.
This case study is a bit shorter than what is assigned for your project, so be sure to add the needed details in order to meet the length requirement.
The Case of Mark Snooze
Case Study
(The information should be obtained from the book, Rosa Lee: A Mother and Her Family in Urban America, but written in a clinical style. You should still be using proper APA style citing ...
Individual Treatment Plan· · Due Dec 01, 559 PM · POINTS 20.docxdirkrplav
Individual Treatment Plan
·
· Due Dec 01, 5:59 PM
· POINTS 20
Write a 1,050- to 1,750-word treatment plan based on a hypothetical client case provided by your instructor.
Follow the steps and discuss all of the main areas listed in the University of Phoenix Material: Guidelines for Writing a Treatment Plan.
Submit your plan via the Assignment Files tab
Individual Treatment Plan Case Scenarios Pick OneVan
Van is a 43-year old Asian American male who is married with two young sons. He lives with his spouse and sons in the San Francisco area. He and his wife left Vietnam for the United States 7 years ago, and they own and operate a small nail salon and spa. Van was raised in a poor family and has little formal education. Aside from routine business conflicts, Van and his wife have gotten along quite well in their marriage and have always been supportive of each other. This changed abruptly last year when his oldest son, age 9, accused him of physical and sexual abuse. Because he described ongoing abuse while at school, Van’s son’s claim was reported to the state by one of his teachers. Since then, Van has had to make several court appearances, and this matter has put tremendous strain on the entire family. Although he denies the claims, Van has started to abuse alcohol since the accusation was made, and he will not talk to his oldest son or his wife. He does not use alcohol daily but is a binge drinker, consuming a large amount of whiskey two to three times per week and becoming very intoxicated. Van has never seen a therapist but is now court-ordered to seek psychological evaluation and treatment. He feels wrongly accused of these acts, although he admits that he has used physical punishment on both boys in the past. He believes that physical punishment is accepted in his native culture but is not understood in the United States. At this point, his marriage has suffered, as has his relationship with both sons. He has been unable to function at work since being accused of sexual abuse. While both of Van’s sons used to be excellent students, their grades have fallen, and the oldest son has behavior problems. Roy
Roy is a single 37-year old African American male who is a part-time factory worker and lives with a roommate in an urban apartment in California. He has never been married, but he currently has a girlfriend. He has a high school education. He has chronic low back pain, blaming this on his job duties, which require some heavy lifting. He is involved in physical therapy and medical management for his condition. At work, Roy has had several incidents in which he became extremely angry with a coworker. In one incident, his supervisor observed his behavior, which he noted was physically threatening to the coworker. His behavior has been documented by his supervisor twice already, which has led to some job insecurity for Roy. Roy has been using high doses of Vicodin prescribed by his doctor for chronic pain. He is a smoker and uses alcoh.
January 1, 2016Honorable James T. Kirk, JudgeCounty .docxchristiandean12115
January 1, 2016
Honorable James T. Kirk, Judge
County Probate Court
123 Court Street
Anytown, CA 12345
RE: Sue Jones
CASE NUMBER: 2016-GI-00000
Mental health evaluation
Dear Judge Kirk:
Sue Jones is a 52 year old Caucasian female who was referred by the Court for a guardianship evaluation.
Dr. Betty Rubble interviewed Ms. Jones at Anytown Nursing Home on January 1, 2016 for approximately 105 minutes. She was administered the Independent Living Scales on that date.
Prior to the commencement of this evaluation and psychological testing, Ms. Jones was advised of the nature and purpose of the evaluation. Ms. Jones was informed that the resulting report was not confidential, and that information obtained could be included in the report that would be submitted to the Court. She was aware this information was not related to treatment, but rather for her current case. Ms. Jones was provided this information both orally and in a written format. She stated that she understood the information provided to her, including the limits of confidentiality and her rights concerning the evaluation.
SOURCES OF INFORMATION:
1. Collateral contact with Wilma Flintstone, Ms. Jones’ legal guardian, via telephone on January 1, 2016.
2. General Hospital, psychiatric records.
3. Guardianship Services records.
SOCIAL HISTORY: Ms. Jones reported that she was born on January 1, 1963 and reared in Kentucky. She said her father worked as a security guard and died eight years ago, while her mother worked as a waitress and died five years ago. She identified having a “good” relationship with her parents. Ms. Jones said she has two brothers with whom she has an “all right” relationship, as well as one older maternal half sister that she “[doesn’t ] get along with at all.” Ms. Jones stated that one of her brother has been diagnosed with bipolar disorder, and noted her brothers and her father had difficulties with alcoholism. She denied any childhood history of abuse and reported that she ran away from home at 17 years of age when she became pregnant.
Ms. Jones reported that she lived independently until two years ago when she was placed in a nursing home. She said she remains in a nursing home against her will because the court has appointed her a legal guardian due to her alcoholism. She would like to return to her home of Nowhere, California, where her cousin lives. She said that she talks with her cousin regularly on the phone, but acknowledged that she has not seen her in many years. She does not want a guardian and would like to make her own decisions.
According to her legal guardian, Ms. Flintstone, prior to her nursing-home placement, Ms. Jones was in sober housing. That home had staff present on site, but Ms. Jones continued to drink alcohol and visit hospital emergency rooms to obtain opiates.
EDUCATION HISTORY: Ms. Jones stated that she last completed the 9th grade and had “all right” grades. She said that she was not diagnosed with any learning.
(Note This case study is based on many actual cases. All the nameSilvaGraf83
(Note: This case study is based on many actual cases. All the names used are made up, and any relation to actual people or events is purely accidental and coincidental.)
Addictions Case Study: Narrative
Presenting Problem:
Marci is a 22-year-old female college student who was arrested five months ago for driving while impaired with a blood alcohol level of 0.13. She was also charged with possession of a small amount (about 1 gram) of marijuana. Her license was suspended, but she has driving privileges to get to school/work and back.
Drug History and Current Patterns of Use:
She has smoked cigarettes since age 16 and currently smokes one pack daily. Marci stopped smoking cigarettes for six months one year ago, but she presently does not plan to cut down or quit.
She has five prescription pills (Xanax) for depression and anxiety that were given to her by a college classmate (for whom they were prescribed). Marci shared that she had been struggling with feelings of sadness and worrying too much about two months ago. She hasn’t taken them yet, but has considered trying them.
Marci first experimented with marijuana during her senior year of high school (age 17), with her use becoming more regular after she entered college. Marci was first introduced to marijuana by her high school boyfriend, who used it every day along with alcohol on the weekends.
While she started drinking wine with her family when she was 13, she started to
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“seriously” drink starting around 18-years-old. She currently drinks four or more alcoholic beverages (usually wine or wine coolers; sometimes beer) three to four times a week and had been smoking marijuana two to three times a week for one year. Her usual pattern was to go on weekend binges, starting to drink and smoke on Friday evenings until 2:00 a.m. She would then have a glass or two of wine around lunchtime on Saturday, smoking a joint or two with a couple of friends during Saturday afternoons prior to attending college sporting or social events. She would then go to parties with friends on Saturday evenings, typically consuming six to seven cans/bottles/cups of beer and sharing several joints of marijuana with others. She had also started to consume energy drinks (Red Bull, Monster, etc.) when she drank beer at these parties to get an added “boost” to her high.
During the past two months, she has sometimes had one to two glasses of wine (she also used to smoke half a joint of marijuana with it) when alone on school nights. On the mornings after she used alcohol, Marci tended to sleep in and cut class, but not every week. Her recreational and social interests had increasingly involved the use of alcohol and marijuana, now since her arrest, it is mainly alcohol (although she still desires to smoke cannabis). Recently, Marci has begun to express concern to her friends about “feeling depressed and anxious,” but she reports no suicidal ideation or panic attacks. She is also concerned since sh ...
(Note This case study is based on many actual cases. All the nameMoseStaton39
(Note: This case study is based on many actual cases. All the names used are made up, and any relation to actual people or events is purely accidental and coincidental.)
Addictions Case Study: Narrative
Presenting Problem:
Marci is a 22-year-old female college student who was arrested five months ago for driving while impaired with a blood alcohol level of 0.13. She was also charged with possession of a small amount (about 1 gram) of marijuana. Her license was suspended, but she has driving privileges to get to school/work and back.
Drug History and Current Patterns of Use:
She has smoked cigarettes since age 16 and currently smokes one pack daily. Marci stopped smoking cigarettes for six months one year ago, but she presently does not plan to cut down or quit.
She has five prescription pills (Xanax) for depression and anxiety that were given to her by a college classmate (for whom they were prescribed). Marci shared that she had been struggling with feelings of sadness and worrying too much about two months ago. She hasn’t taken them yet, but has considered trying them.
Marci first experimented with marijuana during her senior year of high school (age 17), with her use becoming more regular after she entered college. Marci was first introduced to marijuana by her high school boyfriend, who used it every day along with alcohol on the weekends.
While she started drinking wine with her family when she was 13, she started to
EDCO 740
Page 2 of 2
“seriously” drink starting around 18-years-old. She currently drinks four or more alcoholic beverages (usually wine or wine coolers; sometimes beer) three to four times a week and had been smoking marijuana two to three times a week for one year. Her usual pattern was to go on weekend binges, starting to drink and smoke on Friday evenings until 2:00 a.m. She would then have a glass or two of wine around lunchtime on Saturday, smoking a joint or two with a couple of friends during Saturday afternoons prior to attending college sporting or social events. She would then go to parties with friends on Saturday evenings, typically consuming six to seven cans/bottles/cups of beer and sharing several joints of marijuana with others. She had also started to consume energy drinks (Red Bull, Monster, etc.) when she drank beer at these parties to get an added “boost” to her high.
During the past two months, she has sometimes had one to two glasses of wine (she also used to smoke half a joint of marijuana with it) when alone on school nights. On the mornings after she used alcohol, Marci tended to sleep in and cut class, but not every week. Her recreational and social interests had increasingly involved the use of alcohol and marijuana, now since her arrest, it is mainly alcohol (although she still desires to smoke cannabis). Recently, Marci has begun to express concern to her friends about “feeling depressed and anxious,” but she reports no suicidal ideation or panic attacks. She is also concerned since sh ...
Running Head Pepper Family Case Study 1Pepper Family Case .docxlillie234567
Running Head: Pepper Family Case Study 1
Pepper Family Case Study 15
Pepper Family Case Study
Instructor Name
Course
Date
Client's demographical information
Olivia Pepper is a 30-year-old African American woman who is married with three children (ages 2, 6, and 8). Olivia is a Baptist and is receiving several financial need scholarships which allows her to attend school without working. She has two residential treatments, once as an adolescent for alcohol use and the second when she was 24 for depression and alcohol use. She has had two DUI's, one at 16 and the second at 22. Olivia has previously taken Zoloft and Wellbutrin, and has gone to family counseling as a teenager. Olivia is currently pursuing her Master’s degree and has a 3.8 overall GPA. She has been referred to the University Counseling Center from her professor for erratic behaviors, which include failing two classes and having a sporadic attendance, being late, and smelling of alcohol on more than one occasion. Olivia's peers have reported that she wants to meet at the local bar and is never engaged in learning.
Olivia grew up with loving parents who worked hard. Her mother left when she was 14 and that is when she started to drink. She has been in a “funk” on and off her whole life and reports that most days she just doesn’t want to get out of bed and face the day. She is overwhelmed and sleeps 10-12 hours a day, isolates herself from her family, and avoids going to school. She has attempted suicide once with a drug overdose on Wellbutrin with alcohol. Olivia is currently attending AA meetings regularly and reports that church and AA help her get out of bed in the morning. She has started to drink again and sneaks drinks into her lemonade so that her family does not know. Her husband is angry and wants her to quit school, and Olivia is concerned for her 8-year-old daughter who is exhibiting similar behaviors as her.
Olivia's demographic information paints a vivid picture of her life. She has faced many challenges in her life, from her mother leaving when she was 14 to her father passing away two years ago from drinking. She is under a lot of stress with having to care for her three children and still trying to pursue her degree. She has dealt with depression and alcohol use, attempted suicide, and has had two, (DUI's Shenoy,2019). Olivia has had to find different coping mechanisms to get her through her day, and while church and AA have been helpful, she has resorted to drinking again, which is causing her to struggle in her classes. Her family dynamics are strained with her husband wanting her to quit school and her 8-year-old daughter exhibiting similar behaviors. It is clear that Olivia is in need of support and guidance to help her get through the current struggles that she is facing.
Analysis of the Client's presenting problem
Olivia is struggling with depression and alcohol misuse. .
1. Social Work Research Couples CounselingKathleen is a 37-year.docxbraycarissa250
1. Social Work Research: Couples Counseling
Kathleen is a 37-year-old, Caucasian female of Irish descent, and her partner, Lisa, is a 38-year-old, Caucasian female with a Hungarian ethnic background. Kathleen reports that she has a long family history of substance use but has never used alcohol or drugs herself. She does not have a criminal history and utilized counseling services 10 years ago for family issues regarding her father’s alcohol use. Kathleen works as a nurse in a local hospital on the cardiac floor where she has been employed for 8 years.
Lisa reports experimenting with substances during college. She currently drinks wine on occasion. Lisa does not have a criminal history. Lisa has had many jobs and stated that she was unable to find her niche until recently when she took out a loan and opened a small Hungarian restaurant serving her grandmother’s recipes. Her restaurant has been open 1 year. Lisa reports that while she enjoys the work and has found her niche, she must work constantly to be successful, and she is worried the business might fail.
Kathleen and Lisa have been together for over 15 years. They have a close group of friends and see their families on major holidays. They came to outpatient counseling at a nonprofit agency to examine the possibility of starting a family together. They were both feeling ambivalent about it, and it had been the source of more than a few arguments, so they decided to come to counseling to address their concerns in a more productive way. They said they chose this agency because it was recognized as lesbian, gay, bisexual, and transgender (LGBT) friendly. They asked about my sexual orientation and my history because they were concerned about my level of experience working with the issues they were presenting.
I thanked Kathleen and Lisa for sharing this concern, and I informed them of various programs I had worked in within the agency, including supportive services for LGBT youth in schools and in the community. I also shared our agency philosophy and mission, which includes outcome measures and engaging clients in feedback to evaluate practice.
I explained the tools we used to measure outcomes. The first form measures how each of them are feeling with regard to their life and current circumstances. There are four different scales to measure aspects of their lives, such as social, family, emotional health, etc. I also provided the chart on which I score the scales and track progress. I explained that the purpose was to see where they began to demonstrate progress with the work we were doing.
The second form measures how well I am providing treatment. I demonstrated the four scales that measure if the client feels heard and understood and if we addressed in session what they wanted to. I explained that this should address their concern about my ability to assist them. Because we would be evaluating both how they felt and how the sessions were going each week, we could make adjustments on.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
1. CSP$859:$$Diagnosis$and$Treatment$of$Mental$Disorders! 1
SUBSTANCE ABUSE EVALUATION
Name: Casey Jones Date of Evaluation: 2-15-14
Referring Party: Court DOB: 2/3/84 Age: 30
A. DEMOGRAPHICS
Casey is a 30 year old Caucasian male who presents for a drug and alcohol evaluation.
B. PRESENTING PROBLEM / PRIMARY COMPLAINT
Casey comes in for a drug and alcohol evaluation as a result of a driving while under the influence of a
controlled substance charge. Casey reported that he had been taking large amounts of Tramadol and
was driving his car when he ran off the road and into a cornfield. He doesn’t remember the accident and
likely blacked out. He has had previous legal problems related to his substance use and had a previous
driving under the influence charge that was reduced to a reckless driving offense. Casey readily admits
that he has a substance use problem and it is causing him great difficulty in his life.
C. MEDICAL HISTORY
Casey indicates that he is generally healthy, however he does complain of frequent headaches. He was
prescribed Tramadol seven years ago for the headaches and this is the medication he was abusing when
he had his car accident. He acknowledges that he took more of it than prescribed to get high. He also
reports he is on Xanax for anxiety. He takes .5 mg two times a day as needed. He has been on
antidepressants in the past but feels that they don’t work for him. Casey has a history of asthma but
doesn’t take any medication for that. Casey reports 5 months ago he had a seizure and blacked out while
driving and 2 years ago he passed out and hit his head while working and had a concussion. He took his
girlfriend’s Darvocet at that time which likely caused the black out. Casey’s physician is Dr. Chuck at
the Medical Clinic.
D. WORK / SCHOOL / MILITARY HISTORY
Casey graduated from high school in 2002 and attended community college for about 6 months at two
different schools. He did not graduate. While in high school he participated in sports and earned good
grades. He remembers his high school years as the best years of his life. He dropped out of community
college to work and make more money. Casey is currently unemployed. He had been working for his
grandfather in the family used car dealer business however this has been sporadic due to the economy.
Casey’s longest employment was working at Perkins as a server. He liked that job and wants to go
back. He has also worked at various other restaurants, a telemarketing company, and bartending. Casey
has had difficulty on the job due to his substance use. While working at one job where he was a
bartender he passed out from taking his girlfriend’s Darvocet. Casey supports his daughter and himself
on his income and he receives ADC and food stamps as a means of support. Casey is also supported by
his grandparents; he currently lives with them and they provide him some basic necessities. He has
never been in the military.
E. ALCOHOL / DRUG HISTORY SUMMARY
Alcohol and drug history was obtained by clinical interview, the Substance Abuse Subtle Screening
Inventory (SASSI-3), and collateral contact. Casey was a reliable historian during the interview portion.
Results on the independent inventories for self report were valid.
Casey reports that he has used alcohol and various other illegal and legal drugs.
2. Casey reports that he has used alcohol since the age of 15. During high school he reports that he drank
with his friends about every weekend. He would drink more during the summer months. He remembers
that in the beginning it would take about 6-8 beers to feel the effects of the alcohol. His drinking
increased when he left home to attend community college in Lincoln and has continued to increase since
that time. Currently Casey reports that he can’t drink enough beer to feel the effects. He has switched
to drinking Vodka or other hard liquor so that he can feel the effects. He denies any symptoms of
withdrawal such as nausea, shaking, or sweating when he doesn’t drink. Based on the increasing
amounts and decreasing effects of the alcohol, Casey is experiencing physical signs of tolerance. Casey
reports he currently drinks a pint of vodka about twice a week. He does experience cravings and urges
to drink stating he feels obsessed with it sometimes. He will drink with friends and then drink alone
after they leave.
Casey started smoking marijuana at about age 14 or 15. He states that he didn’t like it at first but that he
started to like it more and increased to smoking every day when he was 19 or 20. He acknowledges that
it affected his motivation, his grades and work performance. Casey was caught several times smoking
however the consequences did not deter him for continuing to smoke. Casey currently indicates he is
smoking about one time a month or “whenever it is around”. He reports that it helps him focus and
concentrate but that it also decreases his motivation.
Casey has used several other illegal drugs. He reports using methamphetamine when he was age 20 and
that he used it about 10 times. He also used cocaine several times but reports that he didn’t like the way
they made him feel. He states he is “not interested” in these drugs because they don’t do much for him.
He denies any IV drug use. He has also used mushrooms.
Casey acknowledges a dependence on prescription pills. He most recently has been using Tramadol,
darvocet, oxycontin, vicodin, Valium, Ultram, and other pills when they are available. Casey was
prescribed the Tramadol for headaches and he would stock pile the pills and take several at a time to get
a high. He has also been prescribed various other painkillers for medical purposes, seeking out doctors
to prescribe to him. He has taken other’s pills and has bought pills to abuse. Casey indicates he has had
seizures and black outs when he takes too many pills. Casey acknowledges that he has a problem with
pills, thinks about them obsessively and has urges and cravings to get high. He was high when he had
his most recent car accident leading to this evaluation.
Casey denies any other addictive behavior such as gambling or pornography. Casey’s preferred
substances are alcohol and prescription pills. He has had a previous evaluation which led to him
attending an Intensive Outpatient Program. He reports that he completed the program but had no
intentions of stopping his substance use. He remembers this treatment occurring when he was 20. He
was also on probation at the time for his substance use related legal charges. Casey has experienced
multiple consequences from his use including legal problems, family and relationship problems, health
problems, and financial and occupational problems. Casey has continued to use despite these problems.
Casey reports that there is a family history of substance use including his mother, father, and his brother
whom died at age 23 from substance abuse. Casey’s significant other, whom he has been involved with
for several years, and with whom him he has a daughter with is also addicted and is currently in
treatment.
F. LEGAL HISTORY
Casey currently has a charge of driving under the influence for which he will be going to court on April
2nd
. He has a history of legal issues related to substance use. He had a driving under the influence
charge in 2004; he reports this was dropped to a reckless driving charge. He was on probation and
completed the requirements of him. Casey also had a sexual assault charge and contributing to the
delinquency of a minor for being involved with a 15 year old when he was 19. Casey was put on the sex
offender registry for this offense and will be on it until he is 30. He also completed jail time as a result
3. CSP$859:$$Diagnosis$and$Treatment$of$Mental$Disorders! 3
of the sexual assault charge. Casey indicates this has made his life extremely difficult in the areas of
housing and employment. Casey reports he had an MIP charge but denied any other legal charges such
as possession of paraphernalia or controlled substances.
G. FAMILY / SOCIAL / PEER HISTORY
Casey and his three and a half year old daughter currently live with his grandparents in Peach Town.
Prior to this he was living in Appleton with his girlfriend and their daughter. He reports having
difficulty finding housing due to being on the sexual offender registry.
Casey grew up in Peach Town and lived with his parents until they divorced when he was in the 7th
grade. This was very hard on Casey by his report. He was about 12 or 13. He got to choose whom he
wanted to live with and he picked his father whom he describes as his best friend. Casey had a brother
who passed away just a few years ago at the age 23 due to substance abuse. Casey’s mother lives in
Appleton and he has a stepsister from her remarriage. He reports he gets along with his mother and
visits her frequently. He shared that his mother has mental health issues and is on medication. He
believes she has bipolar disorder and depression. He reports his dad drinks heavily and uses marijuana.
His father just recently moved to Oklahoma and Casey would like to be able to go to Oklahoma to live
close to him when he gets his legal problems taken care of. Casey spends a lot of time with his paternal
grandparents whom he lives with. They support him and he has a good relationship with them according
to Casey.
Casey has many friends and he likes to spend time with them. He likes to golf and this is an important
part of his life. While he golfs he likes to drink. Casey is separated from his daughter’s mother as she is
in treatment and he reports that they are not good for each other. They use together and this has created
more problems for them. He likes to hang with his friends, play video games, and he reports that his
friends don’t “pressure” him to use but they do use substances. Casey indicates that he has faith but
does not go to church regularly.
H. PSYCHIATRIC / BEHAVIORAL HISTORY
Casey states that he has never been in counseling and doesn’t believe he needs any counseling however
he is on medication for anxiety and depression. He does report a significant amount of anxiety and
depression in the past and currently. He believes that he started to feel depressed around the time he
graduated from high school. Casey has a poor appetite and he does not sleep very well. He reports that
has been occurring for several years and he is “used to it”. Since he has been on sexual offender registry
he has been feeling that he is not accepted by others and he has a very poor concept of what he is
capable of stating he doesn’t like it well every get better for him especially if he doesn’t stop his
substance use. During the interview he frequently made comments that he is not a very good father or a
very good person for the choices he has made. Casey denies any suicide attempts or suicidal ideation.
There is a history of mental health issues in his family on his mother’s side.
I. COLLATERAL INFORMATION
Jamison, Casey’s father, was contacted as a collateral contact with Casey’s permission. A phone call
was placed to Jamison who returned the call several days later. Jamison shared that he has been
concerned about his son for along time but that he is “following in the old man’s footsteps” so he should
be fine in the long run. He did verify that Casey has been using multiple substances.
J. OTHER DIAGNOSTIC / SCREENING TOOLS -- SCORE & RESULTS
Casey completed the Substance Abuse Subtle Screening Inventory (SASSI-3) and a clinical interview.
On the SASSI-3 Casey scored as having a high probability of a substance abuse disorder on both the
face valid items and the subtle attributes indicating that Casey acknowledges his substance abuse and
4. holds beliefs consistent with substance abuse. Of note is his high score on the correctional scale, which
indicates a probable likelihood of future legal involvement due to his substance use.
SASSI Results:
Face Valid Alcohol: 15
Face Valid Other Drug: 22
Symptoms: 8
Obvious Symptoms: 5
Subtle Attributes: 4
Defensiveness: 2
Supplemental Addiction Measure: 9
Family vs. Control: 7
Correctional: 12
Random Answering Pattern: 0
K. CLINICAL IMPRESSION
Casey is a 30-year-old, unemployed, Caucasian male who presents for a drug and alcohol evaluation.
He is charged with driving under the influence of a controlled substance. He takes large amounts of
tramadol, which caused him to blackout and ran off the road into a cornfield. Five moths ago he had a
seizure and blacked out while driving. Two years ago he passed out at work and had a concussion. He
has had previous legal problems due to his substance use and previous reckless driving charges Casey
abuses prescribed medications (Tramadol, Darvocet, oxycontin, vicodin, Valium, Ultramand Xanax,
anxiety medication and other pills when available). Casey was prescribed Tramadol for headaches; he
takes more than the prescribed amount to get high. He is obsessed with pills and finds ways to get them.
Casey currently is also on antidepressants and feels anxious, has poor appetite and cannot sleep well.
This has been a constant pattern, which he has become accustomed to. He admits he has a substance use
problem that interferes with his life. His drug history includes his current prescribed medication abuse as
well as alcohol since he was 15. He has high alcohol tolerance and liquor. Casey currently drinks a pint
of vodka twice a week. He drinks socially, alone and has constant cravings, urges and obsessive
thoughts about drinking. At the age of 15 Casey started smoking cannabis and did not like it, but by age
19 or 20 he was smoking it everyday. Currently he smokes it once a month or when available, although
it decreases his motivation it helps him concentrate. At age 20 he used methamphetamine and has used it
about 10 times. He also used cocaine, but did not like it, has used mushrooms as well. Casey also has
sexual assault charge for being with a 15-year-old when he was 19. Casey’s family has a substance
abuse history as well, his brother passed away at age 23 from substance abuse. His father drinks
habitually and smokes cannabis. His mother has mental health issues (possibly bipolar disorder), has
depression and is on medication. Due to the aforementioned statements and his addictive behavior,
Casey has been in treatment, (but admits he had no intention of quitting his addictive habits), probation,
has faced legal, relationship, self-image, health, financial, housing and occupational problems. Casey
regrets his past and current choices and seems to feel guilty about not being a better parent to his almost
four-year-old daughter.
Diagnosis:
303.90 (F10.20) Alcohol Use Disorder, Severe
304.00 (F11.20) Opioid (Tramadol) Use Disorder, Severe
300.4 (F34.1) Persistent Depressive Disorder (Dysthymia), With anxious distress, early onset with pure
dysthymic syndrome, moderate
L. RECOMMENDATIONS (include level of care)
5. CSP$859:$$Diagnosis$and$Treatment$of$Mental$Disorders! 5
Casey would benefit from seeking treatment in an inpatient residential prescription drug recovery center. He
qualifies for this level of care based on ASAM criteria. In this level of care he can receive a combination of
individual and group counseling sessions to understand his addictions and learn new ways of coping with
problems including his mental health issues. Treatment would need to address his individual multiple needs
and focus on recovery from his substance use.
M. TREATMENT PLAN (include needs list; 2 Goals with 2 Objectives each and the intervention)
Needs List
1. Evaluate for Detoxification and locate a residential prescription drug recovery center
2. Treat alcohol and drug disorder
3. Employment
Goal #1: Casey seems to need treatment for the alcohol and the prescribed medication abuse within a week.
Treating this will help with the neurocognitive disorder.
Objective/s: 1. Get the referral put in and make an appointment with physician
2.Intiate Detoxification assessment
Intervention: Individual Therapy
Goal #2: Casey will enter a recovery program
Objective/s: Cognitive Behavioral Therapy and complete long-term treatment (90 days).
Intervention: Enter a residential prescription drug recovery center. Attend individual and group counseling
sessions weekly.