The intention of evaluations are to develop a depiction of the client’s substance abuse problems, substance abuse history and behavioral patterns; to identify the client’s strengths and weaknesses; to identify the client’s spirituality/religious beliefs/morals; to help determine the client’s social and psychological functioning; to observe the client’s attitude and behavior during assessment; and determine how treatment will address the client’s issues and needs. The evaluation process confronts the client about the consequences of their substance abuse; and both the client and clinician determine what behavioral changes are needed; and what changes the client is willing to make, or wants to make (Miller, 2011). In addition, the clinician also puts together a summary statement (that includes all of the detailed information) of recommendation for appropriate treatment.
Most clinical evaluations require preliminary screening for reason such as: sorting out
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He mentions that he comes from a good family and that his biological parents are still married. The term ‘good family’ and ‘ideal childhood’ symbolizes that they do not support or tolerate drugs or alcohol. He may feel as a failure for possibly going through divorce and not being able to meet his parent’s standards.
Sleeping disturbances (i.e. sleeping too much, or too little) was not indicated during the initial assessment and should be screened for. Sleep deprivation has been linked to substance abuse, irritability; physical complications such as heart attack; obesity, insomnia and depression. Public health hazards such as accidents and work injuries; poor academic and work performance; decreased energy levels; dramatic mood changes; weakened immune system; and cognitive impairment (i.e. memory loss, concentrating, problem solving, attention and reasoning) have also been linked to sleeping disorders.
• Functional analysis of the client’s substance
Jovan is a 23year-old African-American male, who has voluntarily admitted himself for inpatient treatment at a local non-profit agency due to abuse of alcohol and other drugs. Jovan has been unemployed for the past 9 months; his employment position with Dollar General was terminated due to charges of embezzlement. He admits that he took money from the register but planned to replace it when he got paid. So, Jovan is currently unemployed, homeless, and has charges pending due to embezzlement and for writing a number of "bounced" checks written over the past year.
Predictors of Treatment Outcome in a Drug Court Program. American Journal Of Drug & Alcohol Abuse, 31(4), 641-656.
...determination, action, and maintenance. Harm Reduction therapy implements strategies of therapy dependent upon the stage of change the client may be experiencing at the time. The therapist should always take a position of non-judgment as this will encourages the individual to proceed through the different stages of change at a pace that is comfortable and suitable for the client personally. Pre-contemplation has been described as the stage where an individual is still in the process of actively abusing recreational chemicals. The mission of the therapist during this stage is to help to educate the client of the different risks involved with their particular type of substance abuse issue. During contemplation, the client begins to show ambivalence towards their continued drug use, this is the therapists cue to initiate and buildup the client’s motivation for change.
The Addition Severity Index is a well-known and widely used tool for use in treating alcoholics and other addicts. It is an approximately 45 to 60 minute long interview comprised of questions about the patient’s life. The interview covers eight subscales focusing on many different parts of a person’s life which helps to provide a comprehensive understanding of their life. The severity is scored on a ten point scale ranging from no problem or treatment indicated to extreme problem, treatment absolutely necessary. The scale helps the interviewer determine the seriousness of a client’s problem and to plan an effective course of treatment. The ASI can also be found in a self-administered paper-and-pencil form and an interactive CD-ROM multimedia version for the computer (Maleka, 2004). This test has been found to be reliable by most but some others do not agree. It is difficult to say whether or not the test is a reliable and valid measure of treatment due to the complexity of the questions. Once a client’s psychosocial needs are identified it is easier to find treatment suitable for that client. There are some problems with the test such as it is not properly designed to cover such a wide population (Maleka, 2004). Other problems include irrelevant questions for alcoholics and other drug users, difficulty remembering relevant information, and lying and exaggerating information for the best interest of the patient (Maleka, 2004). Use of the ASI can be found to be particularly problematic when used with the homeless or double-diagnosis patients. The ASI can be used in a wide range of treatment settings including clinical, research, and administrative. This comprehensive evaluation is a useful tool that helps professionals understand the
Chronic sleep loss is becoming more common in modern culture and less restricted to sleep-deprived diseases such as insomnia. Suggested to be the result of a number car, industrial, medical, and other occupational accidents, sleep deprivation is beginning to be recognized as a public concern. As a result, the Centers for Disease Control
A biopsychosocial spiritual assessment is a commonly used assessment tool used to discover underlying problems or issues that an individual may have. This assessment tool can be used in many different areas of practice. They can also be used on individuals who have mental illnesses as well. The biopsychosocial spiritual assessment works well with individuals who have anxiety and depression. In the case of Marcel, the client I am working with. He has stated that he has some issues with depression and this may be factor that is causing him to drink and to use illicit drugs in the manner that he uses them. The article “Perceptions of Biopsychosocial Services Needs among Older Adults with Severe Mental Illness: Met and Unmet Needs” has some information
It was the late 19th century when a lot of conflict for families from the Industrial Revolution and illegal drugs had easy access to anyone in the United Sates. These illegal drugs like morphine, cocaine, and alcohol were available through manufacture, delivery, and selling. It was proved that the over use of alcohol and violence in families’ homes were linked together around the 1850’s and that women and children were being abused by the father and husband from the letters and journals that were wrote. These were times when women were stay at home mothers and it was the man’s responsibility to be the provider for the wife and children. Because of the abuse in the household it led up to the temperance movement. The purpose
According to Wilson (2005), sleep deprivation can cause not only traffic accidents, but also medical conditions such as: obesity, type 2 diabetes, metabo...
The article "Causes and consequences of sleep deprivation in hospitalized patients" written by Stephanie Pilkington is exploring the causes and consequences of sleep deprivation in hospitalized patients. The author provides a brilliant summary of factors that affect the level of sleep experienced by patients in hospitals and the effects of sleep deprivation on the health and the wellbeing of these individuals. The article goes on to state that for sleep-deprived patients, there were bio-cognitive consequences for their health and recovery, with particular effects on immune functioning, inflammation, parasympathetic equilibrium, carbohydrate metabolism and cognitive performance.
Nobody denies that every client and situation is unique, but there is a general layout out of a treatment plan that can be used thought out the facility to ensure success for the client. The first step in the treatment plan is to screen clients to determine if he/she meets the criteria of the facilities drug, or alcohol program. The facility will use the standard CAGE, of the Substance Abuse Subtitle Screening Inventory questioner as a screening tool. These two screening tools are consist of few questions and require only short answers to determine (American Society of Addiction Medicine, 2012). These tools are easy to use and can be done by any qualified staff according to the ASAM. If more through information is needed then the client will go under an assessment.
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
Health is a complex concept, and when we talk about health we refer to body health and to the health of the mind, the health of relationships between us and those around us, the spiritual health. Looking online on one of the additional resources recommended, www.nimh.nih.gov, I have noticed that one of the symptoms of most diseases that affect a person's mental health is lack of sleep. Lack of sleep not only worsens man's mental health, but also causes serious imbalances in metabolism, immunity, general mood, and last but not least, affects the ability of learning and memorizing among students. The sleep fulfills a number of vital functions for both our mind and body. We spend about a third of our lives sleeping, which is a valuable and useful
College students are no exception to the rule and are often at a greater risk of suffering from conditions that accompany sleep deprivation. Regardless of the time period, a college student must be well rested in order to perform at his or her best in terms of physical performance, memorization capabilities, and test-taking abilities. Also, without adequate sleep, the person will be more susceptible to illnesses, both mental and physical. In conclusion, I believe that sleep deprivation among college students is extremely common and has a direct effect on how well that student performs or feels.
Client education is also a process by which clients are educated as to the course that alters health risks and behaviors associated with alcohol and other drug use and abuse primarily by abstinence but in some cases with medication to improve client health status. “Client education provides culturally relevant formal and informal education programs that raise awareness and support substance abuse prevention and the recovery process” TAP 21, competency 99 (www.samhsa.gov). Clients and family members are often unaware of the initial root cause (s) of the health impairment that led to or became the issue (s) (beyond presenting situation) of the impairment. Educating the client in a variety of forms is an essential part of the healing process and will aid in the overall wellness of the client. Some forms of client education are addressed in a class or group setting but can be significantly addressed in a one on one setting with a counselor however; the advantage of peer on peer feedback, or interaction is lost.
Wells, M., & Vaughn, B. V. (2012). Poor Sleep Challenging the Health of a Nation. Neurodiagnostic Journal,52(3), 233-249.