Client self-reported as a 25-year-old, Caucasian, single, employed male referred to clinic by self-due to substance use. Client has a diagnostic impression of 304.00 Severe Heroin Related Use Disorder/Dependence, 304.10 Sedative, Hypnotic, or Anxiolytic Use Disorder/Severe/Sustained Full Remission and 304.40 Amphetamine-type Substance Use Disorder, Severe/Sustained Full Remission. Client appears clinically appropriate for Level 1 OTP with medication assistance due to the following ASAM: Dimension 1: (Medium) Client self-reported moderate withdrawals hot flashes, runny nose, restless legs and achy. Client denies history of seizures, hallucinations or delusions. Client self-reported last use of Heroin was four days ago where he consumed $60 worth …show more content…
Client denies current medication. Client self-reported adverse effects of medications. Client denies the need for assistive technology. Client denies allergies. Client denies insurance and denies referral. Client self-reported Hep C diagnosis untreated and denies referral. Dimension 3: (Low) Client denies current mental health concerns. Client self-reported earlier diagnosis of anxiety, depression and ADHD. Client denies current mental health medications. Client self-reported adverse effects from medication. Client self-reported able to self-manage his ADLS. Client denies current homicidal or suicidal ideation, attempts or plans. Client self-reports engaging in high risk situations. Client denies history of emotional, sexual or physical abuse as a witness, victim or perpetrator. Client denies trauma. Dimension 4: (Medium) Client self-reported problem “Heroin.” Client self-reported previous experience with substance abuse and mental health facilities. Client self-reported self-groups and has attended one since discharge from prison. Client self-reported history of drug-poisoning/hospitalizations due to substance use. Client self-reported on probation. Motivation of change "I have insight on being free soon do to getting off parole and being able to start fresh." Client appears in the preparation stage of change due to use history, willingness to follow program rules and
Treatment for substance abuse vital to reduce prison recidivism rate, The Medical News, March 14, 2008,http://www.news-medical.net/news/2008/03/14/36306.aspx
There are a variety of ways counselors can use assessment in counseling. According to Whiston counselors use (2017) assessments as a tool used to measure people behavior. Assessments can be informal and formal (Laureate, 2013). One significant part of assessments is to evaluate progress between the client and counselor.
The methadone program at Rosthern Hospital is a very active and intense program. Boast over 20 patients that are regular methadone users, the involvement of the physicians, pharmacists, nurses, and addiction counselors are key (Melle, 2016). Dr. Melle is the coordinator of the methadone program at Rosthern Hospital. His roles include, patient recruitment, patient care management, follow up care, and most importantly prescription and dosage of the methadone (Melle, 2016). Pharmacist’s role in methadone treatment is providing the methadone to the hospital, as well as in Warman pharmacy they monitor and dispense some methadone to some of the patients in the methadone program. Addiction counselors are an outside resource that the staff at Rosthern hospital can utilize. There are not social workers or counselors at Rosthern, but Dr. Melle and the nurses prefer if their patients are regularly seeing an addiction counselor while in the methadone program. Finally, the nurses role in the methadone program is early treatment and monitoring of patients during detox, the continued monitoring or patients when methadone doses change, dispensing methadone and monitoring our patients in the recovery program, and observation of patient’s success during the program. Together the interprofessional team has successfully treated dozens of patients, and the methadone program address the needs of both the patients and the addiction issues that are plaguing the surrounding communities (Melle,
The clients goals are to be reunited with her children, maintain housing, and to attend parenting to strengthen her skills and the bond with her children. Client is doing well: abstaining from drinking and complying with and attending program, no longer with abusive boyfriend, willing to work hard. Key players agree on goals for the most part. Goals represent a change on the micro level. Identified objectives are to develop her parenting skills and strengthen the bond with her children, maintain sobriety, and to develop healthier coping skills, develop positive self-esteem.
Predictors of Treatment Outcome in a Drug Court Program. American Journal Of Drug & Alcohol Abuse, 31(4), 641-656.
I met with Christine, an acquaintance I know through members of a twelve step program. We met for about 20 minutes over coffee. As we spoke, I asked the questions that I prepared, omitting some and adding others based on the responses given. The list of questions in reproduced in the last section of this work. Christine works at an inpatient drug and alcohol rehabilitation center in New Jersey, the specifics of which have been intentionally omitted. Her interest in the field is identical to mine; she has a personal history of substance abuse. After obtaining sobriety, she wished to help others with her experience. This similarity is the primary reason I wanted to discuss this topic with her.
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
Liehr, P, Marcus, M, Carroll, D, Granmayeh, K L, Cron, S, Pennebaker, J ;( Apr-Jun 2010). Substance Abuse; Vol. 31 (2); 79-85. Doi: 10.1080/08897071003641271
Inciardi, Dr. James A., A Corrections-Based Continuum of Effective Drug Abuse Treatment. National Criminal Justice Reference Service. Avialable: http://www.ncjrs.org/txtfiles/contdrug.txt
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.
Ms. Jones has never been married, no children. Lives independently since age 20 and currently lives with mother and sister to help with family support. Patient works 32 hours a week as a printing and shipping clerk. Ms. Jones is very active in her church and relies on them for support. Occasional alcohol use of 10-12 drinks a month and occasional cannabis use from
Substance Abuse and Mental Health Services Administration (Office of Applied Studies). Treatment Episode Data Set(TEDS): Highlights-2003. National Admissions to Substance Abuse Treatment Services, Rockville, MD: Department of Health and Human Services, 2003.
When I took the self-assessment test I got one personality type as my highest of all six personality types . The personality type that I scored the highest was social, and it matches perfect with the kind of work I envision doing it in my future. I was not surprised when I got the highest in social because I think this is how friends and loved one’s see myself when I am around them. For instance, they describe as me as a person who value helping others even if I have to go out my way to provide others with what they need. Friends, and close ones always says that I am a caring person who listen and take people’s problems very seriously. Something else that they about myself is that I am good at giving people advice or direct them to the right path. Moreover, my coworkers and friends always referred to me as a someone who is always willing to take new challenges and that I am good at sense when something's not right for them. All of these traits that people say I have are similar to the qualities and skills that social workers in general need in order for them
I start the session with warmth greeting. After that, I provide a clear structuring to client such as confidentiality, limitation, the length of session, and so on. That actually help client understand more about counselling process and get verbal inform consent.
Self assessment is a process in which you examine yourself in attempt to discover and learn more about yourself. Your likes, dislikes, behaviors, attitudes and habits can be found during this process. You can use the discoveries to your advantage by accepting or changing strengths and weaknesses. I plan on using this course to enhance my personal skills to become a better student and find success in earning my Bachelor of Arts degree at Ashford University in Social Science. Self Assessment is the first step in my successful future.