AMS Case Study

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

Ms. Christina Earp entered the Hope Now Program on 07/23/2015. She was recently transferred to a new therapist as of 09/21/2015. She entered on my caseload with a behavioral contract; this was a result of multiple negative write ups on 09/18/2015 disregard to staff’s directive, verbal intimidation towards staff, utilizing profanity and smoking. Ms. Earp expressed that the behaviors were a result of not having her prescribed medication. The contract ended on 10/22/2015. She is on level two of the program. Since then no negative behaviors have been exhibited. Ms. Earp is engaging in the group dynamics and fully discloses background history to comprehend her patterns of substance addiction. She is attending individual and group therapy session

Today there were only two staff members that were working on the unit FBC Unit. Today I had the opportunity to observe a counselor answer several crisis phone calls that come into the crisis unit and referred them to the MSW level social worker who was on call. I talked with several patients on the unit and asked them how was their recovery going. Many of them responded by saying that detoxing of drugs is rough, but they were determined to stay here. Most of the patients’ that I talked with were satisfied with services that the FBC Unit in Greenville has provided them with. Most of the patients’ have their aftercare in place, and ready for use the day that they are discharged from the unit. Before the shift changed I was required to type,

Counselor met with Pt. for an individual session. Counselor and Pt. discussed her progress in treatment and description of her medication compliance. Pt. reported wanting a higher dosage of methadone to side effects (cold). Pt. mentioned that she would like to switch to Vivitrol medication because she is going to move with her mother house in Lewes, DE and she cant come to the clinic everyday. Pt. requested, discussed and completed an AMS Modality Switch form. Counselor encouraged Pt. to talk about her current triggers and possible solutions she can plan ahead of time. Pt. stated, "I have no triggers." Counselor elicited the client’s perceptions on her several positive urine analysis. Pt. indicated that she use crack cocaine when she is depressed.

Pt.'s urine drug screen results at the time of discharge reflect a pattern of heavy opiates use since his admission to the program. Pt. is heading down an unhealthy path likely to lead to legal issues and serious emotional and physical complications due to sudden discontinuation of treatment services. At the present time Patient is aware of some pros and cons of substance abuse but feels ambivalent about change unless he has entered another substance abuse program. Pt. also failed to deal with the stress that occurs due to his financial difficulties. Pt. discontinued attending without warning or

services negatively. She “has no friends except other users” and no mention of family, resulting in no support system in place to help her succeed. She states she cannot afford to care for her family and work. She is unemployed and has 2 dependent children. She has reported a drug habit of $200 1 to 2 times a week and has resulted in illegal activities to support her habit. Legal environment also having a huge impact on her ability to access services should she continue down the same destructive path. She also has some legal issues regarding the custody of her children and the State regarding safety and this most certainly affects one’s access to services especially if they are having ongoing legal problems or have low income needs. Being diagnosed with

Pt. has been in the AMS of DE program for 5 months and 7 days. Pt. has submitted three negative UDS results and he is compliant with the AMS of DE monthly mandatory counseling session. Pt. stated that he pays his TX fees every Saturday, works on his TX plan and takes medication as instructed by AMS Doctor. Pt. attends faithfully to the Clinic for dosing without skipping or missing days. Pt. reported that he maintains a supportive relationship with his brother and younger daughter. Pt. reported that he has not experienced any recent triggers and no relapse in the past 60 days. Pt. stated that he is committed to storing his prescribed take home medications in a secured lock box and placed on the top shelf of his closet. Pt. is a disabled veteran

Pt. has been able to demonstrate progress in his tx plan goal since entering the program on 6/7/16. Pt is currently in the take home level 2. Pt. is requesting to move to Phase 3 in his take home privileges. Pt. has been coming to the Clinic for dosing as scheduled and he is progressing well in TX. Pt. reported dose stability on 55 mg of methadone and he would like to continue tapering off. Pt. denied experiencing any negative side effects during the last quarter. Pt. is maintaining financial compliance with all tx services fees without missing payments. Pt. reported that he has increased his motivation for tx and he has been able to reduce his stress because he got more time to manage his tattoo business. Pt. is attending one hour mandatory

The counselor met with the patient for a scheduled Addiction Severity Index assessment. The patient arrived on time for his assessment. The patient n is a 36 year old male from El Salvador that is a residential of the United States of America. The patient report he single with a five year old daughter. His last grade completed is the 11th and has no GED, however would like to obtain and attend college. The patient states he would like to become a citizen. The patient denies any current medical or past medical problems. The patient reports he is not current on probation however he has some past legal problems. The patient has had two assaults on his common laws wife and last one did 6 months state felony and was release in May of 2015. The patient

DOI: 9/18/2008. The patient is a 62-year-old male cashier who sustained a work-related injury due to repetitive work load.

Data: 7/13/17 this AOD worker Elba Martinez, and Monica Oviedo, intern, along with LCFS worker Damikka Griffin met with client at 2713 W. Harrison Street for a joint visit. On this day, all children were present; also maternal mother was present. Client was submitted to a toxicology test on this day 7/13/17, and it was NEGATIVE for illicit drugs. Client was provided literature on the checklist about Stay sober over the summer. Client continuous taking the same medicine for DEPRESION AND ANXIATY. Client is attending parenting counseling group, three day a week. Client take IOP counseling twice a week. But currently client is attending once a week, on Mondays, The workers recommended to client in her next appointment don’t

D-According to the patient she hasn't used any illicit drugs for the past three days, at which this writer commends the patient. This writer discussed the patient 4 months of UDS result as she continues to test positive for heroin and cocaine and her reasoning for her use is due to her anxiety attack. The patient reports that her PCP conducted a referral for the patient to be seen at Brownstone Behavioral Health on 05/05/2016.The patient was advised about the concerns surrounding her footwear as the patient is not wearing proper footwear to help her with her walking. The patient reports that the program director of the clinic spoke with her again about the matter. In addition, the patient reports she is going to see her PCP on 04/5/2016 to

Counselor met with Pt. for his scheduled monthly counseling session. Pt. agreed to sign his AMS Record of Services sheet. Counselor made sure that pt. had the opportunity to discuss any TX or recovery concern. Counselor and Pt. reviewed and discussed his recovery progress and current TX plan. Pt. reported that he enjoys not having to come to the Clinic on Saturday. Pt. was assisted with setting plans to advance 2 phase of the TX program and he started to complete his Take home request sheet. Counselor asked him whether he has experienced any urges recently or he has used any drugs since last session which he replied no. Pt.. stated, “I am clean and I always keep his mind busy.” Counselor encouraged Pt. to talk about the effectiveness of his

Scan hit number three as confirming mainly addresses the economy that is happening here in Central Florida. Central Florida is seeing a new growth in professional and services due to many relocations from the North looking to branch out and also to seek longer and warmer days and probably lower taxes. This means there is an increase in workforce which is moving to Heathrow and Lake Mary, Florida. This will give AMS an increase in their clientele base. This indicates that many organizations are opening doors to transferees and/or hire new recruits. AMS should start pushing toward a planned expansion of its services to new recruits by opening a new franchised branch location near those present and new organizations. With gym clubs and others on the rise, you may find it increasingly difficult to protect the organization from risks. You will need to employ extra precaution defenses. How will you be able to maintain your mission, values and goals in relationship to added expenses to assure that your organization will always be a productive business in the next few years?

Pt. is in phase 7 of the AMS treatment program and is progressing as anticipated. Pt. was not subjected to any involuntary taper, relapse or crisis intervention for 39 months. Pt. demonstrated competency on his treatment plan work and interested in continu9ing his mental health services, engaging in the 12 Step and completing the TX program. As the patient participated constantly in the AMS program services and activities, he has been able to main abstinence since entering the program on 9/3/13. Pt. was assigned to this writer for the new quarter. Pt. has made excellent progress on maintain his financial goals by paying all tx services fees on time. During this quarter, Counselor will identify current success and challenges in his relationship