Alexandra Almonte Case Study Sample

On December 15, 2015, after a night spent drinking (approx. 4 pitchers between the client and 2 gentlemen) and watching the Titans playoffs at a local bar, Shooters, Mr. Armstrong, Mr. Armstrong’s friend and an aquaintence of the friend went to the client’s home. After arriving at the client’s home, there was an argument about the client’s marijuana – (approximately one and one-half ounce) began and the client was threatened by the acquantence with a kitchen knife. Mr.

CONRAD displayed signs and symptoms of drug impairment and was requested to submit to a series of psychophysical divided attention tests; some of which he was unable to successfully complete. An odor of burnt bath salts emitted from CONRAD'S vehicle and person. He was questioned on the odor of bath salts that I detected and he replied that he was wearing an orange and camouflage sweatshirt earlier when he went to a party at a friend's house. Once he decided to leave he couldn't find his sweatshirt so he just grabbed one. He said the shirt was probably inside the house for a while and they are always smoking bathsalts in there and that is why it smells like bathsalts so bad. CONRAD said "if anything would come back positive in my system it is because I was at my friend's house party and everyone was smoking

I made contact with Powell, Jermaine L. DOB 02/02/77, who related he had a verbal argument with his wife (Powell, Denise DOB 02/24/81 over the discipline of their child (Powell, Nathan L. DOB 09/18/12). Jermaine related that Denise has bi-polar disorder and takes medication. Jermaine further related she has mood swings causing them to fight. Jermaine related he and Denise were separated and recently reconciled one (1) month ago. While I having a conversation with Jermaine I observed signs of impairment, he had an odor of an alcoholic beverage emanating from his breath and person.

In summary, on 09/26/16 at 2220 hours, I assisted Ofc. Drakulich #255 at 3113 S 54th Ave. in regards to a traffic stop. Upon arrival, I made contact with the driver (Lopez, Cristian D.O.B. 08/09/93) of the vehicle (14' Dodge IL IL E822075). I observed signs of impairment on Cristian, he had red, glassy, and bloodshot eyes. While I spoke with Cristian, he had a strong odor of an alcoholic beverage and cannabis emanating from his breath and person. Cristian related that he smoked cannabis earlier, but was unable to provide an exact time. Cristian would repeatedly give the response of "yes sir" or "no sir" without being asked any questions.

The client arrived on time for his scheduled assessment. CPS caseworker Danita Brown referred the client test positive of illicit substance. The client is 30 years old African American male who is not married. He is the father of 3 children ages 1 month old 1, and 5 years old. He is currently in a relationship with two of the children mother. The client reports there was incident of family violence. The client reports his girlfriend was the one to assault him. Brent reports that he works at Sam Clubs in Pearland and has for the last 3 years. Brent reports three years of colleges. The client reports growing up with his parents, however they divorce later, but they both are supportive. Brent denies any medical or mental health concerns. The

The reporting party (RP) stated that resident Humberto Reis DOB: 3/23/01 DOP: 12/23/15 SCHOOL: Redlands High School disclosed while a staff member's cousin (name unknown) was visiting the staff member the cousin provided the resident with the drug "ecstasy." According to the RP the resident informed the owner of the facility named Sara who informed the resident not to report the incident to his social worker or anyone. He was informed to report everything to her. The resident was left alone on a bad side of town. The resident fearing for his safety contacted the local police department who informed the resident that he should not be alone in that area of the city. The officer arrived (named not provided) who assured the resident he would not

The client is a 14-year-old Hispanic female in a residential substance abuse treatment rehabilitation center. The client participated in Cognitive Behavioral Therapy anger management group. The client was admitted to the residential program in July of 2016 for her cannabis use. She was referred by Drug Court due to her failure to comply with the program rules. The client has a past of domestic violence and defiant behavior towards her mother and not abiding by curfew.

Client was considered to be NOT in compliance with treatment during this reporting period. UA results showed the continued marijuana use. Client attended group on 8/2, 8/9, and 8/23. She was absent on 8/16 and 8/30. Self-help support meeting attendance was not provided. Client may be discharged from treatment due to failure to comply with her behavior contact, continued the use of marijuana, and not in compliance with treatment

Job Knowledge and Execution: Christina has continued to utilizes her resources which include the Image Archival Standard Operating Procedure (SOP) manual and a variety of databases to continually strive to enhance her job growth.

I met with Edgardo and his mother to discuss the progression of the case, also attending this meeting Monica Ortiz, VRC . Edgardo came to the appointment not wearing his hearing aids; he had left them in the car. I expressed concern because Edgardo had agree to wear the hearing aids daily as prescribed. I requested that Edgardo go to the car to get the hearing aids. I emphasized to him the importance of wearing and caring for the devices. We discussed his commitment and need to be compliant and gave the consumer the option to move forward or close the case. The consumer agreed to keep the case open and follow the recommendations. The consumer was told that if at the next meeting, he did not wear the hearing aids that the appointment

The implementation of a more autonomous and collaborative approach are the foundation to improve health care outcomes. I believe that patients with limit access to health care or especial populations will benefit the most, if NPs are allow to practice with more autonomy, cooperating with other health care providers.

I explained to Davila, based on my knowledge, skills and training, I recognized the odor of marijuana. Davila stated she smoked the marijuana already and it was all gone. I then explained to Davila that the order of marijuana was strong and that it might be more in her residence. I asked Davila is there any marijuana in the residence and she stated “yes”. I asked Davila would she retrieve

On 11/24/2015 at 12:15 P.M. Security Officer Zachery Smith notified Security Supervisor Brandon M Masser about finding paraphernalia. Officer Smith went out B-Building entrance for a cigarette break at approximately 12:10 A.M. smith found the paraphernalia inside of a Newport cigarette pack sitting on a plastic storage container. At 12:25 Safety Specialist Matthew Marsicano arrived at the control desk. Shortly after Marsicano arrived, Officer Smith brought the paraphernalia to the control desk. Officer Smith said the contents inside the cigarette pack smelled like Marijuana. Supervisor Masser put on latex gloves on and pulled the contents out of the cigarette pack. Officer Smith and Mr. Marsicano witnessed Masser observing the contents and

Presenting Problem: Elijah entered into a four month drug program and was not successful with completion. Due, to testing positive for marijuana or having marijuana in his possession. Client has not been able to take the required urine analysis when asked has discomfort in the presence of another

Client was considered to be in Semi-compliance with treatment during this reporting period. UA was negative for all tested substances since Jan, 2017 (Please see report). Client attended 2 out of 4 scheduled weekly groups. Client was absent on 08/18 & 08/25. Self-reported attended self-help program regularly; attendancy was verified. Client indicated that he has "a very busy schedule in a few weeks, such as going to school, bible study, attending treatment, going to self-help meeting, helping the band, and looking for a job. Client stated that he is fear of going to jail due to non- ccompliance with threatment expectation, stated "I will make sure to attend my treatment and coming to see you." Client is aware the importce to comply with