Case Study: Johnathan

Client comes to treatment because she has been mandated by the court to receive services for her drug and alcohol usage. Client self-reports an extensive history of drug and alcohol usage, as well as, issues with controlling and maintaining her anger. Client is more concerned with her anger issues then her drug and alcohol usage. Client feels that if she can control her anger then she will not have to turn to drugs and alcohol. Client appears to be self-medicating with drugs and alcohol.

Substance use history: Charlie substance use began when he started his freshman year in high school when his new friends introduced it to him. He has experimented with marijuana, LSD, and alcohol. Client has no preferred drug of choice and only participated in substance use when it was given to him on a few occasions. When on LSD he began to hallucinate and the flash backs of his aunt caused him to pass out on the side of the road where the police found him the next morning. No charges where filled.

The participant is a 49 year old African American male who began using substances at the age of 13. He was diagnosed with severe alcohol, cocaine, and opioid use. The participant has been incarcerated over the past 32 years. He was recently paroled after completing eight years of a sixteen year sentence in the Illinois Department of Corrections for burglary and theft. The participant is on medications to treat HIV/AIDS and has been diagnosed with Major Depressive Disorder. He was referred to Healthcare Alternative Systems residential program through TASC as a condition of his probation.

The patient is a 34 year old black male. The patient reports he is single with 3 daughter ages 3, 11, and 13. The 3 year old live with him. He reports currently live with his mother and brother. The patient reports he has 14 years of education however has not received his degree. The patient reports being on probation for Injury to a child for the next two years. The patient is scheduled to be complete his probation in September 2016. The patient reports Cannabis is primary substances and his last use July 20, 2015. He stated on that day he smoked about 5 joint. The patient also report that he tried Xanax . The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Thursday, July 30, 2015 at

Xavier then reported, the applicant recovery is up and down and the reason the patient was transferred and admitted to the Norwich location was due to an altercation as the Hartford Dispensary has zero tolerance for physical violence. Since May of of this year, the applicant's UDS results are negative. Last positive result was in April for cocaine, according to the counselor. Please note, during the applicant intake, he was asked about other illicit drugs and only confirmed for use of heroin and THC, not the cocaine. The applicant's current dose at the Hartford Dispensary is 105mgs as he is being detoxed daily. His highest dose was at 145 mgs before his detoxification. The physical altercation was the applicant's first behavioral incident at the clinic. He was also on a 90 Probation for his illicit use and it would have expired in August, but due to the recent incident, he was removed from the clinic, not discharged, but transferred as mentioned before. Counselor Xavier only concern of the applicant is maintaining his

John filed the reporter to DCS in Shelby County on 8-27-15, but the reporter received it on 8-28-15. John states the parents are incarcerated. It was unknown when they got incarcerated, or the reason, per the reporter. John may have been called at the time to get the child, but he did not know if would be for a long time. He mentioned in the report that the parents have multiple felons and will be in jail for a while. Keenan began to act out, and John allowed him to go to a friend's home at 8205 Whitehead Drive; Southaven, MS. Keenan has ADHD , anger and depression. Keenan has been trying to sell his prescription for marijuana. The home he is in is allowing him to smoke marijuana. There is a possibility Keenan is not going to school. Keenan

Mr. Goins is a 52 year old male who presented to the ED via LEO following a 4 day binge on alcohol and requesting help with his dependence. Mr. Goins reports he moved to Asheboro recently and found work, however recently lost his job. He reported a history of alcohol use and depression. Dr. Keith requested an assessment on Mr. Goins.At the time of the assessment Mr. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports 5 days ago he became unemployed. Mr. Goins reports his fiance who is his primary support system left town to go to a doctor appointment in their home state of Georgia. He reports binge drinking for the past 4 days attempting to cope with his recent stressor. Mr. Goins reports calling his fiance last night an expressed to her he need help. He states, "I told her I felt at the time no reason to live." Further Mr. Goins stated, "I just had too much in me last night, I had about 14 of them airplane bottles." Mr. Goins denies a history of self harm. He does report a prior hospitalization for depression in Georgia. He also reports a history of attending substance abuse treatment, which was a positive experience for him.

was ten years old and was placed in a orphanage. He ended up on the streets and was heavily

John Doe is an offender who has been in and out of trouble since he was a teenager. John Doe caught his first charge on 02-04-2000 at the age of 16 for possession of drug paraphernalia, passion with attempt to sell and deliver Marijuana a SCH. VI, attempt to sell and deliver Cocaine SCH. II, and maintain dwelling. On 08-09-2000 the offender was then charged with possession with attempt to sell and delivery of Marijuana, maintain and dwelling, and felony conspiracy. A month after that on 09-26-2000 the offender was charged with assault on a female. In 05-08-2001 the offender was charged again with the sale of SCH. II(90-95(A)(1) NC), PWIMSD Cocaine (90-95(A)(1) NC), Sale and Delivery of controlled substance Cocaine (90-95 NC). In April of 2002

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

Using information in the cognitive terms, the problem to be addressed does correspond to the presenting problem identified in section two of opioid disorder severe. The ability to remain sober long term, the lack of support systems, and his depression are the selections made to diagnosis the presenting problem along with Jason meeting almost all of the criteria in the DSM 5 for opioid use disorder. I went about prioritizing based on what Jason had told me in the assessment, and in individual sessions. The initial assessment and the presenting problems helped me figure out what caused the primary diagnosis and what problem needed to be worked on to help Jason live a sober life. His referral came from St. John’s hospital, but as I mentioned earlier

It was reported that he had just been released from his first hospital admission at Commonwealth Center for Children and Adolescents that day. His affect was flat and he would not talk. He was sluggish with an angry and threatening posture and stare. He presented various mental health concerns and a report was made at the meeting to the on call worker for the Department of Behavioral Health Care Services. It was reported by the family that Jadakiss was possibly under the influence of a drug they referred to as “triple C’s”. The family indicated Jadakiss left the home on October 21, 2014, at approximately 3 a.m. He was later found by Portsmouth Police later in the morning at a local 7-eleven on the floor in a fetal position. This officer found that Jadakiss was not able to answer any questions for his social history interview and that not too much more information could be obtained from the family at this juncture as they were all concerned about Jadakiss’ current behavior. Therefore, the social history interview was terminated with the expectation that an assessment would be made later that night by the emergency worker from the Department of Behavioral Health Care

against other countries. Johnathan was very excited to be part of a Canadian team. He started practicing for his game in a week. Johnathan was a newbie to the team and didn’t want to let his team down. So, Johnathan practiced his fielding skills at the park with his brothers. As Johnathan practiced fielding he kept on falling onto his right knee. He didn’t tell anyone or his coach. The day of the game, the same scenario happened. Jonathan dived to catch the ball and landed on his right knee again. Without thinking he got up a played. Later on, Johnathan tried catching the ball but miscalculated it and it hit his right knee. Right then, Jonathan was in pain and on the ground. He could not handle it anymore. His injury.

Firstly I would like to give a brief overview of the case study; John is a twenty-seven year old man who has recently been diagnosed with depression. John was raised in a poor inner-city area and left school with no qualifications, the school was rated as inadequate by ofsted and qualification rates fell below the national benchmark. John was solely raised by his mother as his father left when he was six; he had no further contact with his father. John became involved in antisocial behaviour and crime at the age of fourteen and received an eight month custodial sentence for burglary and selling cannabis. John attended an apprentice but struggled to hold down long term regular employment. His mother moved away and it is difficult for him to see her, john continues to use drugs and alcohol and was

Johnathan Edwards portrays humans, men and women, as sinners who are under the everlasting wrath of the Almighty God. We can never escape God, for we are always under his control; as stated by Edwards, “…natural men are held in the hand of God, over the pit of hell.” However, in order to obtain salvation, one must love and devote oneself to God. When associating oneself with religion and religious affections, one is able to keep themselves from entering the everlasting destruction, or hell. One is able to be forgiven for the sins they committed. And as Edward mentions, when you devote yourself to God, you will live a happier life.