Supervisor Comments: Charlene met with Cherron to address concerns of his services due as the patient current has 23 treatment plan remaining. Please note, Cherron was advised that this writer assisted him with obtaining 5-6 patient signatures missing from his treatment and three scheduled to sign on Friday with this writer as the patient expressed as a barrier. This writer addressed the importance of completing at least 2-3 treatment plans per day for review and approval. According to Cherron, he has completed 7 treatment thus far. This writer reviewed one of Cherron treatment-patient #3012. Cherron shared with this writer about the barriers of the patient’s treatment as the patient is currently on Step 3. This patient is attending the Cocaine Group on Thursdays from 10-11am. This writer recommends for Cherron to discuss inpatient treatment with the patient as an intervention and assist the patient with the referral. Furthermore, this writer advised Cherron to elaborate more in his general note (treatment plan). AWOL: …show more content…
Discharge Summary: Cherron had two discharge summary not completed and it was recommended for Cherron to have it completed today. Clinical Strengths: Cherron is able to articulate and express himself very well. He strive to support his patients with any current dilemma. Clinical Challenges: Cherron needs to improve on his time management and organizational skills as this was mentioned before. Tasks to be completed by the next supervision session and/ or professional growth
There area unit synthetic heroin maintenance program pass by several North American nation and Canadian governments that area unit Those within the a hundred and eighty day detoxification program received one hundred twenty days of synthetic heroin treatment, followed by sixty days of synthetic heroin dose reduction till they were not taking synthetic heroin. They conjointly received a number of drug subject matter services. During the primary six months, participants were needed to attend 2 hours per week of habit psychotherapy, one hour per week of cocaine cluster therapy if they were found to even be obsessed with that drug, and a series of one- hour habit education categories command weekly. They conjointly attended weekly individual medical care sessions. throughout the last seven months of the study, participants were offered medical care treatment that enclosed weekly individual and psychotherapy and liaison services with the criminal justice system, medical clinics and work agencies. Also, the study found that those obsessed with cocaine were additional seemingly to drop out of the 180-day program than the synthetic heroin maintenance
Cintron reported he was diagnosed with Anxiety and Insomnia in 2016. He stated experienced sweaty palm, twitching, withdrawals and feeling that someone is out to get him. He further noted these symptoms are mostly presented when he is surrounded by a large crowd. He noted he was prescribed Ambian for his Insomnia and Klonopin to help with his anxiety. When asked about his substance abuse usage, Mr. Cintron reported he started using drugs when he was sixteen years old. He noted while in high school, he was first introduced to "weed", which he used often. The client reported he later tried Percocet, cigarettes and alcohol. He stated he has experimented with several other narcotics, but noted his drug of choice is both "alcohol" and "xanax". Mr. Cintron reported he used daily and last used three weeks ago because he was in detox. When asked about his substance abuse treatment, he reported he has been in treatment programs in the past. He stated his last treatment he discharged himself because he had the urge to use again. Mr. Cintron noted during his time in treatment he participated in AA meetings and found it to be rewarding. He denied ever participating in the 12 Step program. In regards to his legal involvement, he admitted being arrested several times for his drug use, but denied ever being
My client Marisa is an eighteen-year-old female, who was referred to me by her academic advisor for poor academic standing and noticeable weight loss. Marisa and I began the session with her family history and childhood. Marisa told me she was raised by mother, and had minimal contact with her father as a child. Her mother was married for a short time to a man who she was not in favor of. Although Marisa looks up to her mother, she explains how critical and controlling she is, but expresses it is out of love. Once Marisa opened up about her childhood, she began to discuss her drug use of cocaine. Marisa states she does not have a drug problem; nonetheless she uses cocaine to stay awake, stay thin, and control
There are thousands of people in the United States that are addicted to cocaine and are left untreated. Many of them are at risk of severe health problems. I am conducting this research paper to compare and contrast the differences between the effectiveness of drug courts and cognitive behavioral therapy for cocaine addicts. We know that all people respond differently to therapy than others do, but it is good to be able to find the effectiveness and success rate of cognitive-behavioral therapy, and drug courts overall. But before we jump into the effectiveness of CBT, we need to know what the goal of CBT is and what the process is for CBT. Not only do we need to know the effectiveness and success rates of these two, but we also need to
History of Presenting Problems: Patient reported having a chronic history of substance use and failed treatment attempts. Patient reported an extensive legal history and is currently on probation due to substance use. Patient reported that he started using heroin at the age of 25 and cocaine at the age of 30. Patient reported multiple failed treatment attempts. Patient reported two previous treatments at Walter B Jones, two previous detox attempts at PORT, and one treatment attempt with PORT OTP. He reported his last treatment attempt (OTP) was approximately 10 years ago.
Artemis, goddess of fertility and twin sister of Apollo. It had the largest temple of ancient times. It was built of marble. It had 127 columns that fly 62 feet up to the tiled wooden roof. Carefully, cutted bases decorate 36 of these columns. The four bronze statues of Amazons were housed inside. The structure measured by 380 feet by 180 feet wide.
In this meeting, a formal plan will be put together with others who have experience from the different disciplines being recommended in the treatment plan. There are three goals for this presentation. First, is determining a provisional diagnosis since they are usually required for billing purposes and can be changed after the client has been observed. Second, a level of case management will need to be assigned if your agency uses different levels. The final goal is to determine the type of service the client will receive. (Summers, 2012) Once the treatment plan has been finalized, it is time to review it with Mr.
As a coach, I had a player, who was very polite and worked hard in practice. She was very timid around other teammates. She would stop in to talk to me and never had friends that I could see her relate to. Trying to fit in desperately, she was happy to be included in the “social” activities in college. She got pregnant and her boy friend and her were arrested for conspiracy to deliver cocaine and both sentenced to prison. This course states cocaine can cause an initial rush of pleasure that makes you alert, talkative and confident. With prolonged exposure to meth and cocaine, it can destroy up to 50% of dopamine – producing neurons in certain parts of the brain. This can lead to irreversible symptons of Parkinson’s disease. (Cocaine handout) After several letters from her in prison, she thanked me for being a good listener. I know her family closed their eyes thinking it’s not an addiction, but a social activity that they can quit at any time. This course explains how a higher level of dopamine on a regular basis is needed just to keep you feeling normal. Cocaine can make people feel paranoid, angry and hostile even when they are not high. Prolonged use causes sleep deprivation and loss of appetite. A person can become psychotic and experience hallucinations. It increases the risk that the user will experience a heart attack, stroke, or respiratory failure which can result in sudden death. (Foundation for a Drug-Free
There are several approaches to treatment planning, but most of them possess basic similarities. First and foremost, the severity of
Cocaine remains a highly addictive substance. In many cases, the associated addiction seems to be taking a greater toll on addicts today than it did yesteryear. The only thing that seems to have gotten better is the quality of addiction treatment. Today, premiere rehab centers like Beaches Recovery can offer a wider range of treatment options, which they can customize specifically for cocaine addiction.
Three patients were prescribed Codeine, Vicodin and Soma. Four patients were prescribed Codeine and Vicodin. In spite of all patients’ results did not conform to the prescribed medication; SEVEN patients’ results showed very close values for Cocaine with comparable Creatinine values. All results were repeated and confirmed.
P-Next appointment is scheduled for tomorrow at 7am- patient will need to provide his hospitalization
7), which is surprising to me because I didn’t think cocaine injection was gaining popularity or even a route of administration because cocaine comes in a powder form with exceptions to hospital usage. This means that people alter the powder form into a liquid form so that it that can be injected intravenously. Cocaine injection has an immediate effect and tense to amplify the high because the intravenous route is the fastest route to get an immediate effect. Also, the intravenous route bypasses the liver, therefore, doesn’t get detoxified by liver enzymes so the high is intensified. It was disclosed in the article Cocaine Use in Canada (2000), “Among people who inject drugs in Vancouver, Strathdee et al. (1997) found that cocaine was the main drug injected by 72% of those who were HIV- positive “ (p. 7), which is highly surprising because that divulges another issue arising from cocaine usage that can highly be avoided if people did not engage in cocaine abuse or were cautious about needle sharing. Adolescents who use cocaine associate more with a risky behaviour, “cocaine users tend to engage in more HIV-related risk behaviours, including needle sharing and unprotected sex” (Compton, Lamb and Fletcher, 1995, p.
As mentioned before, the man with the cocaine addiction told me that he did not want to be on cocaine, but he is so deeply addicted that it would be impossible on his own strength to save himself.
The number of methods that produce powdered cocaine and crack have a huge impact on how they are delivered to the body. Because cocaine constricts the blood vessels that are absorbing it, snorting is a relatively slow way to deliver it into the blood stream. Blood levels rise gradually and don’t reach a peak for about thirty minutes after snorting. In its crack form, the vapors inhaled deliver cocaine as fast as injecting it with a needle would. The faster the rush occurs, the greater the risk of addiction or overdose is. The rush and crash phenomenon can lead the cocaine user to keep taking additional doses until blood levels accumulate to toxic levels. Ingesting cocaine is the least effective route of delivery”. (Kuhn, 2008, p.