Cinton Substance Abuse Case Studies

The community issue I choose to write about is the horrible drug problem in Johnstown, Pa. Throughout the years the problem is continuing to grow with lives continuing to be lost due to drugs. The community is standing together to fight against the problem and take care of it.

Cintron reported he was involved in a relationship for one year, but dissolved that relationship two years ago. He described that relationship as being "unhealthy" because his ex-girlfriend abused alcohol. The client acknowledged he has problems interacting with other. He described himself as antisocial. Reportedly, Mr. Cintron noted he does not enjoy large groups because it raises his anxiety level. He considers himself as both a "leader" and a "follower". He stated he is a "leader" when he is unable to say no to drugs, and a "follower" when he has difficulties making good decisions. The client further stated because of this, he has compromised his value system and has lost interest in recreational activities. Mr. Cintron reported he is motivated for therapy and wants to be sober and

Mr. Charles reported that he considers his mother to be a support system. Mr. Charles stated that she lives in Tampa, Georgia. Mr. Charles reported that his mother is against consuming marijuana. Mr. Charles stated that his mother does not consuming alcohol or marijuana. Mr. Charles stated that his friends and co-workers use drugs and alcohol. Mr. Charles stated that he is around drugs and alcohol when he is working as a DJ at times. Mr. Charles appears to understand the concept of the treatment program and seems ready and willing to start recovery relating to his mental and physical health, learning to live without substance use/abuse.

I am writing to you today regarding the recent outbreaks of Hepatitis A Virus (HAV) and the importance of hand washing. As you might know San Diego and Santa Cruz Counties are now experiencing outbreak epidemics, and our own county of Los Angeles declared a week ago, its own HAV outbreak.

Substance abuse involving drugs and alcohol remains a worldwide crisis and Canada too is not immune to it. While alcohol and the traditional drugs such as cannabis/marijuana, heroin etc are the top contributors to this crisis, what affects Canada specifically are alcohol, cannabis/marijuana, non-prescribed use of prescription pain relievers (codeine, percocet, percodan, demerol) and tobacco. And of these alcohol remains by far, the most abused substance by the largest number of people.

Supervisor Comments: This writer met with Cherron to address some concerns of what is patients on his caseload have reported and their request to be reassigned. Please note, there was a previous conversation with Cherron yesterday about patient #9100 and #2693 as Cherron reports of the two patient non-compliance with keeping appointments referring to counseling sessions. In addition, Cherron shared some concerns about patient #2693 ongoing use of illicit benzos/cocaine and the need to seek a higher level of care. This writer informed Cherron that patient #9100 admits to his non-compliance with his appointment; however, often finds it difficult to reschedule with Cherron due to Cherron lack of response of his request. In addition, the patient felt disrespected of Cherron refusal to meet with him on 3/13/2017.

CPI arrived at the family residence located at 149 S Calhoun Avenue, Eatonville, FL 32751. CPI completed a joint visit with Taina L. Ramos FIS Counselor. Taina completed a BHC screen with Mr. Clayborne. Mr. Clayborne admitted to have a history of alcohol misuse and impulsive and aggressive behavior while under the influence. He began drinking while in his 20’s and drinks 1 to 2 times weekly. Mr. Clayborne drink preference is beer, but sometimes drinks vodka. He usually drinks when is stressed out. He has been to Alcoholics Anonymous meetings in Springfield, MA. The last meetings he attended was about 2 years ago. While in prison was seen by a psychiatric five times a day for 3 months, but is it not diagnosed with a mental health condition.

This writer met with the patient to address her non-compliance with treatment, referring to her attendance to the cocaine group and her AWOLs. This writer explained to the patient about the purpose of the clinical intervention as the patient continues to test positive for cocaine, opiates, and fentanyl. The patient appeared to be surprised to learn about the fentanyl results in her UA's and believes that her "dope" could have been laced. The patient is aware of her non-compliance and made excuses by reporting that she tends to oversleep as she often times cannot hear her alarm from her cellphone. In addition, when the patient AWOL from the clinic, she tends to relapse and her most recent was relapse was on 5/29/2017-3 bags of heroin by inhalation.

Clients denied any used of alcohol, tobacco or any other type of illicit drugs. He expresses that in his family he has a lot of family members that smoke on daily bases. However, he stated that even thought his family relative does smoke, it has never influence on him to smoke.

The client stated that due to his addiction, he would place himself in dangerous situations. The client has been able to identify previously unknown triggers that lead to relapse. For example, the client stated that he would drink large amounts of alcohol because it "wasn’t my drug of choice". The client soon relapsed on his drug of choice. The client stated, "I never thought about why I relapsed before". The client expressed the importance of aftercare to maintain long-term sobriety. The client attends weekly AA/NA and Big Book meetings in the PWC ADC. The client will continue to work on identifying and developing healthy coping skills, learning and building an awareness of triggers, understanding the importance of aftercare, and working on a relapse prevention

being. As a result, Bruce should be arrested for assaulting his partner which is also a breach of his probation conditions.

Understanding Marisa’s childhood and upbringing will help me determine which assessments, diagnosis, and treatments are appropriate. I will implement the appropriate assessments and follow up assessments. My diagnosis will be completed with the insight of Marisa’s childhood struggles and her current struggles. I will provide the proper treatment for Marisa’s drug use and help her find her identity. My main concern with Marisa is relapse. Marisa will still face challenges and become stressed, which may cause her to feel personal failure, leading to a relapse (Van Wormer & Davis, 2013). Marisa is at high risk for relapse, and it is my ethical duty to become aware of relapse before it

Mr. Boyd is a 55 year old individual, born in Jamaica, West Indies and raised in Queens, NY. He graduated from Springfield Gardens High School in 1978. He continued his education at the University of California, Berkeley, graduating in 1983. He reported that he has had a stable work history. He is a reservation agent. He indicated that he is on the executive board of mechanics.

March of this year, Governor Larry Hogan, put Maryland in a state of emergency due to the increase of overdose. Many stakeholders are now realizing that Maryland has a problem with drug addiction due to the amount of death that are occurring every year. Policy makers need to put in guidelines to determine how drug treatment centers should operate. Many drug treatment centers do not have treatment plans on how a client can reach sobriety. The Baltimore Substance Abuse Systems (bSAS) should be a mandatory system that should be used to help with creating a treatment plan for ever client. The system could help to generate data in structuring on what type of program works for each individual substance abuser. Non-profit organization are looking

Overview of Case The client is a 15 year old 10th grade student who was referred to the therapy department through the court system by her parole officer. The client was adjudicated on a possession of marijuana charge. Ideally, the therapy department had hoped to do family counseling, however her mother refused and would only consent to individual work with her daughter. She is currently being seen once a week at her school in the morning for an hour therapy session. Thus far, she has disclosed that both of her parents struggle with alcohol abuse and her father is also a habitual marijuana user in addition to being a licensed grower.