Client Abuse: A Case Study

PO was on time and participated in the group activities. PO stated “I am in the maintenance stage of change because I am in treatment. My clean date was 12-14-2015”. It appears that PO is making a steady change while in recovery as evidenced by staying clean and sober, and attending treatment and going to self-help meetings on a regular basis to maintain his sobriety. PO had a positive response to treatment.

Progress: Ms. Bensalih completed a rule 25 assessment at Tubman Chrysalis on 09/26/16 with her assessor Aria. The assessor recommended that Ms. Bensalih completes intensive outpatient treatment which includes Co-occurring disorders group for twice a week, Parenting group once a week, DBT Skills group once a week, individual Chemical dependency session 1 time per week and individual Mental health session 1 time per week. Ms. Bensalih continues to attend and participate the assessor's recommendations at Tubman Chrysalis. Also, the assessor recommended that Ms. Bensalih to continue working with her mental health provider, STS for methadone, submit random UA's, attend support groups, comply with Child Protection intervention and expectations. Also,

Objectives/Progress: Pt. has discontinued her use of opiates according to the last quarter UDS results, Pt. is now eligible to receive phase 1 take home privileges if she maintain her abstinence. Pt. demonstrated a improvement on her commitments to maintain regular dosing attendance. Also P During this upcoming quater, this writer will meet with pt. to establish rapport and trust. This writer will reinforce the importance of remaining in recovery and to resolve her current legal issues by the next month. Pt. identified her children as a motivational factor to change and to . The counselor told Pt. that he needs to be free from drugs (cocaine) in order for his prescribed medications to work and be more effective. Counselor will help patient understand the importance of restitution to self worth and then help in developing a plan to provide restitution.

I recently discharged the above referenced patient from Step-by-Step Recovery Center on December 1, 2014. This is my discharge summary for your records. This was the first Step-by-Step admission for this 30-year-old male originally from Miami, FL. The patient has a history of poly substance use resulting in treatment at a local treatment center in Miami in July of 2014. He left against medical advice and described no abstinence after that treatment.

The client has maked progress, but has not yet achieved the goals articulated in the individual ized treatment plan, The client is currently working on identifying the root cause of his addiction along with identifying his traps and triggers that would result in relapsing. Contiuned treatment at the present level of care is assissed as necessary to permit the client to contiune to work towards this treatment goals

2) Client reported that he wants to call his baby sister that has cancer and let her know that he is need a program in Fresno CA, 3)Client reported that he wanted to work stabilizing his efforts in staying clean. Client reported that he had 14 clean and sober and what he feels that caused him relapse. A) Client during the time of his 1x1 session became emotional and teared up for several. Client appeared and stated that wants to stabilize his recovery and not have to relapse again regarding

The patient presented for group on time. The patient was dressed according to the season. The patient introduced herself and checked in as a "6." The patient reported being abstinent from all mood-altering substances for two days. Patient disclosed, "I am not feeling good today because I may be getting arrested because I have not paid my parole officer. I am afraid of going to jail.” Patient choose complete her relapse analysis chart, internal and external trigger questionnaire. She gave encouragement to the new group member as well. Patient participated in the group activities without any issues to

A-Based on this writer's assessment, the patient is mature, intelligent, and see her substance abuse as a problem. She knows the answer to her problem, but makes excuses. The patient needs to take her recovery serious. Appears to be alert and oriented. No evidence of SI/HI.

The way the client is evaluated is by her completing the STAR (Steps to Addictive Recovery) group counseling session twice a week for twelve weeks to complete 48 hours. The client is allotted three missed sessions before closing her file. Successful outcomes are measured by her learning at least at least three new coping skills and being able to identify any triggers or stressors which may lead to relapse. “Client validity refers to the client is cooperative and who is eager to resolve challenges along the way” (Bloom & Britner, 2012, p. 27), as some mandated clients may be resistant to treatment.

Chronic pain is best acknowledged by understanding the person and how they live. Client A (as he will be known) lives with pain on a daily basis, as do thousands of people. Currently, Client A is trying to deal with high stress levels and this is affecting his work and personal relationships, as well as life in general. So what is happening to Client A from a biological, physiological and social aspect and how can these changes affect the musculoskeletal system enough to create pain? Client A did not wake up one morning and his pain began. His pain journey is a process of ………changes. began developed needs to begin with confirmation that his pain is real and what he is experiencing is normal but his actual journey is unique to him. As a therapist, it is about recognising specific mechanisms and understanding how they

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

Pt. is currently in Phase 0 of the treatment program. Pt. received his treatment plan 11/24 /16 treatment plan update. Patient’s current TX goals address opiate dependency, maintain financial obligations and improve his social support system. Pt. has some minor problems sharing his personal issues during therapy sessions as indicated by his low self-esteem and resistant to opening up about his serious relationship issues. Pt. made some gain in achieving his goal of avoiding opiate and maintain his AMS account balance in a good standing. Pt. has been able to stop using heroin, but he continued to smoke marijuana few times per week and cocaine occasionally. Pt. remains at 55 mg. of Methadone and he reported that current dose is working well.

A vulnerable client can be defined as an elderly person who is frail, physical disability or cognitive impairment (Hunt, 2014). For this journal I will be discussing the vulnerable clients and how safety is maintained at our clinical site. The residents who live in our clinical site are all vulnerable. The vulnerable residents I will be referring to are elderly with functional and/or cognitive impairments.

substance abuse, mental health or co-occurring issues are to link clients to appropriate next step

A single subject design will be used to assess the client’s progress. This model encompasses various components which includes the repeated measurement, baseline/ non-interventive status, treatment phase, and modification of service programs (Campbell, 1992). The baseline identifies targeting problems through initial assessments which then leads to establishing interventions that will benefit the