Client Biopsychosocial Betty Simmons is a 32 year old, Caucasian, English speaking female, who has been referred to the Bridge House by the Department of Children and Families. Betty is currently unemployed, and the mother of three children, ages two, four, and six. Betty is married, but at this time, lives separate from her husband, who was given temporary custody of their children. Betty is not on civil commitment, nor probation/parole. There is no civil proceeding in place. However, Betty is currently experiencing substance abuse related problems, which she tested positive for meth and opiates during a recent urine analysis test upon admittance. A counselor has been assigned to Betty’s case.
Presenting Problems Currently, Betty
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However, it is brought to Betty attention that in some cases clients have remained in the program longer. After sign consent forms to participate in the programs and abide by the program rules, further data is collected
Background History When asked about early childhood history, Betty explains that, “I have a very supportive family”. Betty further explains that she grew up living with her biological mother and step farther. However, her Biological father was not involved in her life. Betty reports that he was an alcoholic, and attempted suicide by cutting his wrist when she was in junior high. She then reports that her mother struggled with depression, but insisted that her mothers’ mental health issues did not affect her childhood. In fact, she explained that her mother and stepfather has currently been assigned as a safety net system by the Department of Children and Families. However, Betty reports history of mental health issues for herself. Betty explains that during late adolescents, she received outpatient counseling in New York for three months. She reports no previous psychiatric inpatient treatment. Betty do reports previous psychotropic medication for behavioral and health problems. Betty past medications included: Lexapro, which treated her depressive disorders; Zoloft, for obsessive compulsive disorder (OCD); Prozac, for
Todd and Reggis is a same-sex couple. Same-sex relationships commonly attract significant stereotyping in the United States. While handling clients, the human services professional must not base their decisions on such stereotypes. In the case at hand, the professional much guard against racial stereotyping as well. Reggie is black while Todd is white. The past of the two clients, all of them having been convicted and jailed before, can also influence the professional’s judgment if they do not stick with the standards required of them. While both Reggie and Todd have a history of using drugs, it would be inappropriate for the human service professional to conclude that the problems in their relationship are all drug-related. Such a stand is critical even though the society commonly links most addicts to violence and crime.
Ms. Smith is a 30 year old single, Caucasian female referred for a psychosocial assessment by DOC Parole Officer Ward. She reports she was released from prison 2 months ago after a 3 year sentence for attempted escape due to not notifying her probation officer of her address change. Ms. Smith states due to her past substance use history and trauma experience her referral sources ordered counseling to address complex issues related to her emotional and physical well-being.
* Baby social worker visited. Plan is to initiate care proceedings ASAP reasons; history of substance misuse, concealed pregnancy, poor engagement with treatment and services
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
Mrs. W’s mother is 50 years old. She was a drug addict and high school dropout. Mrs. W’s mother abandoned her with a family member when she was 2 years. Mrs. W states that her mother reached out to her when she was 25 years old and at that time she was still using. She said that she refused to have anything to do with her at that time. Mrs. W
Crystal was a 43-year-old waitress from three forks. Her husband is a convenience store manager and she currently has her own 2 teenage children living with her as well as a nephew, all of who depend on her and her husband. Thus far she had been in custody for 6 weeks. Crystal had been a lifetime user, when asked what her drug of choice was she gave the response “anything and everything”. Crystal admitted to using meth, coke, weed, pain pills, and heroin intravenously. Her first drug offense happened while living in Missoula at the age of 28 where she started prison almost twelve years ago. Following that sentence Crystal had been sober for six years, until she had to have a hip surgery that led her back down the path of drug abuse. She has many prior offenses and recently served 4 years in prison of a ten year suspended sentence. Had crystal not agreed to drug court there was a possibility that the 10 year sentence by Lewis and Clark county would have been reinstated and she would have gone back to prison for the 6 remaining years of that sentence. After treatment court and her current situation and options had been explained to her Crystal signed a contract and was therefore accepted into the treatment court program. It was explained to her that she must comply with all the requirements of drug court, and she was provided with a backpack containing an alarm clock, day planner, meeting schedule, bus route and schedule, as well as the blue book. The backpack is courtesy of the friends of treatment court, a local group of citizens who want to see participants succeed and return to a normal life. Crystal’s goals after the completion of Treatment court are to finish her degree, and become a productive member of
Mary, a 31-year-old single mother of three children (ages 9, 5, and 3) has been seeing Annabelle, a mental health counselor at a community mental health center for about 4 months. She has become increasingly anxious over past few weeks and reports that she feels frightened all the time, is unable to sleep through the night, and worries that “something horrible is going to happen.” She also admits to having a “couple of drinks” during the evening several times a week. Mary shared during her last session with Annabelle that she is very worried that she is a horrible mother and is afraid that her children will be taken away and placed in foster care.
CPSW did a home visit to meet with Ms. Berner and to discuss about her safety plan since the children are moving with her on10/29/16 from the foster provider. Ms. Berner was late for her appointment and CPSW waited a 40 minutes for Ms. Berner. Ms. Berner apologized for being late. CPSW explained Ms. About safety plan. Ms. Berner understood and she signed them. Ms. Berner stated that she will be doing a house arrest for two weeks and the recommendation of her criminal court is to obey law and continue taking her medication on time and seeing her therapist. Also, cooperating with her PO and CPSW. CPSW consulted with the supervisor and she has approved both children to move back with Ms. Berner. Goal 1-2
At 0824 this clinician met with the patient who reports her weekend was not unpleasant. She reports she is continuing to have problems locating housing. She reports her family members continue to refuse to allow her to live with them specifically her father and her uncle. She reports she has one friend who is considering allotting her the capability to reside with her under the condition that she speak with her Child Protective Services (CPS) caseworker first. She reports she does not want to reside in a homeless shelter with her son as she has done this before and the experience was not up to her standards.
Case Study: Sheila's Substance Use and Crisis Treatment Plans Sheila is a single 35 years old mother who lost two sons to child welfare authorities and currently lives in a shelter (Confederation College, 2018). She has been dependent on alcohol for about 20 years (Confederation College, 2018). She has a track record of offenses, such as shoplifting and selling illegal drugs (Confederation College, 2018). At this present time, she has a court case coming up for stealing and assaulting a police officer while under the influence of alcohol (Confederation College, 2018). In the past, she was taken advantage of sexually by her father, who physically abused her brother and her mother (Confederation College, 2018).
The Mississippi Department of Human Services (MDHS)- Division of Family and Children’s Service (DFCS) is an agency that serves and protect children and families from neglect, abuse, exploitation, and many more services. Through this department, it provides security and reassurance of stability with a sense of belonging to children and families. In addition, this agency provides many workshops to improve the quality of life for children by focusing on the family’s ability to safely parent their children. In order to fulfill state regulations and requirements when dealing with families and children, drug test and visitations are done to make sure that problems within families are improving. This results in records that are
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.
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.
Miesha is a 26-year-old African American female. She grew up in a single parent household in Collins, MS with her younger brother. Miesha’s mother worked two jobs and slept most of the time when she was at home. Miesha does know her biological father, however, he has been in and out of her life. Until the age of eighteen, Miesha regularly attended Our Kingdom Come Baptist Church, while living with her mother. Miesha is a high school graduate and is currently unemployed. She receives Temporary Assistance for Needy Families (TANF), Medicaid, Section 8 and Supplemental Nutrition Assistance Program (SNAP) benefits. Miesha has two children, a son age 10 and a daughter age 5 by two different men. Miesha is not married; she is currently cohabitating with a man she has been dating for the past year. Miesha’s live in boy-friend sells drugs out of her home. Miesha states that he is mentally, verbally and physically abusive to her and has recently started being physically abusive towards her children.