Client Systems Case Study

Our client is an intermediate care facility for developmentally disabled individuals under the age of twenty-two years. The campus consists of several residential, educational and administrative buildings and recreational areas on twenty-six acres of land.

The mean age for the participants in the study was 45. The study also took in account the time of service from the veterans, 60% served in the 1970's, 18% in the 1960's, and 18% in the 1980's (Carlson, Gavert, Macia, Ruzek, & Burling, 2013). The study includes veterans that suffer from personality disorders as well as alcohol abuse. Participants within the study are a mixture of races and come from various backgrounds. Included in demographic questions is if the veteran is divorced or married, which may also be a factor in this study. Additionally military branch information and associated was

The client has had a strong support system in the past and is open to creating another one. This is strength because it demonstrates that the client is open reaching out to others in times of need and is a resiliency factor.

The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.

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.

Mr. Moore is a 24 year old male who presented to the ED with reports of experiencing depressive symptoms, vague suicidal ideation without a plan, and recent episodes of anxiety. At the time of the assessment Mr. Moore denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He reported to suicidal ideation would come and go, however never had a plan . Mr. Moore appears calm, cooperative and in good spirits during assessment. He reports a history of anxiety, depression, and emotional trauma by father at the age of 8 years old. Mr. Moore expressed he started noticing increase anxiety when he had to speak in large groups, present in school, driving, and engaging in social actives. He states, "Over the past 16 years my father has been out my live, when I was younger he would hit me if he felt I said anything out of line." Mr. Moore reports recent relationship issues and separation with his fiance. He reports due to him not engaging in many social actives his fiance has left him. He reports for many year going to Randolph Counseling Center for his anxiety. He reports positive results from services. Mr. Moore mention coming to the hospital last Thursday for his anxiety and bring prescribed a 30day supply of Ativan, which he reports has helped him become more stable when engaging in actives,like driving his mother's car. He reports depressive comes and goes depending on the mood he is in. He describes symptoms on occasion as feelings of

With increasing numbers of issued prescriptions aimed at fighting this anxiety disorder, some veterans are not receptive to the treatment and turn down a path of addiction and abuse. A study researching the effects of alcohol and combat exposure found veterans came to the conclusion that veterans showing aggressive behavior are at an increased risk of partaking in destructive behaviors (Alcohol and PTSD). Some of the most common behaviors consist of substance abuse, depression, and violence. The study goes on to describe that alcohol only increases

D- Client arrived on time with his appointment. When asked by the writer about his morning thus far, he reported his morning is going well. The client appeared to be pleased to meet with his new assigned clinician. During the course of the one hour session, the client was aware about completing his first initial TX plan, at which he was open to discuss and complete. This writer asked the client about his drug of choice and the length of time of his use. The client reported that his only drug of choice is heroin and his length of time is about a year. When asked by the writer about how he was introduced, the client mentioned his significant other, who is also a client at the clinic. His significant other name is Lucy Dannelley. The client mentioned his relationship will not hinder his recovery process because according to the client, he and his significant other want to recover from illicit drugs.

112). While living with his parents he could have used drinking as a way to both connect with his parents and coping mechanism to avoid his feelings. Furthermore the veteran may be using substances as a coping mechanism for the symptoms of the mental health conditions that he has been diagnosed with. “Hyperarousal may be lessened by alcohol and stimulants may counter numbing and avoidance, as well as symptoms of depression (Litt, 2013, p. 536). This could explain why he has been successful, up until his recent short relapse, from using crack cocaine since 1995, but has not had similar results with abstinences from alcohol: he has been avoiding and numbing himself since childhood. The veteran was fearful of his mother when she were drinking and attempted to avoid her; he appears to have been in constant fear of his father and likely avoided

The client is a young, White-American, Christian, male. He most likely come from lower middle class (currently unemployed and used to work in a local furniture store). He is a single man, but his sexual orientation, romantic and sexual relationships are not mentioned in the report. Considering his particular cultural elements, he is in advantageous situation in some part such as, ethnicity, sex, religion and age. Thus, he is not likely to feel “extra” oppression due to his metal health and alcohol use problems. However, his comes from low SES and has a mental disability (therefore, he become eligible to Medicare), these probably negatively influence his mental health progression. For example, he is not able to access his former psychiatrist due to his current insurance. When it comes to his spirituality, even though his father is a religious man, the client does not seem to be interested in spiritual issues. However, his father’s strong spirituality would be beneficial for both. Since, the client’s father, as a main social support source, his mental and physical health is also vital for Tom. In fact, his father plays a critical role in Tom’s life.

However, all individuals’ medical records were accessed to organize compatible clinical data. All medical records also contained DSM-IV diagnoses. Medical records were able to show any history of mental illnesses, medications, mood disorders, or diseases that specialists should be informed about. These records indicate that the client is an overall decent health to participant in this approach. All data collected will help identify the client’s history. A client’s history could include violence or any legal issues that resulted with substance usage.

Background information: John Smith is a mid-sixties old Caucasian male residing at a rehab center for broken his foot. He was sent to the er for suicidal ideation and admitted to SBBH. Previously, the patient has received inpatient and outpatient treatments for depression. The patient has an ongoing struggle with depression and occasionally suicidal ideation for the past six years. The patient’s strengths include the following: motivated for treatment and spirituality; however, his weaknesses consist of being homeless, abuse substance, family conflicts, and mood disturbances. His barriers to treatment consist of being homeless, money, and no transportation. His interests and hobbies are hunting and fishing. His major source of income is Social Security and Veteran’s Benefits.

Since, he is in denial of having a problem with drug use, it is this counselors professional opinion that the client has met the criteria for Opioid Use Disorder because Keane has demonstrated compulsive, prolonged self-administration of an opioid that he has no legitimate medical purpose to

Objectives/Progress: Pt. has maintained Phase 7 take-home privileges. As the pt. has participated in a total recovery program, he has been able to maintain abstinence from mood-altering drug use as evidenced by submitting 19 clean UDS results since entering and reporting sustained abstinence. Pt. is compliant with all aspects of treatment, provides negative UDS, and attends required monthly counseling. Pt.'s program attendance is in a good standing but pt. needs to attend different AMS groups. He was advised to schedule different groups and the benefits of doing so. Pt. has achieved a lengthy period of sobriety and has good insight into personal recovery behaviors. Counselor will review this long-term goal with pt. during his therapy sessions.

Counselor met with the client to complete his ASI. Client provided personal information regarding his AOD use history, Client has been using alcohol for 5 years, which 3 of those years he drank to intoxication (Medical) client reported that he last hospitalization was one year ago and it was a knee surgery ,he also reported that he does not any chronic medical condition that would interfere with his life. (Employment) Client reported the longest job he's held was 4 years as teaching Physical education and reported that he a a bachelor degree . (Legal) Client has been arrested 3 time for driving while drunk and has no other arrests (Family and social relationship history) Client reported the he is not