Community Case Study

Contact between an addictions counsellor and a client is usually initiated by the client referring him/her self, an outside agency refers them, family physician or the addictions counsellor initiates contact through outreach or other agencies. Assessment can be seen as the beginning of treatment and it becomes an opportunity to encourage the client to begin to move towards change. The initial assessment involves a mutual investigation and exploration between the client

There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.

The reading entitled “The Treatment Plan” focuses on developing treatment plans, particularly for those in substance abuse rehabilitation programs. First, the interdisciplinary team, which consists of a variety of professionals such as doctors, nurses, and therapists, writes a summary of the client at intake to determine the problems, how they came about, and the potential solutions. Next, a problem list is created. The problem statement is one sentence explaining the problem, which is abstract and not tangible. Therefore, signs and symptoms are also listed underneath, such as history of DUI and the blood alcohol level. These are used as evidence to back-up the problem statement. After, for each problem statement, several goals are listed that

There has been an expectation of society that substance abuse treatment should eliminate alcohol and illicit drug use while improving individual health and social functioning as to reduce the public safety threat. The Affordable Care Act of 2010 also known as Obama Care was created with intentions of expanding the availability of health insurance. In 2011 the President’s National Drug Control Strategy requested investments in screening, intervention and referral to treatment, and expanded the Access to Recovery voucher program. These initiatives are a start towards total care for alcohol and substance abuse patients, however from our study we have found that treatment may be best when considered as a long term possibly life resource for these individuals to become successfully sober and healthy.

In compliance to this requirement, I conducted a data collection and assessment process using the secondary data approach utilizing data from, KSCS client utilization data, summary data of Delaware Health and Social Services (DDSS), Division of Substance Abuse and Mental Health (DSAMH) and, National Survey on Drug uses and Health (NSDUH) to allow me to measure the extent of need using social indicators. By obtaining client utilization data from KSCS agency it provided many variables that indicated unmet needs. This assessment will provide detailed tables that provide estimates of substance use and mental health by key demographic categories.

The Substance Abuse and Mental Services Administration (SAMSHA) defines a need for priority of treatment services to those defined as “chronic public inebriates”. These individuals are in need of priority and legislative preferences due to the connections between public inebriates and homelessness, frequent emergency room use, criminal activities, mental illness and co-occurring disorders.

On the contrary, the comprehensive multi-dimensional assessment tool documents medical history, physical exams, family and social history, alcohol/drug histories. In addition to, documentation which includes sexual/mental health information collateral reporting of family and friends signed/or consented from the client, before any contact with others sharing of information and lab test. In summary, relapse education strategies include, teaching clients how incorporate self-regulation and relapse skills or strategies, to avoid a lapse and stay in recovery or continue sobriety. Next, to develop an understanding of General factors as to what causes a person to relapse begins with basic information such as medical social or clinical information.

The first assessment is the Alcohol Use Disorders Identification Test (AUDIT). The AUDIT’s purpose is to recognize how one’s alcohol consumption is an issue (Ash, 2001). This assessment will help the counselor to find out how detrimental the use of the substance is to the individual (Ash, 2001). The AUDIT has a few strengths that would encourage the counselor to use this assessment. The assessment allows the counselor to examine the possible options for the client and what treatment is the most appropriate (Ash, 2001). This assessment should not be used to diagnose the client (Bischoff, 2001). It has been proven that the assessment is reliable by using

Vital Connections of the Midlands (VCM) is a non-profit early child care and education program located in Columbia, South Carolina. The organization is currently certified through the United Way of the Midlands and is accredited by the National Association for the Education of Young Children. It provides family-centered services for at-risk families who are experiencing homelessness, poverty, substance abuse, and/or child abuse and neglect. VCM’s priority is given to families who are experiencing homelessness. This means that children who live with parents experiencing homelessness are automatically admitted into the program, free of charge, before families with a different crisis. Over the past decade, since 2007, the

However, the client stated that because of his addiction, "I hit rock bottom before I got locked up this time around". The client expressed that he was homeless, living in the woods, overdosed several times, has a lengthy criminal record. He was informed by his father that if he doesn’t get "clean" he would not let him see his son again. The client expressed that if he doesn’t maintain sobriety, "I could die". The client has developed insight into his addiction and has identified several triggers and relapse warning signs. The client has identified and developed several coping skills. 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 has picked and is currently working with a

said he plans to follow through with treatment recommendations and stop smoking marijuana, because he wants to earn take home privileges and he is going to be really busy at his work. Counselor explained the take home request form and the requirements to move to Phase 1 of the tx program. Pt. commented that he would like to attend the AMS clinic once a week by this summer. Pt. said he does not have a problem asking his supportive people and AMS staff to help him with identifying negative habits and behaviors that he may not always recognize. Also in this session, Pt. learned the stages of change and processed assignment “My Action Plan for Sobriety.” Pt. and writer discussed the ways in which sobriety and relapse are processes, and the ways in which relapse is a decision process. Pt. examined the different types of relapse warning signs he experienced, and he reviewed the components of a full recovery program, including those components that are challenging for him. Pt. processed the progression of his addiction and previous negative lifestyle and how his mother treated so bad when growing up. Pt. reported that he is in the action stage because he has decided to quit and he would like to continue a drug free life.

The purpose of this assessment is to determine what stage of addiction Bob is currently in and make a referral based on his needs. The end results should be a success if Bob complies with the treatment plan.

Assessment: the client arrived on time, client verbalized in the group how is felling physically and emotionally, and he feel good to attending the group as outpatient. The Client was engaged with the topic and how he can manageable avoid of substance abuse. Client expressed how important to have a support with other

During the first phase participants are given basic recovery principles and skills needed to overcome their substance dependency and are asked to commit to a Christ-centered recovery plan (phoenixrescuemission.org, n.d.). During the second phase program members attend classes and counseling to identify destructive patterns and behaviors. They also commit to making amends and take responsibility for damage relationships or harm that they have caused themselves and others (phoenixrescuemission.org, n.d.). Additionally, at the end of this phase participants begin to focus on their talents and skills that will help them lead a new life. They are offered training in areas that they may be deficient. The third phase prepares program members for their independence by offering them three options. Participants will either begin pursuing and maintaining employment, start a mentorship in Christian leadership and receive service responsibilities, or began intensive re-entry training for those who are married, face legal mandates, or must deal with health difficulties (phoenixrescuemission.org, n.d.). Those clients who wish to receive additional support are offered six months of aftercare, during which they complete monthly progress reports and participate in meetings with the program’s alumni association (phoenixrescuemission.org,

The foundation of the treatment plan consists of collecting information from the assessment testing, and interview process. It provides results to the clinician for a structural direction when initiating an appropriate treatment plan that later can be changed. Although, both activities being the assessment and diagnosis is completed by one clinician. Their responsibility is to create a written and effective addiction treatment plan. In addition this report classify the client stage of abuse. In order to developing an efficient overall befitting treatment plan to fit the needs of the client. The treatment plan may also reflect the client restructured changes or progress towards various approaches to manage care in the treatment setting.