Connecticut Addiction Recovery: Case Study

Addiction is has been around for a long time. The fear of people becoming addicted to certain substances has lead to policies changes. However, there has not been a major federal law passed that dealt with addiction in over forty years. In 2016, President Obama signed a law that covered all the major points of addiction and recovery. This topic this important to me because some of my loved ones are addicts. I may also have clients that are addicts.This paper will take a look at that law. First, we have to define a few key terms.

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

Counselor red flagged pt. and requested that he meet for brief TX intervention to discuss his current counseling non-compliance status and explaining the risk of discharge from the program if he fails to do an individual session by 1/22/17. AMS receptionist told this writer that pt. is asking why he needs to meet with this writer. This writer told him to inform him that if he fails to complete one hour individual session by 1/22/17 he will be subject for a TX discharge. Pt. refused to meet with this writer and he failed to schedule an individual session on the above date.

The patient self-admits that she was not always compliant with her appointments due to changes to her work schedule since the month of December of 2016, but shared this information with her counselor. The patient is requesting to be reassigned to another counselor as she reports of not having a positive rapport with Cherron. Cherron was advised based on the patient complaint that it will be addressed with the Clinical Director based on her request to be

3. The patient had informed this writer initially of his goals of wanting to return back to the Hartford Dispensary due to the length of time he has been with the clinic and his positive rapport with his prior counselor at the other facility. The patient was compliant with his individual sessions with this writer and provided cancellation if unable to attend the session in the meantime while he awaits on the process of completion with his intake at Hartford Dispensary.

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her actions of taking the second dose. The patient then asked about how she can regained her take home bottles of which this writer explained the policy of take home bottles, referring to the reinstatement process. The patient is referred to attend the Take Home Bottle Group on 03/9/2017 to have her bottles reinstated. Then the patient shared that she wrote a grievance letter and still plans to submit it for the Program Director to review. Furthermore, this

Pt. called this writer to report that he no longer wanted to be in the program. Pt. asked if he needs to sign a Voluntary Request for Termination. Pt. reported that he is going to stop by the clinic to pay his tx services fees. Pt. stated, "I am done wit methadone. I'll go there tomorrow and pay my bill in full." Counselor told that he needs to talk to the head nurse and to sign the AMA Detoxification Agreement tomorrow, Saturday 2/25/17. After discussing this issue with him, he still insisted that he did not want to be in the program and he wants to sign the AMA Detoxification Agreement

RT had a scheduled medication management appointment with Mary Pestrak at 4:30pm on 6/15/16, but RT called NP Mary and rescheduled. RT stated that she wouldn't be able to come to TSI for her appointment. However, writer met with RT and inquired about RT's well-being and RT stated " I am doing good". RT informed writer that on 6/14/16, she went to her PCP and did blood work and is scheduled to go back to her PCP on 6/21/16 to get the completed physical form hat was provided to RT by writer. RT's medication management appointment is rescheduled for 6/22/16, RT ensured writer that she will be there. Writer informed RT that she is awaiting to hear from Marguerite to get more information on a GED program. RT was appreciative of writer's assistance.

Pt. requested to meet with this writer for a brief session. Pt. informed this writer that she needs to transfer to Connections CSP Inc. because she currently can't afford pay for the AMS of DE TX services. Pt. expressed feeling very concern about her transportation issues and needing to fix her car. Counselor told Pt. that this writer is going to help her with the process but she needs to talk to the AMS Director prior his appointment with Connections program. Counselor encouraged Pt. to obtain information about the Connections program requirements and rules, to pay current AMS balance and to discuss what she learned from this TX. Counselor also assessed her current mental health status which she replied, "I have no suicidal thoughts or mental

The writer met with the consumer today. The consumer denied any suicidal or homicidal ideation. The consumer report that he has schedule an intake appointment at Team Wellness Center on Thursday, 8/25/2016. The writer had the consumer to schedule an appointment with PCP at Team Wellness Center for physical check the consumer does not have a PCP. The consumer states that he does need anger management because he does have problems controlling his anger The writer was able to complete the consumer assessment and the consumer did sign consent to treat

D-This writer met with the patient upon request. Based on the patient attitude, she was clearly upset about not being able to obtain her bottles and she is under Administrative Detox. This writer escorted the patient back to the lobby area to meet with the Clinical Director to address the matter. This writer then escort the patient back to this writer's office and advised the patient that this writer will have to follow up with the clinic's APRN for an explanation for the order, which clearly upset the patient. The patient vented to this writer about her feelings about the clinic; however, this writer informed the patient as she vented as feeling that the clinic is holding her life as a hostage and this writer says, " You are here voluntary

D-The patient arrived on time for his session. Reports stable on his dose. Deny the need for a dose increase when offered as he reported not having any sort of cravings/withdrawals. The patient reported that his mother was admitted to Saint Francis Hospital since Sunday to address her medical issues as his mother has bronchitis and there's concern about his mother's kidney. This writer validated the patient feelings as he addressed the concerns of his mother well-being. Then the conversation shifted about the patient recovery process. According to the patient, he hasn't used for the past two days because his employer stopped using. This writer strongly advised the patient to work towards his committment to his recovery process because the patient needs to avoid the people, place, and things, referring to his employer which is a major to his recovery. The patient agreed and says he will work on it. This writer advised the patient, if he produces another positive, he will then need to consider engaging in a self-help group at the clinic or within his community. The patient agreed to the terms. This writer then asked the patient as to why he considered to seek treatment and his response was, " I need to get it right.....you right, I need to take this serious, you right."

October 24th, I visited Bridgeway Recovery Center in Salem. This is a big program that helps people with serious addiction, either substance addiction or gambling addiction. And it is the second of the 100 best nonprofit Oregon business in 2015.