Dimension 1: Acute intoxication and Withdrawal Potential Dimension 1 - Treatment Plan Components: Problems, Goals, Objectives, and Interventions: Update of Treatment Plan Components: Client reported alcohol as his drug of choice with the last use date of March, 2017. No acute intoxication or withdrawal symptoms were reported. No treatment plan was developed in this dimension. Client appears to be stable at this time. Risk Rating: 0 Dimension 1 - Recommended ASAM Level of Care: 0 _________________________________________________________________________ Dimension 2: Biomedical Dimension 2 - Treatment Plan Components: Problems, Goals, Objectives, and Interventions: Update of Treatment Plan Components: No problem was identified at …show more content…
Client states “I accepted responsibility for the decision that I made that have led to legal conflicts.” Client appears to cope more effectively with his stress, and is in compliance with all his legal and treatment requirements. Client reported participation in self-help activities/ program, and his family is supportive of his recovery, as …show more content…
Attended all treatment group as scheduled and actively participated in the group discussion and provided supportive feedback to others group members. Client is in compliance with treatment and all his legal mandates, and appears to be in the action stage of change. Overall, client is making steady progress in treatment. Plan - Client Objectives until next review: attend monthly group as scheduled, verify sober support meetings, schedule and attend individual sessions, provide UA when asked, and comply with legal mandates to maintain the privilege of deferred prosecution. Client is to work on treatment plan on a timely manner. Plan - The counselor Interventions until next review: Client is to continue current level of treatment to fulfill the court requirement. Counselor will work closely with the probation officer to help the client to complete his treatment successfully. Counselor will continue to motivate and educate to address alcohol use disorder and support remission and long-term
program take defendants through an intensive treatment program lasting for a year or more, with the end result being sober members of the community with stable employment or positive progress through a vocational or educational program (DeKalb County Drug Court, 2006). During the levels of C.L.E.A.N. volunteer defendants have a drug court team. Each team consists of a designated judge, representatives of the State’s Attorney’s Office, the public defender or legal counsel of the defendant, court services, law enforcement, treatment providers, a community representative and a drug court staff member (DeKalb County Drug Court, 2006 p.34). The drug court team meets prior to drug court sessions and acts a case-management team for participants in the C.L.E.A.N. program before each drug court session. Information is shared about the participants based on each team member’s perspective and interaction with them. A professional consensus is gathered from the available knowledge and used in determining the progress through the phases of individual members (DeKalb County Drug Court,
The client met with his counselor for his 1x1 session to completed his Exit plan. The client has completed and turned in his second step and has went over it with his counselor. the client seems to be interested staying clean and sober and appears to be seeking understand as to how to stay sober. The client has learned to let go of some of his resentment but needs to work in letting the resentment he has against himself. The client reported that he follow through with the King of Kings sober living stipulation as to having to attend three meeting a week there at there program to prove that he wants to go into their sober living program once an open becomes available. the client reported as well that he will be spending more time with his
Client was considered to be in semi-compliance with treatment during this reporting period. Client attended two secheduled groups with two absences. UA were negative for all tested substances. Client reported participating in self-help meeting regularly; verification was provided. Treatment attendance needs to be improved in 30 days.
the client met with his counselor on 01/29/2017 for his weekly 1x1 session to discuss his recovery program and what progress has been made during his time in the program. the client has been in compliance with the program requirements . the client has been attending his group session and 1x1 session, he also has been attending family group with his mother and girlfriend that are currently supporting his recovery. the client has been attending all of his doctor appointments and taking his medication on a regular basis. the client has been attending outside meeting as well, and is now phased up in the program to go on weekend passes. The client appears to be taking his recovery seriously, he talking about attending an AA meeting close to his
Client has been successfully completed the Quest House program on 04/05/2017Client and counselor reviewed client treatment plan that was completed, and after careful review of his treatment plan. Client and counselor agreed that he needs learn how to set healthy boundary with the people around him . the client has trouble expressing his needs and getting them met. Client also agreed that he needs the he needs to learn how to self sufficient and live on his own. the also agreed that he need to learn to identify risky situation that will cause to relapse as his move further long in his recovery. Client will also want to go to sober living, but was not able because all sober living faclity are full.. After the reviewing client treatment
PROGRESS: Client is working on the right path in order to avoid drugs and alcohol
Response Description: Mr. Murphy participated in group process. The client was active participation on this topic, and he accepted the substance abuse is over power on him.
As the recovery consultant, currently in the family drug court I work directly with clients that have active CPS cases, and may be involved in the criminal justice system, as well as the county's behavioral health care system. My roll is to assess what level of treatment is appropriate, and to make the necessary
has done great in achieving his goals of improving his relapse prevention strategies. During the previous quarter, Pt. made progress on redefining long-term sobriety maintenance plans and reviewing his aftercare plans during AMS therapy session. Pt. disclosed and understood that he needs to find new ways to balance work, school and family responsibilities in order to give recovery/this TX his effort. During the last quarter, Pt. was educated about the ongoing need for maintenance treatment (e.g., following up on appointments, continuing to take medications, or attending support groups) and about the importance of participating in different AMS groups topics. Primary Counselor will help the patient to identify what he does each day and help him to structure his days to strengthen his sobriety and to keep him motivated during the next AMS therapy sessions. Counselor will provide suggested strategies for addressing these
The client and counselor met for his 1x1 session to discuss what progress had been made in regards to his treatment plan. The reported that he needs to continue to work on his attitude & behavior , it not as bad as before the client reported from when first came to the program. The client reported that he learning about relapse prevention, ways of preventing himself from relapsing . the also talked about guilt and being stress out about his girlfriend her house being shot at, things he has no control over while being in the program. The client appears to struggling with things he has no control over. The counselor will meet with the client next week to go over the assignment that was given during his 1x1 session.
Mr. Jocenko is recommended to: remain abstinent from alcohol and all mood-altering substances attend a minimum of two sober support meetings per week continue mental health counseling as needed Maintain adeque balance between employmnet, self-care, social, physical and mental health wellbeing Comply with all court/legal obligations
D: Met with client for discussing treatment progress and moving to Phase II OP treatment. Client presented with a good attitude and appears to be doing well in treatment by maintaining his sobriety.
This therapist conducted morning process group and afternoon didactic group with the client. The client discussed his substance abuse in his early life. The client stated that he started doing drugs because he thought it was “cool”. He expressed to the group that drugs have hurt his family and himself. The client discussed talking to his daughter over the phone and that he wanted to be out of jail to spend time with his daughter. This therapist used MI techniques to encourage the client’s readiness for change. The client stated that he will focus on himself and his sobriety after his release.
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.
Counselor met client to complete Addiction Severity Index (ASI). The client is a 24 year old black female with a history Cannabis Abuse uses. The client report using about 1 gram of marijuana a daily. She started (“I started smoking when I was 15years old”). She also reports drinking Smirnoff Ice two weeks ago and only drinks occasionally. The client smokes about a half pack of cigarette a day. Client denies any prior treatment episodes. Client denies any HI/SI at the time of the session. Client reports taking her medication as prescribed. Client appears to be in the pre-contemplation stage of change. Client next scheduled individual session with a counselor is Monday, July 13, 2015 at 2:00pm.