Ethical Mosaic

PO had a moderate level of participation as evidenced by completing the worksheet, and sharing strategies that he could use to cope with high risk situations with other group members. PO actively engaged in role-play on handling unexpected high risk situations. PO states that his sponsor and sober friends help him to make a better choices and decisions. PO was rarely distracted and stayed on the topic throughout the group process. PO had a positive response to treatment.

This clinician would recommend that Jared get enrolled into an outpatient program for his depression and his alcoholism. Jared just completed an inpatient treatment facility and he needs more stabilization to build upon his sobriety. This clinician would also recommend that Jared attend Alcoholics Anonymous (AA) meetings to reinforce the outpatient treatment. The AA meetings will reinforce the church activity that Jared is already attending, as AA is a spiritual program and welcomes everyone regardless of their sexual orientation, religions or lack of religions, or their ethnicity.

For the support group observation assignment, I attended the Gateway Group’s Alcoholic Anonymous (A.A.) meeting. The Gateway Group is part of a larger organization called the Tri-County Intergroup Association of Alcoholics Anonymous. The Tri-County Intergroup serves A.A. members in Franklin, Wake, and Warren Counties and is broken down into 113 separate groups. As the preamble states, the purpose of all A.A. group meetings are for A.A. members to share their experience strength and hope with each other that they may solve their common problem and help others to recover from alcoholism. There are no dues or fees for being an A.A. member, and the only requirement for membership is to have a desire to stop drinking ().

Long term, it is much easier and cheaper to perform preventive health care than to try to manage acute and/ or chronic diseases. All at risk individuals should be given education on the dangers of developing a substance abuse problem, emphasizing that it can happen to anyone- young or old, rich or poor, etc. Health care providers need to address the supposed invincibility commonly associated with those who excessive drink alcohol or use drugs. These individuals are not quite as invincible nor do most have everything as under control as they may think. Although many may know the dangers, it is important to explain that the negative health impacts may not be noticeable right away, but the damage is still being done. Additionally, these at risk patients should work with social workers or case management to set up referrals to substance abuse cessation programs within the

In the case of Jared, he is seeking treatment after being in an inpatient alcohol treatment center. In patient services helped him focus on addressing his addiction to alcohol and what triggers him to drink. Jared can benefit by using outpatient services. Outpatient services will help Jared by giving him more freedom to allow his commitment to family responsibilities at the same time attend his sessions (Erford, 2013). Jared must abstain from alcohol which requires a lot of willpower but outpatient can offer him support groups, individual counseling, and family counseling, so Jared will never feel like he is alone in his recovery.

The mental health services Jared should utilize should be flexible but focused in nature. It should also include aftercare in order to provide Jared and his partner, Kyle, support with adjusting to life outside of an in-patient alcohol treatment center. For example, a component of Jared’s treatment should include on-going alcohol treatment in the form of group support. An example of this type of support is the 12-step program called Alcoholics Anonymous (AA). According to Erford (2014), AA is comprised individuals who wish to lead a sober life. The program also includes a non-religious, spiritual component that has no religious affiliation.

Alcohol is a harmful drug consumed by many including young people ranging from the ages 15 to 29. Meanwhile alcohol does have some benefits when drank in moderation as an adult, when it comes to young people there is only negative impacts both psychically and mentally resulting in dangerous and life altering outcomes. What many seem to forget is that not only does alcohol effect the individual but also has a negative impact on their family, loved ones and community.

The Council on Recovery is a Non-Profit Organization which serves the population of people whose lives are affected by addiction, whether it is their addiction or someone else’s. Their mission is “To keep our community healthy, productive and safe by providing services and information to all who may be adversely affected by alcohol, drugs and related issues” (Council on Recovery). To work towards this mission, they offer a wide range of services such as individual and family counseling, case management services, educational and prevention services, community outreach, supportive services as well as screenings for state funded inpatient drug and alcohol treatment facilities. Many of the Council’s employees are based in their main office, but there are also more than 50 clinicians who are based in MHMRA facilities across the city.

Client stated that she first started using alcohol at the age of 14. Client reported most recently consuming alcohol within the past 2 days of this assessment. Client reports out of the last 90 days prior to her evaluation, she used alcohol on 70 of those days, 45 of those days she drank herself into intoxication. Client reported over the past 2-12 months, she has had repeated

In the practice of Human and Social Services, professionals are challenged with resolving ethical dilemmas. The decision -making process in addressing ethical issues that professionals needs to highly consider when making decisions it should be based on doing the next right thing. The Human and Social Services professionals has the responsibility to the client/consumer, public, employer, colleagues and the profession to display ethical behavior at all cost. When working within a nonprofit organization (NPO) it is important to do what is knowing ethical right and morally correct.”

Alcohol abuse is growing rapidly throughout U.S. society. One in every twelve adults is being diagnosed with alcohol abuse (Barlow and Durand, 2006). All that are diagnosed with alcohol abuse must meet one or more of the following criteria within a twelve month period: he/ she must fail to accomplish major work, school or home

The participants were looking for help, which it created some confusing thoughts; I thought AA meetings were mandatory for all participants. It also made me realize with all the brief stories how alcohol is an enormous concern in our society, however our society has normalized those concern and convert the negative impact of alcohol into something positive. It drive me to think that 12 steps program work, and it should be part of a treatment. After, the meetings that I attended; I feel the 12-step program will work if professionals in the Human Services area introduce the program on a positive manner. It may be challenging because of the religious portion for some cases, however this may introduce the participant’s new ways to cope with the struggle of alcoholism. At the same time, the main benefits for the client will be abstinence and support. The abstinence is a continuous process and through the meetings clients will be able to keep the abstinence from alcohol or other drugs. Conclusively, there was an environment of hope in the meeting. During, the meeting one of the participants was a new member. He described how alcohol destroyed his family and he is trying to get his family back, however his wife does not want to come back with him and a divorce petition was completed. This particular participant found in the 12 step meeting comfort and support from his peers. Besides, the comfort the participant

This program consists of following a set of recovery steps, which will help one achieve abstinence of alcohol. One can also get a sponsor, which will help guide them through all the steps. The program is completely free the only requirement is the desire to stop drinking. As nurses or any health care provider I think it is our duty to provide this type of information and to help educate others on how the program helps maintain sobriety. It’s important for a nurse to provide support with their client through this journey and also to their family and friends. Nurses need to provide encouragement and explain that this is a process that will take time and not happen

As in the case of Hazle v. Crofoot, Hazel felt he was being forced to choose between relinquishing his personal beliefs about spirituality and religion or go back to prison (Civil Rights Litigation Clearinghouse, n.d.). In order to help those who have substance use/abuse and addiction issues it seems plausible to insist those who are imprisoned or paroled to attend some type of recovery group as part of their sentence parameters. There are alternatives to religious/spiritually based programs as follows; Women for Sobriety, SMART Recovery, Secular Organizations for Sobriety, and LifeRing Secular Recovery (Stout Street Foundation [SSF], 2017). SSF (2017) also suggests a questionable program called Moderation Management (MM). MM is designed for individuals who feel alcohol has resulted in unfavorable consequences but do not feel they are alcoholics. This program offers guidelines and tools to help control alcohol consumption. Additionally, the ask members to participate on self-reflection about the results of their drinking, how they can be a more responsible drinker and what impact drinking will have on in their lives (SSF,

The purpose of this research paper was to attend two support group meetings and share my experiences. The meetings that were to be attended were an Alcoholics Anonymous