IOP Case Summary

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.

100).” This cycle is broken through detoxifying the body of these substances and then dealing with withdraw symptoms. Withdraw is usually the most trying time in recovery, common symptoms are nausea, nightmares, seizures, depression and hallucinations (Renner, et al, (2011) p.102).

Although the main goal of the assessment is to refer clients to treatment, many clients refuse treatment. However, they are willing to accept referrals to non-addiction agencies to resolve problems that have either been caused by addiction or that led to the problems. This assessment may be an intervention that the client needs. You will want to use the appropriate research-based screening tools that may be applicable to the client’s individual circumstances.

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

PO is referred to continue chemical dependence treatment at the community agency. PO will need to have a new assessment to determine appropriate level of care. PO is recommended to attend minimally of two self-help meetings per week, abstain from all mood-altering substance, and utilize positive support structure to aim and maintain substance free lifestyle.

The principle of treatment therapy is to helping the patients to reduce problematic drinking, deterring relapse back to heavy drinking and achieving and maintaining abstinence from alcohol (Edmunds, 2014). An oral naltrexone (ReVia) or injectable Vivitrol, Acamprosate and Disulfiram are used for the treatment of alcohol abuse (Edmunds, 2014). Disulfiram are used more often if unpleasant physical symptoms when alcohol is ingested but is reported to be more expensive and have reported to have adverse reaction to the patients (Edmunds, 2014). Benzodiazepines such as Lorazepam and Diazepam are also widely used for treatment of alcohol withdrawal. With the side effects and overdosing of benzodiazepines remains controversial in treating alcohol withdrawal and is always in need to monitor the patient for abuse (SAMHSA, 2013). Additionally, social detoxification and lifestyle management would benefit the whole treatment process such as referring the patient to social support groups and encouraging the family to support the patient during the treatment

The National Center on Addiction and Substance Abuse provides guidelines and recommendations to healthcare providers in terms of how to screen for an addiction. Opioid addiction is screened primarily through patient interviews involving both specific and open ended questions about their lifestyle, mood, and drug use. A psychiatric exam may also be administered to look for psychological factors indicating an addiction such as depression, anxiety, and other psychological symptoms related to addiction and withdrawal. Withdrawal is evaluated by gradually taking a patient off opioids and if symptoms of withdrawal are found the severity of the withdrawal itself is then evaluated.2 If a patient is diagnosed with an addiction to opioids then the transition to tertiary prevention, or treatment will occur. However, treatment will only occur if early detection and screening techniques are utilized fully by healthcare provider otherwise it is likely an overdose will kill the opioid

One of the initial processes of treatment includes that of medical detoxification. Detoxification, is defined at the period of time a client is withdrawing from AOD (141). This detox is necessary in regards to drugs, such as CNS depressants, because of their dangerous withdrawal symptoms (21). Careful medical supervision in regards to withdrawals as well as medications that may be used in treating symptoms related to these effects. This process

There are a couple different types of detox that they use for their patients who are coming off of drugs. They usually use a step-down method, in which a nurse would slowly taper the patient off of the abused substance, as well as situational detox. This type is mainly for

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.

Pt is a 15 y/o African American male presented at NNBHC with a dx of PTSD, ODD, ADHD, Bipolar Disorder, and Depression, who have been demonstate emotional instability and aggressive episodes in the home. Pt discussed that he have been having difficulty controlling his anger when triggered for getting trouble. Pt stated that he god in troubled for hiding soiled clothes in his drawer, where his mother found them. Pt stated he became upset and demonstrated verbal aggression which includes threats and foul language. Pt states that he black outs and have mind/body experiences where he lose control over his actions. Pt states that during his anger outburst typically one of his parents have to tell him what he has done. Pt states he is easily trigger by being called “fat” or discussion of his bed wetting. Pt discussed he frequently have phobias in new places due to believing he may be sexually assaulted again which intensify his nighmares and nocturnal enuereis.

The purpose of this interview was to assess the patient 's need for addiction treatment by reviewing patient 's present and previous usage history, emotional and behavioral stability, and potential for relapse, environment, pertinent medical conditions, and willingness or desire for treatment. An interview and medical records gathered this data.

Having to experience withdrawal first hand, and the difficulties that come with trying to abstain, I will have more empathy for my clients who are going through their own addictions. I can now realize that although cognitive behavioral therapy is helpful, it is not the only method with dealing with an addiction. Motivational interviewing is a good technique as well as implementing the stages of change model into therapy. A plan of action needs to be in place, as well as a means on coping, which I did not have in my experience. As noted in my log, I have no clear means of coping; in fact I often report not coping, but rather waiting the thoughts out. Someone who is addiction to a more powerful drug or behavior will be set up for failure. I also had no plan of action in place in case I did relapse or to prevent myself from relapsing. This could include daily activities such as exercising to get the same euphoria (feel good feelings) effect, or journaling when times were rocky. I stated several times that my triggers were other people who had an energy drink around me, chaos, being tired, and stress. These are similar to almost every person(s) of

NIBCO is a pipe and valve manufacturing company headquartered in Indiana with ten plants and three distribution centers. NIBCO wanted their business processes to be strategically improved in order for their manufacturing facilities and distribution centers to meet their customer’s requirements (Brown, DeHayes, Hoffer, Martin, & Perkins, 2012). There were multiple systems being utilized within NIBCO and none of the systems had the ability to communicate with each other which created duplicative and wasteful resource efforts. NIBCO’s decision to implement an ERP system was to improve their information systems. Beutler (as cited in Brown et al., 2012) stated that the consulting group reported to NIBCO “to look at integration as a major

Each client who decides to seek treatment will first undergo a thorough assessment. This assessment will include use of two or more self-reporting tools. These tools may include the DAST-10, AUDIT, Kessler 6 &10, and C-SSRS (Columbia-Suicide Severity Rating Scale) (SAMHSA, 2011, para 3-4). These scores will be used in conjunction with the “DSM-5 section III emerging measures” (SAMHSA, 2011, para. 2). A proper assessment is needed to determine the severity of substance abuse and the mental state of the client. If needed, the client will be further evaluated for the need of psychiatric medications to stabilize any potential mental illness concerns such as depression, anxiety, or schizophrenia.