1. No signs or symptoms of intoxication or withdrawal were present while in treatment. Current status is unknown.
Risk Rating: 0
ASAM LOC: 0
2. No biomedical signs or symptoms were present while in treatment. Current status is unknown. Client is recommended to obtain a complete physical exam to rule out any medical issues that may interfere to complete treatment successfully.
Risk Rating: 0
ASAM LOC: 0
3. Client continues to demonstrate unstable behavior within the treatment as evidenced by multiple jail sanctions while in IOP treatment, and arrested on suspicion of DUI on 08/29/2017 as result of continued alcohol use. Treatment in a higher level of care is indicated as evidenced by lack of ability to control his impulses to use alcohol and/or other mood-altering substances despite negative consequences.
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Although client completed Intensive Outpatient treatment and increased awareness about negative impact of substance(s) use, client has not yet implemented recommended changes, and will need to increase the degree of readiness to change, which can be addressed at Level 3.1 inpatient treatment services.
Risk Rating: 3
ASAM LOC:3.1
5. Client is at a high risk for relapse as evidenced by his continued alcohol use. Client appears to be unable to maintain sobriety on his own and has little recognition and understanding of alcohol and substance use relapse issues. Client appears to have poor skills to cope with and interrupt addiction problems, or to avoid or limit relapse. Client would benefit from an inpatient treatment to target problem
Xavier then reported, the applicant recovery is up and down and the reason the patient was transferred and admitted to the Norwich location was due to an altercation as the Hartford Dispensary has zero tolerance for physical violence. Since May of of this year, the applicant's UDS results are negative. Last positive result was in April for cocaine, according to the counselor. Please note, during the applicant intake, he was asked about other illicit drugs and only confirmed for use of heroin and THC, not the cocaine. The applicant's current dose at the Hartford Dispensary is 105mgs as he is being detoxed daily. His highest dose was at 145 mgs before his detoxification. The physical altercation was the applicant's first behavioral incident at the clinic. He was also on a 90 Probation for his illicit use and it would have expired in August, but due to the recent incident, he was removed from the clinic, not discharged, but transferred as mentioned before. Counselor Xavier only concern of the applicant is maintaining his
The screening should focus on safety risks associated with withdrawal and intoxication. • Case examples It is important to look at case scenarios and try to relate the case to the situation at hand. This is important in that it will allow one to draw important lessons on how to organize the plan and
No signs or symptoms of intoxication or withdrawalwas reported at time of discharged. Client reported no urges or cravings at time of discharge.
PO had no service plan open in this dimension due to participating only one week in treatment. PO reported that he is living with his fiancé and her children at this time. PO reported he is not working due to working increased a level of stress and anxiety into his daily life. PO reported attending AA meeting and communicating with his sponsor regularly. PO will benefit from building and utilizing positive
2) Client reported that he wants to call his baby sister that has cancer and let her know that he is need a program in Fresno CA, 3)Client reported that he wanted to work stabilizing his efforts in staying clean. Client reported that he had 14 clean and sober and what he feels that caused him relapse. A) Client during the time of his 1x1 session became emotional and teared up for several. Client appeared and stated that wants to stabilize his recovery and not have to relapse again regarding
Bill reports Alcohol use since age 13, marijuana use since age 16, he then began using cocaine and heroin as well as Xanax around age 18. Bill is now receiving Vivitrol to assist with his addition. He is receiving individual and Intensive Outpatient Program (IOP) group therapy now. Goals
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
Substance Use History: The patient denies any drug or substance use except for Alcohol and Marijuana; started using in high school and everyday use.
Client presented staff with a challenge when asked to work on today’s assignment because he believed none of the relapse warning signs applied to him, and he claimed could give a reason why for each of the 53 signs. It was pointed out that he must have relapsed since he is in a DUI II program and was asked about the circumstances that led up to this occurring. After hearing a quite lengthy and convoluted response, he inadvertently revealed that he actually had at least several relapse warning signs including I resent the people closest to me, I don’t believe I’ll ever have fun sober, and perhaps most salient, I am overconfident in my recovery. Subsequently, however, he did not admit these things directly, and did not actively fill out anything on the relapse worksheet and presents with the attitude that since he has a sponsor, goes to meetings, and feels he no longer wants a life that is riddled with consequences due to his drinking, that “he’s got this.” After being given a caveat about complacency, client did fill out a separate worksheet and listed 10 positive people, places, or things, and seemed to have an authentic grasp on what these should look like. Interestingly, he did choose to list “Think I can do this” in the Negative column, possibly showing some recognition of the lurking dangers of
Jed, a 38 – year old welder, enrolled in the treatment center after his arrest resulting from drunken driving (DUI/DWI) (National Institute on Alcohol Abuse and Alcoholism, n.d.). His lawyer has advised him to stop drinking and get treatment until his trial date, which is in approximate two months. Jed does not believe that he will serve any jail time, but feels that treatment could help strengthen his court case (National Institute on Alcohol Abuse and Alcoholism, n.d.). In this paper, I will create a relapse prevention plan that will aid Jed as he enters into his treatment program. This paper will also show
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.
A client admits to alcohol dependency on a consistant and regular basis because the loss of job. The client exhibits hopelessness and depression. The client has explained they experiencing insomnia, and decreased energy to do anything. This explains their poor personal hygiene. As the clinician the safety of the client is of the utmost importance.
SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married.
ABSTRACT: Information Technology General Controls (ITGCs), a fundamental category of internal controls, provide an overall foundation for reliance on any information produced by a system. Since the relation between ITGCs and the information produced by an organization’s various application programs is indirect, understanding how ITGCs interact and affect an auditor’s risk assessment is often challenging for students. This case helps students assess overall ITGC risk within an organization’s information systems. Students identify
FFC is a publicly traded, regional grocery store chain located throughout mid-Atlantic region; heavily relying on an integrated suite of application programs to manage its information. A new fingerprint bio-coding payment system was implemented by FFC to further its competitive edge. Such complex and sophisticated system requires FFC to change several of its ledger application programs, with particular emphasis on cash receipts processing. Therefore, the ITGC review is necessary.