Individual Ized Treatment Proposal: A Case Study

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

Contact between an addictions counsellor and a client is usually initiated by the client referring him/her self, an outside agency refers them, family physician or the addictions counsellor initiates contact through outreach or other agencies. Assessment can be seen as the beginning of treatment and it becomes an opportunity to encourage the client to begin to move towards change. The initial assessment involves a mutual investigation and exploration between the client

Constructing a treatment and service plan for a client involves various components. Prior to starting a treatment plan the professional should carry out a client evaluation. The evaluation should determine the basis of the difficulty or issues and assess the back ground of the client. After the completion of the evaluation, a professional can start constructing an agreement to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing, this assessment will discuss the components of Mr. McCunes personalized treatment program.

Also, possessing effective communication and listening skills is paramount in noticing warning signs and patient needs; so, the appropriate recommendations for treatment options or referrals be researched and conducted. Furthermore, for better service and customer relationships, the ambiance should be welcoming, modernize, and universal. To accommodate their needs, facilitators must properly manage their staff and patient activities; and, certified treatment providers should be versatile, well-equipped, knowledgeable, and routinely trained. Also, facilities must offer myriads of treatment options that includes after care and referral programs; offering incentives and rewards for good behavior and improvement; group and family therapy; and routine questionnaire, listening periods, interventions or follow ups. Moreover, advance technology means facilities should bring services to their patients by utilizing mediums such as Google maps; online consultants or group counseling; and to advertize and promote its objective via Face book, twitter, addiction treatment apps, websites or blogs. Consequently, for those seeking treatment, these mediums offer reliability, reassurance and confidence via patient videos, referrals or photo reviews of addicts’ experience.

The reading entitled “The Treatment Plan” focuses on developing treatment plans, particularly for those in substance abuse rehabilitation programs. First, the interdisciplinary team, which consists of a variety of professionals such as doctors, nurses, and therapists, writes a summary of the client at intake to determine the problems, how they came about, and the potential solutions. Next, a problem list is created. The problem statement is one sentence explaining the problem, which is abstract and not tangible. Therefore, signs and symptoms are also listed underneath, such as history of DUI and the blood alcohol level. These are used as evidence to back-up the problem statement. After, for each problem statement, several goals are listed that

I don’t know what to do. No matter what I am doing never satisfied her.” Client reported participating in self-help meeting regularly and will continue to do so. Verification of self-help meeting attendance was provided. No other problem was identified. Reviewed initial ISP dated on 03/19/2018, to identify new ideas about addiction and learn to practice coping skills, reported still working on completing the ISP. Reviewed ISP dated on 03/26/2018, to maintain sober and not to use drugs and alcohol. Reported that he has not started working on it yet. Both ISPs were extended for 04/25/2018. ISPs are continued to be monitored. No new ISP was developed at this time. Discussed relationship issues, and assisted client to understand the importance to have health boundaries with oneself and others. Discussed the reasons to complete ISP on time and to abstain from alcohol and drug with client. Discussed personal

Objectives/Progress: As the Pt. has participated in the AMS program since 8/24/16 and he has been able to maintain abstinence from all illicit drugs for 6 months straight t. Pt.'s UDS has shown no evidence of drug use or lapse/relapse. Pt. is currently in the action stage of change as indicated by reminding himself of how much progress he has made and ability to change his behavior and achieve goals during the past quarter. He has currently obtained a full-time job as a shelving installer. Patient reports as scheduled to receive maintenance medication services as instructed by AMS Doctor and attends all mandatory one therapy session once a month. He continues to share his understanding of being powerless and unmanageable over his addiction. During the next quarter sessions, Counselor will support a realistic view of change through small steps.

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.

Substance abuse: The client reported abstaining from using illicit substances at this time. The client reported feeling motivated and his plan to remain sober while in the program. Client confirmed that he continues with his methadone maintenance program.

Met with client for ISP review and to discuss treatment progress. Client appeared to be stable and engaged in the conversation. Client reported that she completed the FAFSA and is planning to go to Everette Community College in the summer. Client reported no use of substances. Client reported coping with temptation by walking away from the situations. Client was reminded that her relapse potential was moderate to high at this time and that she thus would be cautioned to avoid any unintended consequences; with help and support from treatment and her family, client would make his treatment a success. Reviewed ISP in Dim.5 dated 11/29/17, reported completion on approach C, but was unable to identify which peer pressure could be positive (approach

Problem # 5 Illicit opiate use Goal(s): to be free from illicit drugs. Status: Active Objectives/Progress: Pt. has struggled with continued use of illicit drugs (marijuana, opiates and amphetamines) and his last quarter UDS reflect a pattern of heavy substance use. Pt. was encouraged to work with the medical staff to achieve a stable dosing level. Pt. is regularly taking his medication as prescribed by AMS Doctor and he stated his current prescribed methadone 90 mg is working "well". During the last quarter, Pt. made progress on developing a therapeutic relationship with his new AMS counselor for the upcoming quarter. Also, Counselor focused therapy session on establishing rapport and building trust with him. Pt. is currently in the contemplation stage of change because he more open to receiving information about his negative habits and willing to use educational interventions which he agreed with this assessment. Pt. was reinforced for any statement that reflected acceptance of his chemical dependence and acknowledgment of the negative consequences that opiates has had on his life. During the upcoming quarter, Counselor will assist Pt. to discuss and weigh the pros and cons of continuing his addictive

These modern or alternative treatment techniques include options like recreational therapy, yoga, music and art therapy and dual diagnosis treatment. These treatment modalities are used to help patients regain the life skills and coping capabilities that may have been displaced while caught up in the cycle of addiction. This facility also focuses on family involvement in the treatment process through a formal family participation program. All of these options are available to experienced addiction counselors who are charged with developing tailored treatment programs for patients.

In addition, abstinence is the client’s way to remain substance free, by establishing a stable and healthy lifestyle, develop coping/living skills, and increase support of family members to protect the individual’s best interest. Last, maintenance concept, is a relapse prevention or termination stabilizing their success when in treatment. Fourth, an individual may gain momentum using models such as the CENAPS Model, with self-regulation and stabilization. To clarify, teaching or educating a client about self-regulation helps a person with their thinking, emotions, thought process, memory, and judgment changing at risk of relapse to a minimum.

Addiction treatment is a complex and paradoxical issue. Despite the fact that most of the medical and academic institutions define addiction as a chronic brain disease, it is too often treated on an acute basis. Chronic conditions are defined by the World Health Organization (WHO) as requiring ongoing management over a period of years or decades and cover a wide range of health problems. The goals of chronic care are not to cure, but to enhance functional status, minimize distressing symptoms, prolong life through secondary prevention and enhance quality of life.

Residential treatment (RT), which is currently recommended, actually places the substance abuser in a facility where care staff and experts who oversee their treatment monitor them. For Levi, this is a combination of medication, psychotherapy, physical activities, social activities, and counseling. The target is to support, guide, and monitor the client in completing this treatment plan, wherein the target is for the client to be rid of said addiction through the course of the plan. The continuum of care for addictive and compulsive behavior will be an important element in the plan. Additionally, the plan will take consideration of the particulars of the client to fit the plan to the client 's needs, situation, and personality. Wenzel, Brown and Beck (2009) suggest that "in the first session of counseling with suicidal patients, the following strategies should be used: (1) discuss structure and process of treatment, (2) emphasize compliance by the