Patient's Relapse: Case Study

D-This writer met with the patient as he was placed on HOLD to address the status of the IOP. The patient provided this writer a paper that was provided to him with listing of IOP for him to explore. The paper shows scribbles of the patient taking down notes about his attempts of who he called. The patient reports Connecticut Addiction Recovery will call him back within 24-48 hours. The patient was able to schedule an appointment with New Direction for May 20th at 7pm; patient spoke with Dan. This writer commends the patient for all of his efforts; however, the patient needs to schedule something earlier than May 20th. This writer asked the patient about ICRC-Coventry House. According to the patient, he called the contact number and showed proof. The patient reports that ICRC gave him two different number and told him to do a walk-in at 8:30am. This writer shared with the patient about a recent conversation this writer had with ICRC. This writer told the patient

D-This writer met with the patient upon her request to complete the dose change request form to lower her dose as the patient experience she wants to start tapering off methadone as the patient haven't used any illicit drugs for several months. This writer completed the dose change request form with the patient pressence and also, assessed the patient that she has not experience any withdrawals since prior increase based on her order history. The patient denies any cravings and withdrawals. Furthermore, while completing the request, this writer learned that the patient is prescribed with Albuterol inhaler and strongly urges the patient to bring in the RX script tomorrow. The patient complained that no one has ever told her of this and this

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

Pt. called this writer to report that he no longer wanted to be in the program. Pt. asked if he needs to sign a Voluntary Request for Termination. Pt. reported that he is going to stop by the clinic to pay his tx services fees. Pt. stated, "I am done wit methadone. I'll go there tomorrow and pay my bill in full." Counselor told that he needs to talk to the head nurse and to sign the AMA Detoxification Agreement tomorrow, Saturday 2/25/17. After discussing this issue with him, he still insisted that he did not want to be in the program and he wants to sign the AMA Detoxification Agreement

This writer and the Program Director met with the patient to share an explanation about dosing time arrangement. According to the Program Director, she provided the patient with an explanation as to why he will have to dose between 9am-11:30am due to patient #394 and her husband medical issues. If the patient returns back to work and needs to dose at an earlier time, the patient must provide proof his work schedule for the dosing time arrangement to be changed again. The patient requested for assistance from the clinic to preschedule his Logisticare transportation of which the Program Director and this writer agreed to assist him with. After the discussion with the Program Director, the patient was not pleased and began to get emotional as he feels victimized again. This writer explained to the patient, the patient reason for the dosing arrangement is due to the allegation and safety reason. However, the patient understood the purpose of the arrangement, but he was more concern about getting the earlier appointment rather than a later time. This reiterate about what the Program Director mentioned about if the need to change the dosing time, the patient needs to provide proof for such request. The patient provided this writer with a copy of his ER visit dated for 02/23/2017 of which the patient did in fact received one pill of Klonopin.

Mrs. Causey is a 47 year old female who presented to the ED voluntary admission after being found intoxicated and walking around with a leg injury. She reported to ED staff of an intentional overdose on 10 tramadol to relieve her of her leg pain. She stated to ED staff, "I want to just go to sleep and not wake up." Dr. Ghim requested an mental health assessment. The initial assessment suggested from TTS inpatient recommended she currently meets inpatient criteria, however suggested a reassessment in the morning to determine appropriate need for care. TACT initially assisted Dr. Snyder with IVC, however rescinded IVC after TTS reevaluation disposition for Mrs. Causey. TACT provided outpatient referral information to Mrs. Causey, contracted

D: Group topic was focused on Dim 5. Reviewing the relapse process, identifying relapse warning signs, discussing how to take steps in the right direction and avoid even small steps back toward alcohol and other drug use. Client was present and actively engaged in the group activity as evidenced by completing the worksheet, and shared personal plans to maintain sobriety. Client stated “

Recovery is a process and not something that happens overnight. Relapse still remains a challenge in and during the recovery process Relapse can happen at any time, even after years of sobriety. When addicted to something the brain is altered, this sets a person up for relapse and leaves them vulnerable to their addiction. Long-term recovery is attainable, as long as the right form of treatment is used, and as long as the treatment plan is intended for the specific needs of the individual. Addiction causes many changes and (it’s not enough [to] simply get a person off drugs…[the] physical, social, [and] psychological [needs] must also be addressed to help people to stay off drugs for good.) Relapse takes a toll on everyone who is invested in

The patient arrived on time for the counseling session. Reports feeling unstable on her dose and requested for a dose increase of 5mgs. Please note, the patient relapse last night and her relapse use listed above this header. According to the patient, she reported the following withdrawals: cramping in the stomach, backaches, feeling sick, chills. and sweats." This writer completed the HCRC internal form for a dose change and questioned the patient as to how long she has been dealing with the withdrawals and her response was, " Couple of days." This writer then says, " Edna, if you were feeling this way since last week, you need to report it immediately to avoid a relapse."

The clinical definition of relapse is when a person is affected again by a condition that affected them in the past. By definition, for relapse to happen, the disease must have been in remission or cured. In the case of addiction, the disease is incurable (chronic), however the disease can be put into remission.

Eating more healthy food is an important goal for me. It is because it helps myself healthier, and helps my body function right. Also, it helps me prevent a lot of diseases, and illness. From the food analysis journal I have early, I see that I need to balance on my eating. I need all five categories like grain, vegetable, fruit, dairy, and protein food. I am under eating on all of them. Since I am taking this class and realized how important of food to do our body, I will take an immediately action. I need to figure out what kind of food in each category I want to eat, and need to balance how much I can eat for each day. Since, this is a weekend, I can go to grocery store to get what I want to eat. By Monday, I will started on eating all of the healthy food that I planning. Eating more healthy and keep tract on it is not easy, but

In 2005, the Government Accountability Office (GAO) conducted a meta-analysis on 39 adult drug courts around the country, to assess whether drug courts were effective at reducing recidivism and substance abuse relapse among drug court participants (Franco, 2011). The study found a statistically significant recidivism reduction among drug dependent participants than comparison groups. GAO’s study also found that among the drug court participants, program graduates had lower post-program recidivism than dropouts did. Furthermore, drug court programs using drug-test results report that the participants had lower drug relapse rates than comparison groups. In spite of that, the GAO’s study noted that self-reported drug use should be considered as

The patient is a 43 year old female who presented to the ED with SI to overdose on prescribe 5mg pill bottle of Valium. Per documentation the patient has been in an abusive relationship for a year and posted on Facebook she would take her whole bottle of Valium if her boyfriend would not be in a relationship with her.

DATA: Today’s group has been facilitated by Kirsten again, and includes relapse, what it is, and how each client can prevent it. Being that relapse is a process, it is an ongoing situation that can be interrupted, rather than a static event that is over and cannot be changed. It involves the individual reverting to old attitudes, beliefs, values, and risk behaviors. These are part of a progressive pattern, and will worsen until the process is interrupted or changed. Relapse is not a sign of failure, and, at times, may be part of the recovery process. There are times when individuals are more vulnerable to relapse, specifically, when they are too hungry, angry, lonely, or tired (HALT), and need to be aware of this vulnerability, and take

Relapse is an unpredictable risk factor for every patient. Before treatment begins, patients need to be informed of the long - term risk of relapse and the ways that this may be reduced.