Problem # 5 Illicit's): To Become Drug Free Status: Active

Attended all treatment group as scheduled and actively participated in the group discussion and provided supportive feedback to others group members. Client is in compliance with treatment and all his legal mandates, and appears to be in the action stage of change. Overall, client is making steady progress in treatment.

As previously discussed, the program the author would choose to evaluate is MAT treatment programs. This population consists of individuals that have been diagnosed with opiate use disorder, and receive opiate-substitution medications, such as Methadone or Suboxone. These program evaluations would be consumer-centered, performed in the clinics they receive services. Interested stakeholders would include the treatment center where the participants receive services, as well as other MAT service providers. Additionally, the funding sources for these individuals and program centers, such as county, state, and federal agencies, along with medical insurers, would also gain value from the program evaluation research.

There are a variety of treatment modalities, both conservative and emerging, that clinicians, therapists, and doctors use to treat heroin and opioid dependence. Cognitive behavioral therapy (CBT), motivational interviewing (MI), 12 step programs, and acceptance and commitment therapy (ACT) are just a few that have been used in the past, and even today, in the treatment of substance dependence. Medication-assisted treatment (MAT) is yet another form of therapy; particularly for opioid and heroin dependence, that has been around for decades. However, it has recently begun to spark interest and controversy in light of the growing epidemic.

The textbook pointed out that drug prevention and drug ________ might have different goals and use different approaches.

In October of 2002, the Food and Drug Administration (FDA) approved the use of Suboxone for the treatment in the United States of opiate addiction (Mintzer, 2007). It is a medication-assisted treatment; however it “does not require participation in a highly-regulated federal program such as a methadone clinic” (Stuckert, 2013). It does not cause the high or euphoria feeling associated with opiate dependency. In fact many patients that have taken the treatment have said that they have felt little more than having more energy and no real high at all (Thompson-Gargano, 2004).

There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.

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

PO was on time and participated in the group activities. PO stated “I am in the maintenance stage of change because I am in treatment. My clean date was 12-14-2015”. It appears that PO is making a steady change while in recovery as evidenced by staying clean and sober, and attending treatment and going to self-help meetings on a regular basis to maintain his sobriety. PO had a positive response to treatment.

will schedule an appointment to discuss and create a budget plan. Patient is currently free from all illicit drugs, which has helped her Adderall medication to be more beneficial. Primary Counselor will encourage Pt. to follow through with all mental health appointments. Counselor will prompt Pt. to develop a positive self-image. Pt. has denied having any auditory or visual hallucinations during the last quarter as evidenced by group and individual session notes. Pt. has had some setback in achieving her goals of decreasing her family conflicts and resolving intimate relationship issues. Counselor will encourage Pt. to attend the AMS parenting group and share her expectations regarding having a more functional family unit. During the next quarter therapy sessions, Counselor will utilize role-playing, role reversal, modeling, and behavioral rehearsal to assist Pt. in order to develop positive ways to resolve conflict with ex-husband. Pt.’s current treatment plan goals focus on opiate use disorder, financial, mental health services and parent-child relational problems. During the upcoming quarter, current goals will continue to be

has become more financially stable during the last quarter. Pt. reported some financial struggles but he recently found a new full-time job. Pt. has done well in achieving his goal of maintaining financial compliance with all treatment fees over the last quarter. Pt. always maintains a positive balance in his AMS account. Pt. reported that he needs to pay several traffic tickets to obtain his driver license. Counselor will encourage Pt. to report any negative financial changes to his AMS Primary Counselor and/or AMS Director as soon as

The Board office received a letter from Mary Fahey, MPHP via fax on 05/04/2015, advising that Dr. John Medley, M.D. a current “ILOD” status had informed her that he had relapsed over the weekend of April 25-26, 2015.

D-The patient reports he is not stable at his current dose to the point he want to taper off. He expressed the need to want to get off on methadone. This writer listened to the patient vent about issues in his personal life and problematic issues with his transportation to ensure he dose daily. This writer then proceeded to discuss with the patient as to why he had entered treatment, his aspiration for his recovery process, and addressing alternatives to his barriers. The patient then reports he hasn't used any illicit drugs for three days, at which this writer commended the patient. When asked about what strategies to used to refrain from illicit drugs, he reports keeping himself busy and continue to care for his parents. The patient was

PO is to continue his current level of care. Case will be discussed for treatment completion

evaluation. I was able to assist the occupational therapist with TS’s evaluation. During my hospital experience, TS went to his dialysis. I was not able to do a lot of interventions for his multiple

RT came into the MOP office and appeared to be doing well. RT informed writer that he has been doing well and remains to stay off of drugs. RT stated " I only smoked 3 cigarettes for the day so far, that is better than I usually do". RT also stated that he haven't been craving alcohol or marijuana. Writer encouraged RT to stay on the right path. RT claims that he has just been sleeping and resting and staying out of trouble. Writer informed RT that once his Psycho-social is complete, his information will be send to Interline Outpatient Program for drug treatment services.