Random Breathalyzer Reports

SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married.

Ms. Bynum is a self-referral who agreed to participate in the TPAPN monitoring program. On 11/24/16, Ms. Bynum tested positive for alcohol (ETG - 2510 ng/ml, ETS - 77 ng/ml) and renewed her program with TPAPN. On 2/26/16, Ms. Bynum tested positive for alcohol (ETG - 7980 ng/ml, ETS - 1580 ng/ml). On 4/7/16, Dr. John Lehman conducted an assessment on Ms. Bynum and recommended 90-day inpatient treatment program that Ms. Bynum refused. Additionally, Dr. Lehman stated on assessment that Ms. Bynum is not fit to practice and has a high-risk for relapse.

As clinicians, there is a duty to provide as clear of a diagnostic assessment as possible, particularly in relation to substance use, in order to provide the best care. In Substance Abuse Counseling: Theory and Practice, the authors state “as with other diseases and disorders, the earlier a therapist diagnoses a substance abuse problem, the better the prognosis for the client.” (Stevens & Smith, 2013) This makes assessment crucial to the diagnostic process. In “Screening, brief intervention, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple heathcare sites,” written by Madras, Compton, Avula, Stegbauer, Stein, & Clark (2009), the reported 2006 NSDUH survey statistics estimated that “22.6 million people harbor a diagnosable alcohol or illicit drug use disorder.” (Madras et.al, 2009) Over the years, researchers have developed

Introduction: long ago the government banned the ability to make alcohol. This has caused a huge uproar which then people started to boot legging, as more and more people started to drink in the safety of their own homes. After the government saw how people were protesting this new law, they decided that they should left the ban. Since then people were able to drink in public, which in return has created another issue, now that they are drunk at a bar, how do they get home. Rather than taking the safe option and utilize some of the state and local programs and call a tow truck, the Driver chooses to just drive how drunk. They think that it’s ok, since they do not have their full mind.

The counselor met with the patient for her scheduled Addiction Severity Index assessment. The patient is a 54 year old black male. The patient states he is single with no children. He report currently lives with sister in law of his decease brother. The patient reports having a 14 years of education however no degree. The patient report receiving disability for mental health disorder. The patient reports he is currently not on probation. The patient reports he last use Cannabis 7/17/15 and started using at the age of 13 and smokes 3 to 4 times a week at least 2 joints. He also report using Alcohol 7/20/15 a 40oz beer and usually drank a couple a day. The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Monday, July 27, 2015 at 02:30p

According to Brian’s YASI prescreen, he has used alcohol, but not in the last three months and marijuana five times in the last three months prior to his placement at Chesapeake Juvenile Services. There are definite signs that his functioning in life is negatively affected by his use of marijuana. There is a pattern that suggests that his use of marijuana is a major contributing factor to his problem behavior. Brian 's first

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

On 02/11/2016 at 1436 hours, I was dispatched to Wawa (1060 Delsea Drive) for a report of an intoxicated male fumbling to unlock his blue Ford F-150 that was parked in the parking lot. Upon my arrival, I observed the vehicle in question leaving the parking lot traveling northbound on Delsea Drive. P/O Ziegler #5196 who arrived with me was able to conduct a motor vehicle stop on the above vehicle as I turned around in the parking lot of Wawa. After I arrived to the stop, P/O Ziegler and I approached the F-150 bearing NJ registration E80GFJ from the passenger side. As I requested the driver now identified as Shawn J. Hammell for his credentials, I observed his hands to be shaking and fumbling as he turned over his documents to me. I then ask Shawn if

I asked McGuire if she was willing to do some voluntary field sobriety tests to

The counselor met with Ms. Gibson for her scheduled individual session. Ms. Gibson states she is not sure when her last substance use was. The counselor asks what I can do to help her get sober. Ms. Gibson report

Mr. Goins is a 52 year old male who presented to the ED via LEO following a 4 day binge on alcohol and requesting help with his dependence. Mr. Goins reports he moved to Asheboro recently and found work, however recently lost his job. He reported a history of alcohol use and depression. Dr. Keith requested an assessment on Mr. Goins.At the time of the assessment Mr. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports 5 days ago he became unemployed. Mr. Goins reports his fiance who is his primary support system left town to go to a doctor appointment in their home state of Georgia. He reports binge drinking for the past 4 days attempting to cope with his recent stressor. Mr. Goins reports calling his fiance last night an expressed to her he need help. He states, "I told her I felt at the time no reason to live." Further Mr. Goins stated, "I just had too much in me last night, I had about 14 of them airplane bottles." Mr. Goins denies a history of self harm. He does report a prior hospitalization for depression in Georgia. He also reports a history of attending substance abuse treatment, which was a positive experience for him.

This is a Level 3 Unit which means that bullet pointing you answer is only acceptable when stated. All other answers need to be detailed and in a narrative format.The sizes of the boxes are not indicative of the size of your answer required to meet the national standards. Keep the formatting consistent with the original document. This helps to demonstrate your IT skills.Use spell check on your computer and check your grammar. This will provide evidence for your level 2 literacy which is recommended for a Level 3 award.

Substance abuse: Youth stated she has been substance free since admitted to CCIS in February 2017. Youth denied smoking cigarettes and substances in the

Why her claim has some credibility to it, a person will still need to attend substance abuse programs and not rely solely on prescription drugs alone. A person will need to continue to go through substance abuse programs, while speaking with a therapist, and a psychiatrist. This will be an ongoing process until the person shows true signs of improvement.

Substance Use History: The patient denies any drug or substance use except for Alcohol and Marijuana; started using in high school and everyday use.