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.
I informed Schinker that I was talking to him because he came through the security station with an odor of marijuana on him. I asked Schinker to explain what was going on tonight. Schinker admitted to smoking "a little bit" of marijuana fashioned in a blunt at a house near Main St. He stated that he didn't know who it belonged to. I asked Schinker questions about him drinking alcoholic beverages tonight. He admitted to drinking 6 beers at the same house. Ofc. Katsma administered a Preliminary Breath Test (PBT) to Schinker and showed him the displayed Blood Alcohol Concentration (BAC) of
She was questioned about the recent use of a drug or drugs. HERRING related she is prescribed Xanax from her doctor and said that was the only thing she took and denied the use of any other drug. She said she is prescribed 1 mg Xanax and can take them three times a day. Her last dose was just prior to being stopped. She had the pill in her pocket, but does not have the prescription bottle with her, she said. HERRING was requested to exit the vehicle to submit to a series of psychophysical divided attention tests; some of which she was unable to successfully
D-Met with the patient as the Women's Group was cancelled due to low attendance. This writer addressed with the patient about her AWOL status, at which the patient started to get emotional as she is struggling with transportation, borrowing her mother's car, her husband is still having issues getting into the Hartford Dispensary-tested postiive for methadone, and too much stressors in her life, which is causing the patient to not eat. This writer validated the patient's feelings, provided support, and made suggestions. The patient admits to relapsing yesterday by purchasing 10 bags of heroin, but using 6 and gave her husband 4 bags-use of method was IV. The patient feels guility of using, but her stress factors are overbearing her recovery process and the patient struggles with coping. She then says, " When I come to the Women's Group, I feel good....I was hoping there was going to be group today....I don't know." This writer provided empowerment and encouragement to the patient to focus on her recovery process and proceeded to discuss risk factors of what she will lose.
I asked McGuire if she was willing to do some voluntary field sobriety tests to
This writer met with the patient to address her non-compliance with treatment, referring to her attendance to the cocaine group and her AWOLs. This writer explained to the patient about the purpose of the clinical intervention as the patient continues to test positive for cocaine, opiates, and fentanyl. The patient appeared to be surprised to learn about the fentanyl results in her UA's and believes that her "dope" could have been laced. The patient is aware of her non-compliance and made excuses by reporting that she tends to oversleep as she often times cannot hear her alarm from her cellphone. In addition, when the patient AWOL from the clinic, she tends to relapse and her most recent was relapse was on 5/29/2017-3 bags of heroin by inhalation.
D-The patient arrived on time for her appointment. Reports stable on her dose and denies the need for a dose increase when offered by this writer. This writer commends the patient complying with daily dosing; however, this writer addressed the patient UDS result patterns of positive and negative. The patient last two urines were positive for cocaine. According to the patient, a lot has been going on in her life. The patient's father has had a heart attack this past month. Also, the patient has an estranged relationship with her mother and her 17 year old daughter. During the course of the session, the patient discussed her drug history and her dysfunctional family. Alternatives and suggestions were discussed as well.
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.
CONRAD displayed signs and symptoms of drug impairment and was requested to submit to a series of psychophysical divided attention tests; some of which he was unable to successfully complete. An odor of burnt bath salts emitted from CONRAD'S vehicle and person. He was questioned on the odor of bath salts that I detected and he replied that he was wearing an orange and camouflage sweatshirt earlier when he went to a party at a friend's house. Once he decided to leave he couldn't find his sweatshirt so he just grabbed one. He said the shirt was probably inside the house for a while and they are always smoking bathsalts in there and that is why it smells like bathsalts so bad. CONRAD said "if anything would come back positive in my system it is because I was at my friend's house party and everyone was smoking
McManus had red glassy blood shot eyes, constricted pupils and a low raspy speech. I requested McManus to exit the vehicle and submit to a series of psychophysical divided attention test some of which he could not successfully complete. McManus placed in the rear of my patrol vehicle and I requested him to submit to a drug evaluation at the Shenandoah Police Department which he agreed on.
I made contact with Powell, Jermaine L. DOB 02/02/77, who related he had a verbal argument with his wife (Powell, Denise DOB 02/24/81 over the discipline of their child (Powell, Nathan L. DOB 09/18/12). Jermaine related that Denise has bi-polar disorder and takes medication. Jermaine further related she has mood swings causing them to fight. Jermaine related he and Denise were separated and recently reconciled one (1) month ago. While I having a conversation with Jermaine I observed signs of impairment, he had an odor of an alcoholic beverage emanating from his breath and person.
She remember enjoying the experience but reports continued experimentation with drugs two or three times per month until college there she stopped drinking following a binge-drinking episode prior to leaving for college in which she reports drinking until she passed out. Following this incident, she reported finding drinking sickening. Then drugs came into play. She now reports using drugs primarily on occasions, along with alcohol. Last use was two months ago, one glass of wine at a holiday party. No current abuse or dependency on drugs and alcohol. Client reports experimentation with weed in high school when her parents divorced. She did not like the taste or smell and reports it made her sick, so she did not continue. Client reports regular use of pain killers, up to six pills per
b. 15 years old female who complained of palpitation and nausea. She was brought to the Emergency Department by her mother. Prior to the admission, she smoked marijuana with her friends. She told the nurse that she did not know that she was not supposed to smoke them and its side effects.
D-The patient reports nothing has changed since his last encounter with this writer. The patient reports he is stable on his current dose, completed his Methadone Stabilization today, and looking forward to his take home bottle, at which is pending for determination by the clinic's TEAM. During the course of the session, this writer discussed topics that was addressed in group and what he have learned.
I have known Haleigh Kushman for around a year and a half. She is my friend/my brother Ridan’s girlfriend; which is how I know her. I see her at least 2 or 3 times per week; almost always at each others homes, as we are neighbors. Her home is drug and alcohol free. I know Haleigh has not driven a motorized vehicle since 8/17/12. To my knowledge, the last time that she consumed alcohol was on 8/02/13. I have not seen, heard, or noticed anything unusual to lead me to believe that she has had an alcoholic drink since then. I have never heard that Haleigh has tried illicit drugs. Since her arrest, I am aware that she has been seeking treatment through her appointments with her alcohol counselor Dr. Melissa Sandeer. I know that she also