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Rosa Lee Case Study

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Financial Aspects. Rosa Lee reports that she receives welfare and social security checks monthly (Dash, 2006). Rosa Lee has tried to meet some of her financial needs by engaging in selling drugs and prostitution. Social Functioning. Rosa Lee reports that she has friends whom she meets with at McDonald’s after visiting the methadone clinic. Most of her friends have either passed away and her only form of social interaction is her trips to McDonalds. DIAGNOSTIC IMPRESSION: Rosa Lee has tried very hard to live a good life, she truly believes she is a victim of circumstances because of her living situation and upbringing. The neighborhoods she lived in, loss of her father, and the lack love from her mother contributed to her making bad decisions …show more content…

Her daughter Patty, was sentenced to jail for a few years for; conspiracy to commit murder and other charges (Dash, 2006). Rosa Lee lost her son due to AIDS and her grandson to gang related violence. Rosa Lee has expressed feelings of guilt regarding the way she has raised her children (Dash, 1996). Scalise and Clinton (2013), states in the text the addiction cycle, begins with unmet need in a person’s life, hitting bottom, seek relief, using a substance, short term relief, and then burnout. Throughout her life, Ms. Lee she has gone through the addiction cycle several times, which started with a breakup with her girlfriend. After Ms. Lee broke up with her girlfriend she started using illicit drugs and every time after that usage she would retreat back to drugs. The cycle is often hard to break without proper support and treatment. The DSM-5 categorizes Opioid Use Disorder (OUD) into twelve categories to determine if a client has an opioid disorder. The client has to have at least two impairments in a twelve month period in order to be classified as OUD. Rosa Lee’s severe opioid use exists due to her having the following diagnoses: large amounts of opioids taken in larger amounts than intended, a persistent desire or unsuccessful attempts to cut down, recurring use that interferes with life obligations such as school or work, continued use despite having a physical or psychological problem caused by use, physical tolerance requiring …show more content…

Detox programs are a gateway into the formal rehabilitation treatment process, which means the patients’ needs other forms of rehabilitation to help the client not to relapse (Doweiko, 2015). When a client is finished with their detox or rehabilitation program, they are plagued with withdrawals or cravings for their particular drug. A drug craving is an intense, subjective, emotional, and physical experience for the individual that varies in intensity between individuals (Doweiko, 2015). This cravings can be easily triggered by various things such as a specific smell, a hard day at work, or even an internal stimulus. Once released from the program, Rosa Lee will have to remember to not fall into the temptation of her cravings for illicit

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