Name: Rosa Lee Cunningham
DOB/Age: October 7, 1936/ 56 years old
Date of Interview: 02/10/2015
Evaluator: Rachel Cox BS, CSAC-I
Reason for Assessment:
Rosa Cunningham (full name is Rosa Lee) is a 53 year old African American female client of average height, slight build, and is appropriately groomed. She has 8 children, 2 of them being female and 6 males, all adults. Rosa is a widow and reached this status after being separated from her deceased husband for many years. Rosa is currently hospitalized for pneumonia, and has been hospitalized several times in her life for diferent illnesses. Rosa’s medical history as self-reported is HIV and seizures. Rosa is a heroin addict and has been this way for several years. Rosa is involved with the local methadone clinic and receives 55mg of methadone daily. Even by receiving this daily dose of methadone, Rosa continues to use heroin. Rosa has several legal and health issues that are present also, despite which she continues to use heroin. Rosa has a lengthy criminal history to include arrests for prostitution, larceny, and selling drugs. The reason for today’s assessment is a referral made by the social worker at the hospital in which Rosa is a patient at and discharge planning is to be made for aftercare.
Sources of Information:
History and background information is provided by Rosa and also from medical and legal records.
Psychosocial History:
Rosa Lee Cunningham was born into a family that lived in North Carolina and worked as
Todd and Reggis is a same-sex couple. Same-sex relationships commonly attract significant stereotyping in the United States. While handling clients, the human services professional must not base their decisions on such stereotypes. In the case at hand, the professional much guard against racial stereotyping as well. Reggie is black while Todd is white. The past of the two clients, all of them having been convicted and jailed before, can also influence the professional’s judgment if they do not stick with the standards required of them. While both Reggie and Todd have a history of using drugs, it would be inappropriate for the human service professional to conclude that the problems in their relationship are all drug-related. Such a stand is critical even though the society commonly links most addicts to violence and crime.
* Mother attended her community drug and alcohol team (CDAT) were she was on a methadone programme. Referral was made by her key worker stated concerns that she may be pregnant and concealing it
Presenting Problem: She has a hx of multiple failed placements and relates being placed in the programs for her substance abuse, anger and aggression. She has 2 past suicide attempmts one from an attempted hanging and the other from attempting to jump off a building. She reported feeling homicidal 7-8 times against her stepfather. Rhonda reported physical and emotional abuse from maternal uncle and incidents of sexual assault btwn the ages of 6 and 12.
A pregnant woman who is continuously using illicit drugs may evoke negative bias and create a difficult encounter for me. I would address this negative bias by utilizing “…empathetic listening skills and a nonjudgmental, caring attitude” (Lorenzetti, et al., 2013, p. 420). I would also employ motivational interviewing to address her willingness to change and assess what changes she has made. In this particular case of negative bias several aspects would contribute to my ability to provide proper care for this patient. For example, I must recognize that complete cessation of illicit drug use is not possible, and therefore is not a realistic expectation (Lorenzetti, 2013). I must also assess for contributing factors to nonadherence (Lorenzetti). Most importantly, I must celebrate the patient’s successes with her, and I must make proper referrals when necessary (Lorenzetti).
Rosa Lee Cunningham is a 52 year old African American women with an addiction of heroin. Rosa Lee grew up in poverty. Her mother and father were sharecroppers who had migrated to the city. Rosa Lee had eight children, six boys and two girls. She was 14 years old when she had her first born. While pregnant with her first child, Rosa Lee dropped out of school without having the ability to learn how to read. At the age of 16, Rosa got married. Because Rosa Lee didn’t have a productive role model in life, she
The participant is a 49 year old African American male who began using substances at the age of 13. He was diagnosed with severe alcohol, cocaine, and opioid use. The participant has been incarcerated over the past 32 years. He was recently paroled after completing eight years of a sixteen year sentence in the Illinois Department of Corrections for burglary and theft. The participant is on medications to treat HIV/AIDS and has been diagnosed with Major Depressive Disorder. He was referred to Healthcare Alternative Systems residential program through TASC as a condition of his probation.
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
Crystal was a 43-year-old waitress from three forks. Her husband is a convenience store manager and she currently has her own 2 teenage children living with her as well as a nephew, all of who depend on her and her husband. Thus far she had been in custody for 6 weeks. Crystal had been a lifetime user, when asked what her drug of choice was she gave the response “anything and everything”. Crystal admitted to using meth, coke, weed, pain pills, and heroin intravenously. Her first drug offense happened while living in Missoula at the age of 28 where she started prison almost twelve years ago. Following that sentence Crystal had been sober for six years, until she had to have a hip surgery that led her back down the path of drug abuse. She has many prior offenses and recently served 4 years in prison of a ten year suspended sentence. Had crystal not agreed to drug court there was a possibility that the 10 year sentence by Lewis and Clark county would have been reinstated and she would have gone back to prison for the 6 remaining years of that sentence. After treatment court and her current situation and options had been explained to her Crystal signed a contract and was therefore accepted into the treatment court program. It was explained to her that she must comply with all the requirements of drug court, and she was provided with a backpack containing an alarm clock, day planner, meeting schedule, bus route and schedule, as well as the blue book. The backpack is courtesy of the friends of treatment court, a local group of citizens who want to see participants succeed and return to a normal life. Crystal’s goals after the completion of Treatment court are to finish her degree, and become a productive member of
Rosa Lee Cunningham is an African American women born in Washington DC on October 7, 1936. Rosa Lee’s parents were sharecroppers in North Carolina who migrated to Washington DC in hopes of finding a better life and jobs. Lee’s education was cut short as she became pregnant with her first child, Bobby, at the age of 13. Lee conceived 8 children by 6 different men. Her first-born was Bobby. Bobby died in January 1994 from the AIDS virus. The second born is Ronald Wright who is a heroin and crack addict and a criminal but also works at a suburban Maryland restaurant and lives in a abandon house in DC. The third born is Alvin Wright who has been a Metro bus driver since 1980. The fourth born is Richard Cunningham who was shipped off to an in-patient drug facility in Denver, Colorado but violated parole and is now serving time in the DC prison system. The fifth born is Eric Wright who works for the US Park Service and lives
A psychiatrist in a methadone clinic in Northeast Washington, D.C. works with patients who are addicted to drugs. Some of her patients suffering from addiction
Case Study: Sheila's Substance Use and Crisis Treatment Plans Sheila is a single 35 years old mother who lost two sons to child welfare authorities and currently lives in a shelter (Confederation College, 2018). She has been dependent on alcohol for about 20 years (Confederation College, 2018). She has a track record of offenses, such as shoplifting and selling illegal drugs (Confederation College, 2018). At this present time, she has a court case coming up for stealing and assaulting a police officer while under the influence of alcohol (Confederation College, 2018). In the past, she was taken advantage of sexually by her father, who physically abused her brother and her mother (Confederation College, 2018).
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.
D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.
Substance Use History: The patient denies any drug or substance use except for Alcohol and Marijuana; started using in high school and everyday use.
I will explore the life of a white 23-year-old female college student named Becky who still lives at home with both her parents in the suburbs. Becky has a boyfriend named Jason who is 28 and a high school dropout. Recently Becky’s mother found a package of heroin and cocaine in her daughter’s room however when she confronted her daughter Becky denied that the substance belongs to her. It was not until long that Becky’s drug problem became known when she was picked up from a club trying to buy drugs from an undercover police officer. Becky has been court ordered to go detox then to a rehabilitation center for 90 days as well as attend Narcotics Anonymous and Alcohol Anonymous. Becky’s boyfriend was not