Recommendations: The client needs to be administered a Perceived Stress Scale (PSS) and a Stress Coping Resources Inventory to measure current stress levels. This will also indicate the way the client has been coping with current stressors. It is recommended that the client be assessed using the Michigan Alcohol Screening Test (MAST) and the Alcohol Use Disorders Identification Test (AUDIT) for further information about drug use. In addition, it is recommend that the client attend the Intensive Outpatient program (IOP) is a psychoeducational program designed to teach alcohol and substance abuse users coping strategies. Mr. Smith has hesitated when discussing his alcohol use therefore, group sessions will give the client more support and …show more content…
In order to best serve Mr. Smith’s needs there are several areas that may be targeted for intervention. Long term Goals: Symptoms of stress will be significantly reduced and will no longer interfere with Mr. Smith’s Job performance This is will be measured by Stress Coping Resources Inventory a week prior to the last session. Client will no longer use alcohol to improve his emotional state, therefore, client will use coping strategies to combat recent changes in job environment and anxiety. This will be evaluated through the success of psychoeducational group sessions. Short- Term Goals: Client will learn how to identify irrational and negative thoughts that effect behavior and how to initiate behavioral change. Through Rational Emotive Behavioral therapy, the client will identify their distressing thoughts and evaluate how realistic these thoughts are. The client will learn how to change their distorted thinking. This will be measured by his demonstration of these skills during therapy sessions and bringing homework assignments for two consecutive weeks that show how he practiced them between
James, R. K., & Gilliland, B. E. (2013). Crisis intervention strategies (7th ed.). Belmont, CA: Brooks/Cole Cengage Learning
CPI arrived at the family residence located at 149 S Calhoun Avenue, Eatonville, FL 32751. CPI completed a joint visit with Taina L. Ramos FIS Counselor. Taina completed a BHC screen with Mr. Clayborne. Mr. Clayborne admitted to have a history of alcohol misuse and impulsive and aggressive behavior while under the influence. He began drinking while in his 20’s and drinks 1 to 2 times weekly. Mr. Clayborne drink preference is beer, but sometimes drinks vodka. He usually drinks when is stressed out. He has been to Alcoholics Anonymous meetings in Springfield, MA. The last meetings he attended was about 2 years ago. While in prison was seen by a psychiatric five times a day for 3 months, but is it not diagnosed with a mental health condition.
PO had a moderate level of participation as evidenced by completing the worksheet, and sharing strategies that he could use to cope with high risk situations with other group members. PO actively engaged in role-play on handling unexpected high risk situations. PO states that his sponsor and sober friends help him to make a better choices and decisions. PO was rarely distracted and stayed on the topic throughout the group process. PO had a positive response to treatment.
As a counselor to Alan I would used the following 5 assessments. I would use either Beck Depression Inventory or/both Hamilton Depression Inventory to look at the client’s depression. Alan admits to “being mildly depressed but insists, its not something I cant handle”. I think I would used the depression inventory to see where he would fall on the scale of his depression and then see how we can work with Alan. Though the client is well aware of the amount of alcohol or drug he uses. I would still apply both the Alcohol Use Inventory and the Substance Abuse subtle screening inventory. I think once we can show Alan how much alcohol and marijuana is affecting his life and how it will continue to affects his life. After we assess both his depression
Interventions provided during this service: Individual rehab services were provided. WYP discussed with the client about the CSP objectives. The client is being compliant with his mother (talking to her more, coming home before curfew, going to school, and understanding his mother better), the client is using his copping skills (basketball, deep breathing, and exercising) to decrease his irritable outbursts (throwing objects, yelling, and foul languages), the client's has improved his independent living skills (taking care of his son, going to school, working with his stepfather, playing basketball, and doing chores). WYP assisted the client with practicing his coping skills by randomly commanding the client to use one of his coping skills.
To enhance change throughout our sessions, I will use Depression, Anxiety, and Stress Scale-21 (DASS-21) (Lovibond & Lovibond, 1995). Outcome goals, a score of depression below nine, anxiety below seven, and stress below 14 at the time of
Client reported alcohol as his drug of choice with the last use date of March, 2017. No acute intoxication or withdrawal symptoms were reported. No treatment plan was developed in this dimension. Client appears to be stable at this time.
The outcome of the total stress score were within the acceptable level of the DSP, which was high in time pressure and low in the vocational environment. The reliability of the DSP is an acceptable measurement based on the evaluation from different sources.
Patient will meet basic psychological needs and demonstrate appropriate expression of feeling for the duration of this shift.
Treatment is based on the patient’s individual and realistic goals, concerns, and meaningful activities. A lot of the time group therapy can be useful for patient’s with substance abuse to regain their social skills and be associated with people going through the same situation. Also, treatment could be broken up into several stages to meet the needs of each individuals and inpatient or outpatient treatments can occur. “Therapists need to educate the patients about the addictions they have. They need to learn that their moods will be exacerbated and to learn that they can deal with their feelings through certain techniques for anger and stress management
Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.
Transition – Next we will take a look at how to cope with stress using stress management techniques.
Within the MyManagmentLab for the Managing People in Organizations, class there is a section called Personal Inventory Assessments. These are short questionnaires to evaluate different aspects of a person’s life. I did multiple ones but the three personal inventory assessments I found most useful where the stress management assessment, the self-awareness assessment and the time management assessment. The stress management quiz analyzed how I manage and react during stressful situations with my results being 24. My results said that I have a high resilience to stress and do not get worried very easily, however, I am not very effective at eliminating stress or developing coping strategies when I do ultimately get stressed. I can definitely relate to this because when I am stressed about something, I usually just give up on it and quit or push it off until the last minute, which usually results in more stress.
Specific Purpose Statement: The audience will learn what causes stress and how stress can affect their health, and how they can manage their everyday stress with different techniques.
Stress is part of our lives. We live with it, deal with it, and above all worry about it. Our way of life, the area in which we live, the economy, and our jobs can cause a great deal of stress. Not everyone deals with the same level of stress and there are several factors that can impact our lives and cause us to have higher or lower stress levels. We can have stress caused by Cataclysmic events which according to Feldman (2009) are events that can affect many people at the same time and are “disasters such as tornado and plane crashes, as well as terrorist attacks”. (p418). Other factors are personal stressors and can be caused by events such as a divorce, death or a loved one or the loss of a job. (Feldman, 2009). The