Substance Abuse: A Case Study

Edward is an approximately 30 yo Caucasian male who lives in California. Edward presented in the interview as relaxed and confident, sitting with his arm stretched over the couch. Edward stated his main goal today was in the spirit of helping others by telling his prescription substance use disorder story.

At our time touring CeDAR, we were introduced to the CeDAR Family Program. This week-long program allows for the family members of an individual undergoing substance abuse treatment to learn about addiction and how to better deal with their loved one’s illness. They are also given tools for their own coping and recovery. According to the CeDAR website “research shows participation in our addiction family support program helps increase overall recovery rates” (Family Services: CeDAR, 2016, paragraph 4).

Mr. Greene is a fifty-one-year-old black male, who started using crack- cocaine at thirty-two-years-old and is now twelve years clean. Bryan Sapp was a twenty-year-old white male that died of a heroin overdose whose addiction started at age twelve. Addiction does not discriminate. There are several different causes of addiction, lack of purpose, stress caused by trauma, unmet needs, and boredom are some of them (Rosen 23). On an average 40-60% of people struggling with addiction relapse. There are several different types of rehabilitations for addiction but, there is no cure. In our over medicated society that has led us to this war against addiction, alternative medications are not the alternative therapy to addiction.

In 2015, there were 428,000 children in foster care (Kids count, 2018). The average age of a child, entering the foster care system is 7.4 years. In 2014, more than half the children entering the foster care system in the United States where children of color. On average, children entering the foster care system remain in the system for two years, but seven percent stay in the system for five or more years. Fourteen percent of the children entering the system live in a foster home or group homes. In 2014, more than 107,000 children in foster care were waiting to be adopted (Children’s Bureau, 2014).

James is a twenty-year-old male who was referred to me after an emergency room visit. James had experienced shaking, sweating, chest pain, and inability to breathe; he went to the emergency room because he was afraid he was having a heart attack (The Louis de la Parte Florida Mental Health Institute, 2002). After exchanging pleasantries, I began an intake interview with James. I found that he was forthcoming with his life history. He was raised in a lower middle class family and was the youngest of two children (The Louis de la Parte Florida Mental Health Institute, 2002). His most vivid childhood memories included violent domestic conflicts between his mother and father, which caused disruption in his daily living. James also admitted his father was a substance user and often came home intoxicated. Subsequently, his father abandoned his family and went to prison for assault and drug charges and James has no contact with him in

On 08/12/15, Mr. Harrison’s mother reported that Mr. Harrison was not living at his reported address (104 Hudson St, Clayton DE 19938). Mr. Harrison mother stated that Mr. Harrison is living in Wilmington, DE with a friend. She could not confirm the address. Mr. Harrison has failed to report his new address with 72 hours.

Pt. was admitted to the AMS of DE program suffering from opiate addiction with two previous outpatient treatment services. Pt. reported that he started using heroin in 2000 on a daily basis by route of IV and he last used in 2008. Pt. reported a substance abuse hx of alcohol x 33 years, opiates x 8 years, benzos x 20 years, cocaine x 21 years, nicotine x 23 years. PCP x 21 years and cannabis x 23 years. At the time of his discharge, Pt. lost his job and he was living with his

“Catherine” is a 31 year old, divorced female who is currently employed as a receptionist at a local human service organization. Last week, she began a treatment program for alcohol and cocaine dependency. Catherine lives with her 5 year-old daughter, “Joy,” in a home near her place of work. Despite little earnings from her job, she has managed to take care of herself and her daughter without monetary support from Joy’s father. Catherine was married to Joy’s father when she was 25 years old, but they divorced after he started abusing her physically. Joy’s father was an alcoholic, a condition that contributed towards the demise of their marriage. Catherine has not had contact with her former husband since they ended the marriage. Catherine’s mother, a widow, has been of great support. Catherine’s cousins, “Jane” and “Cynthia,” have also been of great help. Catherine stated that Jane and Cynthia, are the only family she feels she can depend on. Catherine is the eldest of four children.

One day when Wes was chasing his sister, Nikki, he finally caught her and didn’t know what to do, so he punched her. This angered his mother, Joy, because her first husband was a violent alcoholic who used to beat her when he was drunk. Wes explains that he has two memories about his father, the first of which was when his father talked to him about hitting his sister and the second was when he died. Wes’s father wasn’t feeling well one day, so he got taken to the hospital. The doctors didn’t know what was causing his symptoms, so they sent him home and told him to rest. He ended up having acute epiglottis and died that night. The death of Wes’s father was very hard for Wes because he became the man of the house at a very young age.

On 10/29/2017 at 1837 hours, I was dispatched to 200 Ogden Rd. Apt A, for a report of an unwanted person; however, the male left the residence prior to my arrival. Upon my arrival, I spoke with Carmella Rome-Giannone.

In May of 2010 I was contacted and informed that my aunt was involuntarily committed

The aim of this assignment is to explore missed opportunities and to enhance the support offered to a person with addictions. This essay will concentrate on alcohol dependence and misuse with the emphasis on brief intervention and referral on to specialist services to begin the road to recovery. The specialist services involved will be discussed fully in the implementation of the proposed service. The rational for concentrating on alcohol addictions was influenced by three identified problems firstly the strain on emergency departments due to alcohol abuse which is mounting each year with alcohol related medical problems resulting in admission and outpatient follow up (Pirmohamed 2000). Secondly following discussions with the multidisciplinary

I had found a colleague who has an ex-partner facing a battle with addiction to several substances and agreed with me that it is a managable disease. Her partner has tried both AA and NA with no long term success and has suffered, but not reached a smashing bottom or a situation that would lead to making a full commentment to the programme as of yet.

Client experiences depression, and alcohol and drug use. His depression has increased significantly since moving to North Dakota from California. Client states he believes he has been feeling depressed since he was young. He states praying to God to take his life during the night. Client discussed having issues surrounding substance during his undergraduate degree. He's mandated to counseling for the use of marijuana. Client denies current marijuana use but states he does drink every weekend to the point of blackout. He reports he does not leave his house when he drinks, and he drinks alone often finishes a 1.75 of hard liquor. Client states the use is done to escape the life he has and to subdue the negative emotions. He reported abuse from

D-The patient was placed HOLD to address her no show for the cocaine and yesterday AWOL. According to the patient, she was bit by a spider and did not seek medical attention immediately as she self reported about taking care of the bite on her own on Monday. This writer addressed with the patient about the problematic issue of her AWOLs and not being compliant with attending group. Please note, this writer reminded the patient about her discharge being overturned and the patient must meet her clinical recommendations. Failure to do will lead to another intent discharge. In addition, the patient did not validate her prozac; however, the patient searched in her purse and had the Rx Scripts, but forgot to give it to Nursing. The patient complained about her med cab services; however, the patient is responsible for making such arrangement.