Substance Abuse Case Study

Ronny is a 46-year-old white male who present to CRU from RRC-W on ACOT for PAD. He was amended by his OP clinic, Life Behavioral Wellness, for not complying with the terms of the order and treatment plan. Per collateral, Ronny has a hx of violent behavior including pulling knives on people and stabbing. According to his OP psychiatrist, Diana Havill, MD, Ronny pulled a knife on a pregnant woman. He also have a history of self-harm including attempted hanging. Patient is cooperative during admission, and answered all questions. He has a PMH of HTN, Asthma, TB, seizures, and Brain surgery (infant). His vital signs were WNLs. Patient will benefit from medication

Mr. Landaverde reported that he does not have any medical illnesses and has not been prescribed any medications. Mr. Landaverde reported that he went to the doctor in August 2016 for a regular checkup. Mr. Landaverde stated that he normally goes to the doctor every six months. Mr. Landaverde reported that he has never been hospitalized in the past. Mr. Landaverde reported that he does not have any emotional or psychiatric problems. Mr. Landaverde stated that he has never been to counseling. He stated to the best of his recollections, neither one of his parents have ever suffered from a substance related disorder.

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.

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.

A substance use disorder is a pattern of maladaptive behaviors and reactions brought about by repeated use of a substance, sometimes also including tolerance for the substance and withdrawal reactions (Comer, 2014). This can be very draining on relationships and family members of the people that have a substance disorder. They rely so much on this substance that no other care matters to them besides that substance. Which is some situations can cause loved ones to leave the situation that the person using the substance is in.

A collateral interview was conducted with Ms. Debra Scheulen (Mr. Schnell’s domestic partner). Ms. Scheulen is a 49 years-old individual. She reported that she was raised in New Jersey.

Mr. Smith is a 34 year old male who presented to the ED with feelings of dehydration, weakness, nausea, and suicidal ideation with a plan to stab himself with a knife. He denies prior attempts of harming himself. He reports currently not on any medications. Dr. Osborne requested a mental health assessment. Prior to mental health assessment this clinician spoke to Diann, the clinician who assessed Mr. Smith on 6/2/17. She reports he reported to her this morning, he was recently released from Rowan 2 days ago and since then has been homeless. He presented guarded and making conflicting statements about mental health history and substance abuse history. At the time of the assessment Mr. Smith appears guarded with a flat affect. He reports 2 days

There are many ways to go about treatment of Substance Use Disorders. One can start with medication, behavioral therapies, and help groups. Treatment can come in many shapes and forms. It all depends on how severe and willing the patient is to go along with the treatment. Patient X in this case is very willing to change because he states, “I want to feel like a human again. I want to stop being numb to everything in my life. I feel like I’m watching my life in a video in front of my eyes.”

The steps that I would take to resolve Substance Abuse/Opioid misuse is to continue on the same path as our 44th President Barack Obama. Obama’s focus was to work with the healthcare professionals from doctors, nurses, dentist, and their methods of prescribing opioids. I would reduce the quantity of opioids a patients receives, and the length of time the patient takes the medication. While providing training and proper strategy to end this opioid epidemic. Providing the necessary help to those who face the addiction. In order to end this opioid crisis that we are currently going through, both Canada and U.S. key decision makers need to work with the Advocates for the Reform of Prescription Opioids to ensure that opioids are selectively used

Joanne’s divorce with Jorge Arantes isn’t the adversity, but it is the unofficial justification behind the divorce. Apparently, Jorge’s domestically abusive behaviours caused Joanne and himself to go their separate ways. Joanne simply surmounted this adversity by getting divorced with Jorge to escape his abusive behaviours. This is a successful strategy to solve her adversity, as she no longer experiences the abuse. However, on a sympathetic perspective, this isn’t an entirely successful approach in terms of dealing with Jorge’s abusiveness, as Joanne should have attempted to bring Jorge to a psychological institution or a counsellor. Contrastingly, there’s insufficient reputable sources to authenticate if Joanne didn’t/did attempt this action

No signs or symptoms of intoxication or withdrawal was reported while in treatment. Client was diagnosed with F12.20 Severe Methamphetamine Use Disorder. F 10.20 Moderate Alcohol Use Disorder, and F12,20 Mild marijuana Use Disorder. Last use date was unknown. UA was positive for THC on 09/27/2017, Positive for methamphetamine on 10/23/2017, and Positive for methamphetamine on 11/15/2017.

During previous discussions the client always reverts back to how his life would have been better if he could have lived with his grandmother; his grief comes in on waves when talking about his grandmother. He still misses his grandmother and the sadness is so great that it literally has caused him physical pain during his life. Pain such as drug abuse, alcoholism, failed relationships, physical altercations with his family and in and out of prison. Furthermore, and recently, the client is now starting to discuss his anger issues; when he gets upset or irritated by someone and doesn’t know how to control his impulses of anger and frustration.

Substance abuse in an all too common occurrence. It can truly change a person, and leave a person addicted often alone with little to no support from others. A client seeking help is a client taking a large step, and help can be seen as taking a big risk.

This essay is based on a client Ibrahim (30 year old, male) who is currently living with his three siblings with their biological father and step mother. The client has a history of juvenile delinquency with outrageous behavior. Due the suspensions from the school, he has a low academic performance. Currently, he is jobless due to abusing drugs and low academic performance, which made him feel depressed. The purpose of the essay is to evaluate the clients’ problems with the help of consistency theory and understand the possible neurological underpinnings that may have occurred in his brain. Also recommend possible interventions that are most fitting for client.

There are many contributing factors and political issues that address substance abuse. Throughout the years, many researchers have designed many interventions and social policies designed to treat people who have used, abused, and became addicted to substances. Today, there are many new studies that address substance abuse at the individual, group, family, and community or policy levels. Today, there are many services that are effective for decreasing recidivism in youth who have completed a substance abuse program. A substance abuse treatment program or center is the best way to treat individuals who have abused substances.