Substance Abuse Case Study

Growing up with substance abuse parents can potentially put the children at risk for developmental deficiencies. Parents who are substance dependent are oftentimes focus on themselves over their children, and this leads to neglecting the children. Without the attachment with the parents, children are lack of security and trust to explore the outside world. According to Erik Erikson, children develop at different stage. Infants are totally dependent on their parents. If parents provide the good care and support to the children, they will develop the basic trust to their parents and the world, otherwise, they will feel insecure and develop mistrust instead. This mistrust may cause problems later in life. As children begin to grow and navigate the challenges of adolescence, parental substance abuse has a direct impact on their well-being, as well as their behavior. Teenagers are eager to seek their identities. Yet, growing up with mistrust, inferiority, and shame

On Saturday May 19, 2018 at approximately 3:50 p.m. I observed a yellow Ford Escape traveling north on U.S. 19 approaching Grand Blvd bearing what appeared to be an expired tag of BFZW56 dating 06-2017. A check of FCIC / NCIC confirmed the tag was expired as of 06/22/17.

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).

Substance abuse remains a large problem in the United States (US). According to the U.S. Department of Health and Human Services (USDHHS), substance abuse continues to take a large toll on individuals, families, and communities nationwide. In 2005, an estimated 22 million people were struggling with drug and alcohol abuse in the US. Substance abuse disrupts families, impacts work and school productivity, causes financial problems, and is related to domestic violence, child abuse, and crime (USDHHS, 2015).

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

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.

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.

Each 16 bed facility houses female patients with substance use disorders who may also have co-occurring mental health disorders. The primary focus of treatment is on substance use at three of the four sites. One house is a co-occurring disorder focus house. The women are mothers who either have their children under age 5 placed there, they are awaiting placement, are pregnant, or are trying to regain custody of their children. All of these conditions may apply to one mother.

“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.

Substance abuse is one of the most serious issues between children and families. Understanding the relationship between parental substance abusers and the abusers children is critical in determining the long term effects on the child. Evaluating the numerous negative impacts caused by the substance abusing parent/parents is vital in uncovering how the child will establish themselves into society. By providing enhanced assessments of at risk families as well as creating improved intervention and prevention strategies the potential of success is hopeful.

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.

The person served was a 63 year old Caucasian male who lived alone in his own apartment in Elizabeth, New Jersey. His medication adherence and compliance with medical follow up was inconsistent, and during time with PACT he was hospitalized several times due to non-adherence to medication, excessive use of alcohol and bizarre and irrational behavior. In the past two years, the person served was hospitalized from 11/29/13-1/8/14 at Runnels Specialized Hospital (RSH) following an episode in which he was intoxicated and throwing food items out of his third story window. He was hospitalized again from 3/10/14-3/21/14 at Trinitas Hospital and then transferred to RSH. This episode was also precipitated by the use of alcohol exhibiting disruption