SUBSTANCE USE/DRUG DEPENDENCY PROBLEM STATEMENT: Alcohol and Drug LONG TERM GOAL: Continue to abstain and not drive after any alcohol use. SHORT TERM GOAL: Complete treatment, have NJDL restoration, all fines have been paid. OBJECTIVE: Not have any more DUIs. PROGRESS: Continue to abstain from of alcohol and Marijuana since the DUI. BIO/MEDICAL PROBLEM STATEMENT: N/A LONG TERM GOAL: SHORT TERM GOAL: OBJECTIVE: PROGRESS: EMOTIONAL/BEHAVIORAL PROBLEM STATEMENT: N/A LONG TERM GOAL: SHORT TERM GOAL: OBJECTIVE: PROGRESS: READINESS TO CHANGE PROBLEM STATEMENT: Client is to work on himself as a result of the DUI LONG TERM GOAL: Client wants to continue to work on restoring his license and have no DUI in the further. SHORT TERM GOAL: Client continues to work on his …show more content…
LONG TERM GOAL: Client not drink and drive. SHORT TERM GOAL: Client to attend self-help meetings before completing treatment. OBJECTIVE: To have his driving privileges restored. PROGRESS: Client working on following the right path in order to avoid the use of alcohol and marijuana. RECOVERY ENVIRONMENT PROBLEM STATEMENT: Client’s recovery environment appears to be sober LONG TERM GOAL: Client’s recovery environment appears to be sober SHORT TERM GOAL: Client is to attend at self-help meetings before completing treatment. OBJECTIVE: To have his driving privileges restored. PROGRESS: Client is working on the right path in order to avoid drugs and alcohol STRENGTHS: Gainfully employed, determine, reframe from doing illegal things, goal orientated BARRIERS: Not having a license has become difficult at times. The client’s job requires his boss to pick him up. Having to depend in friend is also difficult at times. The client need his driver’s license to get back and forth to work. CLIENT’S
Result: The client was fined the sum of $350 and disqualified from holding or obtaining a Queensland drivers licence for a period of three months.
Client was considered to be in semi-compliance with treatment during this reporting period. Client attended two secheduled groups with two absences. UA were negative for all tested substances. Client reported participating in self-help meeting regularly; verification was provided. Treatment attendance needs to be improved in 30 days.
Met with client for ISP review and to discuss treatment progress. Client appeared to be stable and engaged in the conversation. Client reported that she completed the FAFSA and is planning to go to Everette Community College in the summer. Client reported no use of substances. Client reported coping with temptation by walking away from the situations. Client was reminded that her relapse potential was moderate to high at this time and that she thus would be cautioned to avoid any unintended consequences; with help and support from treatment and her family, client would make his treatment a success. Reviewed ISP in Dim.5 dated 11/29/17, reported completion on approach C, but was unable to identify which peer pressure could be positive (approach
Client has been successfully completed the Quest House program on 04/05/2017Client and counselor reviewed client treatment plan that was completed, and after careful review of his treatment plan. Client and counselor agreed that he needs learn how to set healthy boundary with the people around him . the client has trouble expressing his needs and getting them met. Client also agreed that he needs the he needs to learn how to self sufficient and live on his own. the also agreed that he need to learn to identify risky situation that will cause to relapse as his move further long in his recovery. Client will also want to go to sober living, but was not able because all sober living faclity are full.. After the reviewing client treatment
What is the client’s agreement to stop using drugs/alcohol? Be specific. For example: Does the client commit to attending AA meetings? If so,
The reading entitled “The Treatment Plan” focuses on developing treatment plans, particularly for those in substance abuse rehabilitation programs. First, the interdisciplinary team, which consists of a variety of professionals such as doctors, nurses, and therapists, writes a summary of the client at intake to determine the problems, how they came about, and the potential solutions. Next, a problem list is created. The problem statement is one sentence explaining the problem, which is abstract and not tangible. Therefore, signs and symptoms are also listed underneath, such as history of DUI and the blood alcohol level. These are used as evidence to back-up the problem statement. After, for each problem statement, several goals are listed that
The client stated that due to his addiction, he would place himself in dangerous situations. The client has been able to identify previously unknown triggers that lead to relapse. For example, the client stated that he would drink large amounts of alcohol because it "wasn’t my drug of choice". The client soon relapsed on his drug of choice. The client stated, "I never thought about why I relapsed before". The client expressed the importance of aftercare to maintain long-term sobriety. The client attends weekly AA/NA and Big Book meetings in the PWC ADC. The client will continue to work on identifying and developing healthy coping skills, learning and building an awareness of triggers, understanding the importance of aftercare, and working on a relapse prevention
In the United States, many Americans can argue that we are facing a drug epidemic whether it is alcohol or illicit drugs other than medicinal marijuana. In response to this drug epidemic, organizations were created that are supported by the government and law enforcement in an effort to give addicts a chance to get clean. For example, Alcoholics Anonymous and Narcotic Anonymous are two organizations that focus on helping people who struggle from alcoholism or any addiction cope with the symptoms of withdrawal in efforts to stay clean with the support of their organization’s community. Although these two organization’s goals are similar, they attack these problems differently beginning with step one out of their twelve step program to help addicts get clean.
Client stated that she first started using alcohol at the age of 14. Client reported most recently consuming alcohol within the past 2 days of this assessment. Client reports out of the last 90 days prior to her evaluation, she used alcohol on 70 of those days, 45 of those days she drank herself into intoxication. Client reported over the past 2-12 months, she has had repeated
According to Marlatt (1985) preplanning strategies work best to efforts to recover from such relapses or slips. These strategies include a contract with information such as reminders or referrals to reconnect with councilors (182). These strategies are initiated because outpatient rehabilitation programs last up to ninety days and rarely accompany any form of continuous follow up or evaluations prior to a complete return to alcohol and illicit drug
Client has no know history of previous treatments. Client desires treatment due to unhappiness with current life style. Client states that his longest abstinence from alcohol is 4 days, nicotine an hour, and marijuana and cocaine 1-2 years over the last 5 years. Client recognizes several triggers for drinking episodes (social anxiety, loneliness, fear, feelings of inadequacy, and guilt). Client is not experiencing any cravings for chemicals at this time (currently using nicotine). Client states he has current problems with family resentments and anger, self-esteem, and anxiety that are unresolved. At this time, potential for relapse is moderate to severe. Client a limited support network and no relapse prevention plan.
Regardless, it was so inspiring when I did hear some good reports, and I noticed how eager those former clients were to share about what was working for them. In fact, at times it was hard to tell who was more excited about their success, me or the former client. It is sobering to know that this is how working in this field is likely to pan out. What I mean by saying this, is that I must get used to the possibility that most of the clients who pass through whatever facility I am at, are more likely not to succeed (succeed per the agency’s follow-up requirements), than to succeed, and I must not take the client’s shortcomings as a personal failure of sorts. For this reason, I now realize that this is one of the reasons that I hate this disease with such passion, and want to work in my community to improve these statistics, and remove the stigma that has been attached to Substance Use Disorders for far too long.
Based on this disclosure and admission, I was able to begin my work. I reinforced what the treatment center began to implement, the 12 Steps of Alcoholics Anonymous. We created a structured schedule of meetings and the 12-step work began. Weekly he came to therapy and we “sparred” back and forth of his lack of interest and motivation on the program. It became clear to me that I was not making any headway on this type of counseling and my client could be in danger of relapse. I suggested over and over the vital importance of this activity. It was frustrating, because although he recently achieved two years of abstinence, I feared he was only “Dry.” Without the daily maintenance of a, “spiritual program.”
The client is living with her parents, who are retired and live in a small, rural town near Yuma, Arizona. Their relationship has been strained (as reported by the client) ever since she was a teenager. The client has no job due to her inability to get hired because of prior arrests, no transportation due to her license being suspended and car being impounded after her last arrest for Driving Under the Influence (DUI), with a Blood Alcohol Concentration (BAC) of 0.247 and client states that she feels stuck. (Micro).
They have access to skilled staff members and other supportive program participants, making the process of recovery more amiable. Once the detoxification process is complete, the person is ready to work on addressing their underlying issues. Working through these issues during short term inpatient rehab helps prevent them from resurfacing after treatment is complete. The program participant can expect individual counseling sessions as well as group therapy during their time in treatment. Upon completion of their drug rehab program, the graduate has a clearer perspective on their life and how to maintain their