Summary: Alcohol And Drug Ruling Consistency

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

Plan - Client Objectives until next review: attend monthly group as scheduled, verify sober support meetings, schedule and attend individual sessions, provide UA when asked, and comply with legal mandates to maintain the privilege of deferred prosecution. Client is to work on treatment plan on a timely manner.

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).

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.

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

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

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

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

Objectives/Progress: As the Pt. has participated in the AMS program since 8/24/16 and he has been able to maintain abstinence from all illicit drugs for 6 months straight t. Pt.'s UDS has shown no evidence of drug use or lapse/relapse. Pt. is currently in the action stage of change as indicated by reminding himself of how much progress he has made and ability to change his behavior and achieve goals during the past quarter. He has currently obtained a full-time job as a shelving installer. Patient reports as scheduled to receive maintenance medication services as instructed by AMS Doctor and attends all mandatory one therapy session once a month. He continues to share his understanding of being powerless and unmanageable over his addiction. During the next quarter sessions, Counselor will support a realistic view of change through small steps.

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

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.”

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

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