The Program And System Issues

A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”

This clinician wants to open his own dual diagnosis center with substance abuse disorders and mental health disorders. Many individuals with substance abuse issues also suffer from mental health issues. This counselor suffers from the disease of substance abuse and has made it his lifelong goal to help individuals with these types of issues.

Earley highlights this with his son as he leaves the hospital system and is processed through the judicial system. The next responsibility is to understand where we are in a system and where we need to go. The book portrayed Mike, Earley’s son, could not be hospitalized unless he voluntarily committed himself or verbalized harm towards himself or others. It was clear to Earley, who knew his son’s baseline, was deescalating further into psychosis. The situation explains how we can get assistance for clients who may not be able to make adequate decisions in a psychotic episode. Lastly, the clinician should develop a strategic plan of how to achieve the desired results, and the key participants involved. Earley researched the systems involved for over a year before he concluded writing a book would reach the vast of persons involved. He interviewed and studied the systems involved to strategically plan how he could assist his son.

Individuals with a mental illness often turn to drugs or alcohol to reduce their symptoms, as opposed to or in addition to seeking treatment for their illness. This problem is much worse than previously imagined, with experts estimating 65 percent of prison inmates suffering from a dual diagnosis. The prevalence in the general population is likely very high also, thus anyone with a mental illness or substance abuse problem may find they need specialized care.

2007). While highly skilled, the majority of primary care and family practitioners have minimal training in identifying or treating psychiatric conditions and/or substance use disorders (Collins, 2010). The Presidents New Freedom Commission on Mental Health (2003) indicated mental health conditions and substance use disorders often go unscreened and thus untreated in a primary care setting. Currently, working as an administrator of a behavioral healthcare agency I am a daily witness to the impact delays in appropriate care cause. This is not only worrisome, it often leads to a need for a higher level of care and higher cost of treatment due the prevalence of untreated illnesses. Marrying behavioral healthcare services within a primary care setting has shown promising outcomes, affording for greater access to care for those suffering from psychosocial conditions, all the while cutting costs and providing greater proficiency in service delivery. (Mauer, 2002). As an administrator, the potential to implement and manage programs that not only provide greater access to care, but also cut cost is an exciting avenue to

A statistical piece of information that was interesting is that how the number of mental disorders increases as the number of substance abuse disorders increases as well. Services, U.D. (2005) states the likelihood of mental disorders rises alongside with substance abuse dependencies. With the rise of both abuses at the same time, it complicates treatment for the mental disorder patients that have drug use however, multiple drugs is normal for those who are substance abusers (Services, U.D., 2005). The reason this information is found to be interesting is because with the two disorders rising at the same level, it appears that the challenges will be harder and more co-occurring disorder patients are going to need help with their issues. As a counselor, one must be dually competent to treat these clients or have staff available to treat the clients who have co-occurring disorders to ensure an effective outcome.

“Evidence combined with the growing recognition that physical, mental, substance abuse and social challenges are interrelated-has led to calls to integrate behavioral health care into primary care services.” (Klein & Hostetter, 2014, p. 9) Behavioral health and substance abuse treatment in the primary care office is rare and in some cases non-existent. This is mostly due to no or little financial incentive or administrative advantages to integrating these services within the primary care office. Dr. Roger Kathol, M.D. president of the Cartesian Solutions Inc., believes the biggest obstacle in integrating mental health and substance abuse treatment into the primary care office is low payment from payers. Payers use separate provider networks,

The client has high motivation for treatment within MRFH. The client was diagnosed with Alcohol Use Disorder: Severe and Cocaine Use Disorder (crack): Moderate. The client sought treatment at MRFH when he realized he had lost control of using alcohol and crack cocaine. The client stated he attended the MRFH program in the 1980 's but does not remember the exact date of attendance. The client stated he was diagnosed with Mild Depression by a primary care physician when he was 56-years-old. The client reports he has no history of suicidal or homicidal attempts, and currently denies having any suicidal ideations or homicidal ideations. The client stated one to two times per week he experiences muscle tension and worrying about things that he often realizes have no significance. The client stated prior to the age of 18-years-old, "I would knock over my neighbors mailboxes and destroy their gardens, because they would make my parents aware of my wrong doings and that was way of getting them back." The client stated, there was one time that I started a fire and blamed it on my brother. I would break things as well and blame someone else. The client stated if there was an event taking place that he wanted to participate in, he would rush and complete what he was doing so he could become involved in other events taking place around him. The client stated, "I started using drugs and alcohol without thinking about what the consequences. The client appeared to be oriented to the

Based on my experiences working with individuals involved in the criminal justice system, those suffering from co-occurring disorders is common. With the current opiate epidemic we are facing, I have come across a majority of individuals who are both opiate depended, as well as having a psychiatric diagnosis consisting of either, or both, depression and anxiety. When trying to provide services for these individuals, both their substance abuse and psychiatric issues need to be addressed. To be most effective, they need to be treated at the same time through integrated treatment. Based on the concept of “No wrong door”, the client will be provided with services to make sure they receive the appropriate treatment. After the client is assessed

Many individuals suffer on a daily basis with one mental disorder let alone multiple. Few have the resources needed to cope and can turn to other methods of improvement without thinking about the potential outcomes of addictions and worsen their condition. Mental disorders are often than not linked to substance abuse because of the stigma placed over humanity. Society places such a constricting grasp on what is considered normal that people are hiding their symptoms and attempting to mask them to get by; only causing chaos to their lives. It is easier to try an attempt to mask symptoms with alcohol and other narcotics. I chose to focus on Borderline Personality Disorder (BPD) mixed with Substance Abuse for the focus of this piece. All of this can be alleviated by erasing the stigma we 've placed and given these people the many methods of help they seek. One of the first things to think about is the comorbidity between abuse disorders and other mental disorders from an epidemiological standpoint. What is comorbidity exactly? The term was introduced to “refer to any distinct additional clinical entity that has existed or that may occur during the clinical course of a patient who has the index disease under study.” Which basically means when two or more medical conditions ensue simultaneously or consecutively in the same individual they are commonly said to be comorbid. 1

The purpose of this report is to create a social services delivery plan for an at-risk client named Alice Doe. Alice has a history of drug abuse yet has been clean and sober for several years. Alice also suffers from bipolar disorder. In recent times, she has experienced setbacks due to the stress created when her daughter and grandchild moved in with her. To make matters even more challenging, Alice has a boyfriend who is a veteran suffering from PTSD and recurring substance abuse issues. Although she has been fairly stable for years, and takes her medication regularly, Alice has begun decompensating and is at risk of falling into crisis. In the following pages, we will take into consideration the many services and resources that Alice Doe will need to comply with in order to stay healthy and maintain stability. While taking into account that Alice lives in Miami-Dade County, Florida, we will focus on both of her problems, bipolar disorder and substance abuse, as we address the following points:

John D. was referred to outpatient therapy for substances abuse counseling by his family member. John was a step down patient from residential treatment and has complete Partial Hospitalization as well. John has past treatment episode and states that this is his fifty-four treatment episode. John reports that he has several periods of abstinence three years and then four at another time. He reports having a high school diploma and Associates Degree. John report no past or present legal problems. He also reports no medical problems past or present. John report he is taking psychotropic medication. John states and has from time to time however does not really like to.

Residential treatment (RT), which is currently recommended, actually places the substance abuser in a facility where care staff and experts who oversee their treatment monitor them. For Levi, this is a combination of medication, psychotherapy, physical activities, social activities, and counseling. The target is to support, guide, and monitor the client in completing this treatment plan, wherein the target is for the client to be rid of said addiction through the course of the plan. The continuum of care for addictive and compulsive behavior will be an important element in the plan. Additionally, the plan will take consideration of the particulars of the client to fit the plan to the client 's needs, situation, and personality. Wenzel, Brown and Beck (2009) suggest that "in the first session of counseling with suicidal patients, the following strategies should be used: (1) discuss structure and process of treatment, (2) emphasize compliance by the

When developing a treatment plan for any complex case, it is critical to consider any factors that contribute to the client’s situation. One must generate a plan of action that will support the client appropriately and yet not be overwhelming. It often takes a long time for a client to come to terms that they need help. For many, seeking mental health services can be both a daunting and intimidating laden with feelings of failure and disappointment.

China is one of the most common known countries to have homelessness as an issue. China has more than 200 million people that are homeless, which is including the recorded 1 million children as well. This is an obvious issue because there is no need for there to be homeless when there are available resources to help them. They have programs put in place to help out the homeless, but it is not working because they do not have the resources to do everything that needs to be done.. We need to create a system or a program that receives donations that will help out the homeless individuals in China, adults and children that sleep on the streets. This is why a program like H.O.P.E would be a solution to this issue, we would create care-packages with the needed items to survive