Tom Turner Case Study Essay

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

Mr. Goins is a 52 year old male who presented to the ED via LEO following a 4 day binge on alcohol and requesting help with his dependence. Mr. Goins reports he moved to Asheboro recently and found work, however recently lost his job. He reported a history of alcohol use and depression. Dr. Keith requested an assessment on Mr. Goins.At the time of the assessment Mr. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports 5 days ago he became unemployed. Mr. Goins reports his fiance who is his primary support system left town to go to a doctor appointment in their home state of Georgia. He reports binge drinking for the past 4 days attempting to cope with his recent stressor. Mr. Goins reports calling his fiance last night an expressed to her he need help. He states, "I told her I felt at the time no reason to live." Further Mr. Goins stated, "I just had too much in me last night, I had about 14 of them airplane bottles." Mr. Goins denies a history of self harm. He does report a prior hospitalization for depression in Georgia. He also reports a history of attending substance abuse treatment, which was a positive experience for him.

Mr. Charles was arrested for the possession of cocaine. Mr. Charles stated that the cocaine that was found was his friend. The drug test may imply that he has recently consumed cocaine. Although Mr. Charles scored a four on the Michigan Alcoholism and Screening Test (MAST), he seems to be at risk of chemical dependency. Mr. Charles has stated that he is constantly around drugs and alcohol. This could be a concern as he attempts to stop consuming alcohol or drugs.

Michelle is seeking counseling help due to the advice of her lawyer to help her out in her to achieve intoxication or desired affect; withdrawal symptoms are relieved by continued use of the substance; there is a persistent desire or unsuccessful efforts to cut down or control substance use; a great deal of time is spent on activities necessary to obtain the substance; and important social, occupational, or recreational activities are given up or reduced because of substance use. Additional indicators include: self-admission of substance dependence; extensive drug history; family and peer influence; and related legal problems.

CPI arrived at the family residence located at 149 S Calhoun Avenue, Eatonville, FL 32751. CPI completed a joint visit with Taina L. Ramos FIS Counselor. Taina completed a BHC screen with Mr. Clayborne. Mr. Clayborne admitted to have a history of alcohol misuse and impulsive and aggressive behavior while under the influence. He began drinking while in his 20’s and drinks 1 to 2 times weekly. Mr. Clayborne drink preference is beer, but sometimes drinks vodka. He usually drinks when is stressed out. He has been to Alcoholics Anonymous meetings in Springfield, MA. The last meetings he attended was about 2 years ago. While in prison was seen by a psychiatric five times a day for 3 months, but is it not diagnosed with a mental health condition.

The mental health services Jared should utilize should be flexible but focused in nature. It should also include aftercare in order to provide Jared and his partner, Kyle, support with adjusting to life outside of an in-patient alcohol treatment center. For example, a component of Jared’s treatment should include on-going alcohol treatment in the form of group support. An example of this type of support is the 12-step program called Alcoholics Anonymous (AA). According to Erford (2014), AA is comprised individuals who wish to lead a sober life. The program also includes a non-religious, spiritual component that has no religious affiliation.

Mr. Pearson moved to Louisiana about 12 years ago to secure a job. During his time there, he continued to use alcohol in excess and marijuana. Three years ago, Mr. Pearson injured himself at work and was prescribed Oxycodone for the back injury. He began to abuse Oxycodone and his addiction to Oxycodone lead to his behavior in case 15CF818. Mr. Pearson’s use of alcohol to excess, Oxycodone and other drugs continued until his most recent arrest.

Client is attended 10 out of 13 groups and missed 3 of them during the month of March, 2017. UA collected on 03/06 was positive for alcohol use. Client admitted 03/18/17 as his last day of alcohol use. Client appears to struggle to maintain his sobriety. Relapse prevention and ways to comply with treatment and court mendates were discussed. Client reported that he started taking Disulfiram 250 mg (Medication for alcoholism) on a daily basis to manage his cravings. Client also reported that he will try to attend self-help meeting daily. Client may benefit from a brief inpatient placement due to continued alcohol use.

The sources for this assessment come from client Bob M. and his parents David and Ruth. David is in denial about his drinking and failed progress in college. His parents both agree that his need for treatment is severe due to his behavior.

Describe therapy for alcohol abuse and dependence, with reference to Alcoholics Anonymous, couples and family therapy, and cognitive and behavioral approaches.

Your honour, my client has an ongoing problem with alcohol leading to intoxication which may lead to making unsound judgements/decisions and for this reason may need professional help or counselling regarding her alcohol problem as her addiction may get worse if it is not treated properly.

The issues with this site are that Turner Hall is outdated, and currently being hiden behing the Aces Library. On top of this there is a large parking lot, facing the road and McKinley despite the fact there is a parking garage next to it, and ample parking at McKinley. As far as McKinely and the resevoir pond, this are non-issues the pond in its current state with the trees and green area lining the road are a nice site for those passing by. McKinley’s location around these green areas, allow for the building to seem less daunting making for your experience going there and being there more pleasant.

The client meets the criteria for Major Depressive Disorder—code: 296.20—with Alcohol dependence: Alcohol Use Disorder—code: 303.90 (American Psychiatric Association, 2013). The client reported that he used to be a fun outgoing person, but today the client describes himself as only wanting lay around his home in the dark, and as being avoidant of other people. The client stated that he no longer likes being around people. The client also stated that he used to be motivated to better himself, but now it has taken him months to complete a community college application. The client stated that his marriage is on the verge of a divorce and he has been having a hard time thinking about a possible divorce. The client reported

Upon reviewing the clinical case of John Evans, a twenty-five year old male, there were several symptoms that stood out. The case states that Mr. Evans has been working with a psychiatrist for several years to assist him in managing psychosis, depression, anxiety, and his abuse of both marijuana and alcohol. Roughly around the age of fifteen Mr. Evan’s began to experience symptoms he had not previously. At this time, he became anhedonic, dysphoric, had decreased energy, and become socially isolated. Around the same time is when his habits with alcohol and marijuana began on a daily basis.

I attended a school event in which Erik Fisher, a former drug abuse came to talk about is experience with drugs and alcohol with regards to college. He started off by talking about how even while in high school he struggled with the use of drugs and alcohol. His first year in college he was able to play college basketball at a division 2 school. After the first few months past, he found friends that partied and did drugs. He started to handout with that crowd and began to skip class and eventually fail most of his classes. This was a reoccurring cycle that happened many times. He went to many different colleges to play basketball but would not give up the drug and alcohol use. While he was in California playing for a college basketball team, he became suicidal. One night he decided that he was going to take so many pills, that he wouldn’t wake up in the morning. However, he woke up by a train track wanting to run in front of a train. He looked at his wallet and saw a picture of his baby brother and that is when he decided to get help. That was the first time that he decided to speak to a counselor and stay sober. However, that did not last long, he found himself going down the same downward spiral. This time, the spiral was even worse, he hit a car head on going 70 miles an hour, killing the other driving immediately. He woke up in the hospital and decided it was time to take responsibility for everything. He spends three years in prison and other year in boot camp. He