Tx Counseling Case Study

In the coaching discussion it was not said that my conduct was not meeting expectations, but not allow myself to be in situations where it appears I’m being insubordinate.

Counselor red flagged pt. and requested that he meet for brief TX intervention to discuss his current counseling non-compliance status and explaining the risk of discharge from the program if he fails to do an individual session by 1/22/17. AMS receptionist told this writer that pt. is asking why he needs to meet with this writer. This writer told him to inform him that if he fails to complete one hour individual session by 1/22/17 he will be subject for a TX discharge. Pt. refused to meet with this writer and he failed to schedule an individual session on the above date.

The patient did not hesitate to sign the tx violation and was very understanding as to why due to non-compliance, but again, this writer gave the patient credit for his efforts, but appointment needs to be established with proof of documentation. This writer strongly urges the patient to still follow through with team recommendation and obtain a documentation of his scheduled intake, at which the patient agreed to do.

The purpose of this paper is to provide an overview of the counseling profession and its ability to work on cases in multidisciplinary teams. A variety of scholarly journal articles were taken into account in order to gain insight into the field of counseling and some of its specializations. For this paper, the focus was, aside from general counseling, on marriage and family therapy as well as addiction counseling.

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.

is currently working on establishing a healthy social support system. Pt. has been attending all AMS TX activities and dosing on a daily basis. Pt. has not yet begun to gain the knowledge of the assistances and organization that are available to him such as peer mentors, recovery coaching, self-help meetings, etc. Pt. doesn't attend any outside groups such as AA/NA meetings. Counselor will continue to encourage Pt. to get out into the community, discuss the activities he can become involved in and talk about the importance of not isolating for his recovery and from positive family members. During this upcoming session, Primary Counselor will assist Pt. to learn and identify ways to get help from supportive others at home, work, and in other settings. Pt. needs to find sponsor(s) and set of emergency numbers of supportive

Pt. has been in the AMS program for 2 years. Pt. has had no positive UDS results for two years. Pt. is on a dose of 150 of methadone and he is responding as expected to his prescribed medication. Pt. demonstrated responsible attitude by attending monthly AMS groups faithfully. Pt. has discontinued all illicit drugs use and now he has used financial income in a more self-sustaining manner. Pt is effectively addressing this area by making regular payments as scheduled. Demonstrates treatment maturity and appropriately participating in medical treatment services. Pt. was taught calming strategies, such as relaxation and breathing techniques as indicated by previous counselor documentation. Pt. was assigned to this writer caseload and counselor

Pt. called this writer to report that he no longer wanted to be in the program. Pt. asked if he needs to sign a Voluntary Request for Termination. Pt. reported that he is going to stop by the clinic to pay his tx services fees. Pt. stated, "I am done wit methadone. I'll go there tomorrow and pay my bill in full." Counselor told that he needs to talk to the head nurse and to sign the AMA Detoxification Agreement tomorrow, Saturday 2/25/17. After discussing this issue with him, he still insisted that he did not want to be in the program and he wants to sign the AMA Detoxification Agreement

Patient didn't call or show up for his scheduled individual counseling session today at 7 am; however, he received his dose of methadone at the Clinic around 9 :30 am. This writer called pt.’s phone number on file to reschedule a mandatory individual session. Counselor will be flag pt. in the system to see counselor before dosing tomorrow, 12/15/16 to discuss his recovery progress, what the program expects of him at this stage and how to get the most of out

The vendor Tristate Counseling and Mediation is located at 398 13th Street Brooklyn NY. The location is accessible to the 7th Avenue subway station on the F and G subway lines (walking distance approximately five minutes). The B67 and B69 buses are also located on 7th Avenue (approximately one minute from the facility.)

Robbie J. is a 19 year old African American male and at this time he is currently a freshman at Henderson County University. The client has been referred to this office by his school residential advisor and family doctor. The reason behind this is that the client has not been attending his college classes and has been caught drinking on campus by campus security three times in the past two months. His parents have been advised by the school that if the client doesn’t attend counseling sessions he will be asked to leave and not return back for the following academic school year. The client must attend five sessions and also join an A.A. group.

Counselor met with Pt. for an individual session. Counselor and Pt. discussed her progress in treatment and description of her medication compliance. Pt. reported wanting a higher dosage of methadone to side effects (cold). Pt. mentioned that she would like to switch to Vivitrol medication because she is going to move with her mother house in Lewes, DE and she cant come to the clinic everyday. Pt. requested, discussed and completed an AMS Modality Switch form. Counselor encouraged Pt. to talk about her current triggers and possible solutions she can plan ahead of time. Pt. stated, "I have no triggers." Counselor elicited the client’s perceptions on her several positive urine analysis. Pt. indicated that she use crack cocaine when she is depressed.

Objectives/Progress: Pt. has maintained Phase 7 take-home privileges. As the pt. has participated in a total recovery program, he has been able to maintain abstinence from mood-altering drug use as evidenced by submitting 19 clean UDS results since entering and reporting sustained abstinence. Pt. is compliant with all aspects of treatment, provides negative UDS, and attends required monthly counseling. Pt.'s program attendance is in a good standing but pt. needs to attend different AMS groups. He was advised to schedule different groups and the benefits of doing so. Pt. has achieved a lengthy period of sobriety and has good insight into personal recovery behaviors. Counselor will review this long-term goal with pt. during his therapy sessions.

MR has unlimited access to group and individual counseling at New Beginnings. It was recommended MR visit a psychiatrist to be assessed for medication. MR does not believe he needs to be on medication, however resources were still given. MR would benefit from medication immensely. He would be able to think clearer and communicate better. It was also recommended MR attend Narcotics Anonymous (NA) meetings daily. After a group session at New Beginnings, all of the clients attended an NA meeting. MR stayed in at the NA meeting for two minutes and then went home. MR does not want to attend NA meetings because he believes he is getting enough help at New Beginnings. It would benefit MR to hear others stories about how drug use affected

Pt. is in phase 7 of the AMS treatment program and is progressing as anticipated. Pt. was not subjected to any involuntary taper, relapse or crisis intervention for 39 months. Pt. demonstrated competency on his treatment plan work and interested in continu9ing his mental health services, engaging in the 12 Step and completing the TX program. As the patient participated constantly in the AMS program services and activities, he has been able to main abstinence since entering the program on 9/3/13. Pt. was assigned to this writer for the new quarter. Pt. has made excellent progress on maintain his financial goals by paying all tx services fees on time. During this quarter, Counselor will identify current success and challenges in his relationship