While acknowledging that each client is unique, the following case reflects an amalgam of male alcohol-dependent individuals and illustrates some of the commonly occurring features.
John Jones, a 46 year old, white middle- class client, sought treatment at an on outpatient substance abuse clinic for help with his excessive drinking after being arrested for drunk driving for the third time.
Mr. Jones had already called his insurance carrier to obtain authorization for the intake session. A traditional biopsychosocial history was conducted, and a multidimensional range of information was generated about the client’s clinical status. Mr. Jones was in no acute distress and presented no signs of withdrawal. He appeared to be bright and capable of insight.
The assessment revealed that Mr. Jones had begun his drinking career when he was 16 years old. At that time he consumed a six-pack of beer on weekends. By the age of 20 he was drinking at least three nights per week at the rate of 8 beers per night. By 30 years of age he was consuming up to 10 beers each day. This level of consumption continued until his current arrest for driving under the influence of alcohol.
Although he had attended AA in the past in compliance with court orders after his first two arrests, Mr. Jones felt that he had “nothing in common with these people” and that he was “drinking because of job stress and marriage problems. “ His score on the MAST and his SASSI-3 profile indicated a high probability of an SUD. He had made no significant effort to discontinue his alcohol consumption in the past, and his current participation in treatment is the result of legal and family influences. Mr. Jones seemed depressed and defensive in his emotional functioning; he denied any suicidal ideation. He started that he was currently on medication for elevated blood pressure, but denied any history of illicit drug or medication abuse.
Mr. Jones described his father and two uncles as “heavy drinkers.” He described his childhood as non- nurturing. He was the middle child of five, raised in a rigid family in which he felt “unloved and unimportant.” His school performance was poor despite his intellectual abilities, and he dropped out at the beginning of the 12th grade.
Mr. Jones has been married to his wife Mary for the past 16 years, and they have two sons. He had been experiencing financial stress due to legal fees, court costs, and missing work as a result of “hangovers.” He claimed that Mary was also “a heavy drinker,” although, when interviewed later, she claimed that she “only drank to help tolerate his drinking.”
Mr. Jones was given a physical examination: The findings included enlargement of the liver and substantially elevated liver enzymes; his blood pressure was slightly elevated despite the use of medication. Mr. Jones was prescribed Antabuse (disulfiram), which he was to begin taking once his liver enzymes normalized. He was also prescribed Vivitrol (naltrexone) to curb his crave for alcohol.
His diagnosis (using DSM-5; American Psychiatric Association, 2013) is Sever Alcohol Use Disorder, 303.90, and the initial treatment plan indicated the following:
· Problem: A pattern of excessive alcohol use.
· Goals: Total abstinence from alcohol
· Objective: ( 1) Participate in a motivational enhancement group;
(2) Understand the disease concept of dependence on alcohol
(3) Learn the medical consequences of excessive alcohol use
(4) Understand the process of recovery.
(5) Correct cognitive distortions about addiction
(6) Identify personal relapse triggers
(7) Develop two relapse prevention strategies for each trigger
(8) Learn the philosophy and 12 steps of AA
(9) Attend five AA meeting each week
(10) Actively participate in group and individual therapy
(11) Participate with spouse in family education and join session at later time
(12) Select a technology-based application that supports clean recovery.
o Level of care. It is recommended that Mr. Jones pursue these and other objective in an intensive outpatient treatment program, compromising 4 hours of treatment each day for 3 weeks. Mr. Jones will be further evaluated for alcohol problems and a separate plan developed. Once a stable recovery process is in place, the related issues of job stress and marriage problem will be addressed. After 1 month of complete abstinence, his mood will be reevaluated and the issue of the “non-nurturing” childhood explored. Following intensive outpatient care, it is expected that regular outpatient counseling will continue and be approved by the managed care company. Concurrently, a more thorough assessment of his wife drinking behavior should also be made.
It is important to note that as the treatment process unfolds, new information may emerge that requires changes to his treatment plan. Therefore, it is essential that the treatment staff remain flexible and willing to make changes in a timely manner.
John Alcohol Assessment
Given what you read about John’s alcohol abuse
· Write 3 pages assessment on John Alcohol abuse.
· Assess the severity of John substance use.
· Give him a mental health diagnosis
· Decide on a plan of action which include treatment and after care planning.
At 111papers.com, we value all our customers, and for that, always strive to ensure that we deliver the best top-quality content that we can. All the processes, from writing, formatting, editing, and submission is 100% original and detail-oriented. With us, you are, therefore, always guaranteed quality work by certified and experienced writing professionals. We take pride in the university homework help services that we provide our customers.
As the best homework help service in the world, 111 Papers ensures that all customers are completely satisfied with the finished product before disbursing payment. You are not obligated to pay for the final product if you aren’t 100% satisfied with the paper. We also provide a money-back guarantee if you don’t feel that your paper was written to your satisfaction. This guarantee is totally transparent and follows all the terms and conditions set by the company.Read more
All products that we deliver are guaranteed to be 100% original. We check for unoriginality on all orders delivered by our writers using the most advanced anti-plagiarism programs in the market. We, therefore, guarantee that all products that we submit to you are 100% original. We have a zero-tolerance policy for copied content. Thanks to our strict no plagiarized work rule, you can submit your homework to your professor without worrying.Read more
TThis is one of the most cherished courtesy services that we provide to help ensure that our customers are completely satisfied with our finished products. Delivering the best final product to our customers takes multiple inputs. 111papers.com prides itself on delivering the best university homework help services in the writing industry. And, in part, our free revision policy is how we do it. What’s more, all our revisions are 100% free without any strings attached.Read more
Client privacy is important to use. We know and understand just how important customers value their privacy and always want to safeguard their personal information. Thus, all the information that you share with us will always remain in safe custody. We will never disclose your personal information to any third party or sell your details to anyone. 111 Papers uses the most sophisticated, top-of-the-line security programs to ensure that our customers’ information is safe and secured.Read more
Placing your order with us means that you agree with the homework help service we provide. We, in turn, will endear to ensure that we do everything we can to deliver the most comprehensive finished product as per your requirements. We will also count on your cooperation to help us deliver on this mandate. Yes, we also need you to ensure that you have the highest-quality paper.Read more