Substance abuse

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  • Explain the characteristics and complexities associated with assessment and treatment of co-occurring disorders. 
  • Describe challenges associated with the case of Elena. 
  • If you were creating a 30-day treatment plan for Elena, identify two short-term goals based on challenges that Elena is facing. Include an action step that you would include in her treatment plan. 
  • Post your completed Treatment Plan.

  

Elena is a 44-year-old hearing-impaired Latina female who was admitted to the inpatient treatment facility for alcohol dependence where you are a counselor working with people with addictions. During her admission, Elena expressed reluctance to undergo treatment, stating that her family did not approve of counseling or psychiatric services because they see it as a sign of weakness. During her admission, she began crying and had difficulty stopping. She stated that her husband left her and that her two teenage children were home alone. Elena was inebriated, under emotional distress, and ended up being carried to her assigned room by two staff members.

Your psychosocial intake assessment revealed Elena is also manifesting signs and symptoms of a major depressive disorder. You know that Elena needs help with her alcohol addiction, but you also know that her depression might be a cause or an effect of alcoholism.

Addressing the needs of diverse populations and co-occurring disorders can be a challenging aspect of addiction counseling. This week, you evaluate strategies for addressing the complexities of co-occurring disorders, also known as co-morbid disorders, and you create a 30-day addiction treatment plan for Elena as presented in the case study above.

Sample Treatment Plan


See next page for template.

Identified strengths
:

Strengths that will help client achieve long-term goal(s) (e.g., supportive family). Client should help identify. Initially it may be difficult to help client identify more than one or two strengths but as the course of treatment continues, more should become evident.

Identified problems/deficits
: Factors in client’s life that may impede successful recovery

ASAM Dimensions: 1. Acute Intoxication and/or Withdrawal Potential; 2. Biomedical Conditions and Complications; 3. Emotional, Behavioral, or Cognitive Conditions/Complications; 4. Readiness to change; 5. Relapse Continued Use or Continued Problem Potential; 6. Recovery Environment

Note: For more details on ASAM Dimensions, see Guyer, J., Traube, A., & Deshchenko, O. (2021, November 9). Speaking the same language: A toolkit for strengthening patient-centered addiction care in the United States. American Society of Addiction Medicine. https://www.asam.org/docs/default-source/quality-science/final—asam-toolkit-speaking-same-language.pdf?sfvrsn=728c5fc2_2

Problem #1

Problem Statement:

Long-Term Goal:

Stated as broad desirable outcome that will be broken down into short-term goals and objectives. Usually, one long-term goal will be adequate for first year.

Example:

1.
John will remain abstinent from use of heroin and all other mood-altering substances and behaviors for one year as demonstrated by negative random drug screens and self-report)

Treatment Start Date:

ASAM Dimension:

Short-Term Goals:
Series of time-limited goals that will lead to achievement of long-term goal.

Example:

John will successfully complete residential treatment.

1.
Short-Term Goal 1

Statements of what client will do to achieve short-term goal. Stated in measurable, behavioral terms

Example:

1.
John will attend and actively participate in all individual and group counseling sessions. John will admit he has an addiction problem.

Action Steps:

1.
Short-Term Goal 1: Action Step:
How objective will be carried out or accomplished

Example: Schedule one individual counseling session and five group counseling sessions weekly. John will complete Step One of the Twelve Steps

2.
Short-Term Goal 2: Action Step:

Target Date:

Objective, measurable desirable outcome with timeframe

Example:

1.
Staff and self-report of regular attendance and active participation in individual and group counseling sessions (30 days).

2.
Self-report to counselor and members of group sessions (30 days).

Completion Date

Treatment Plan: Elena

Identified problems/deficits
: Factors in client’s life that may impede successful recovery

ASAM Dimensions: 1. Acute Intoxication and/or Withdrawal Potential; 2. Biomedical Conditions and Complications; 3. Emotional, Behavioral, or Cognitive Conditions/Complications; 4. Readiness to change; 5. Relapse Continued Use or Continued Problem Potential; 6. Recovery Environment

Problem #1

Problem Statement:

Long-Term Goal:

Treatment Start Date:

ASAM Dimension:

Short-Term Goals:

2.
Short-Term Goal 1

3.
Short-Term Goal 2

Action Steps:

3.
Short-Term Goal 1: Action Step:

4.
Short-Term Goal 2: Action Step:

Target Date:

Completion Date

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