SOCW 6090 Week 10 - Assignment: Final Project
Week 10: Substance-Related and Addictive Disorders
Drugs—prescription and non-prescription—have become part of American life.
While the culture often shifts which drugs are at the forefront of public discourse, in treatment settings of all types, social workers frequently have to address the boundary between reasonable use and the development of pathological patterns of behavior. The DSM-5 addresses 10 classes of drugs: alcohol, caffeine, cannabis, hallucinogens, inhalants, opioids, sedatives, hypnotics and anxiolytics, stimulants, and tobacco and other substances. The use of three of these drugs in particular—alcohol, opioids, and cannabis—is on the rise, especially for women, seniors, and youth.
This week you analyze evidence-based interventions for common substance use disorders and identify resources to assist individuals in recovery from various forms of addictions, as you apply learning to a case.
Learning Objectives
Students will:
· Analyze a case study focused on a substance use disorder utilizing steps of differential diagnosis
· Examine culturally aware engagement strategies and treatment options for treating a substance use disorder
· Recommend treatment and resources for a client diagnosed with a substance use disorder
· Demonstrate case collaboration skills when presenting a differential diagnosis
· Diagnose a mental disorder in a case study utilizing steps of differential diagnosis
· Create a culturally appropriate, evidence-based treatment plan utilizing client strengths
Learning Resources
Required Readings
Morrison, J. (2014). Diagnosis made easier (2nd ed.). New York, NY: Guilford Press.
· Chapter 15, “Diagnosing Substance Misuse and Other Addictions” (pp. 238–250)
American Psychiatric Association. (2013r). Substance related and addictive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm16
Gowin, J. L., Sloan, M. E., Stangl, B. L., Vatsalya, V., & Ramchandani, V. A. (2017). Vulnerability for alcohol use disorder and rate of alcohol consumption. American Journal of Psychiatry, 174(11), 1094–1101. doi:10.1176/appi.ajp.2017.16101180
Reus, V. I., Fochtmann, L. J., Bukstein, O., Eyler, A. E., Hilty, D. M., Horvitz-Lennon, M., … Hong, S.-H. (2018). The American Psychiatric Association practice guideline for the pharmacological treatment of patients with alcohol use disorder. American Journal of Psychiatry, 175(1), 86–90. doi:10.1176/appi.ajp.2017.1750101
Stock, A.-K. (2017). Barking up the wrong tree: Why and how we may need to revise alcohol addiction therapy. Frontiers in Psychology, 8, 1–6. doi:10.3389/fpsyg.2017.00884
Optional Resources
Best, D., Beckwith, M., Haslam, C., Haslam, S. A., Jetten, J., Mawson, E., & Lubman, D. I. (2016). Overcoming alcohol and other drug addiction as a process of social identity transition: The social identity model of recovery (SIMOR). Addiction Research and Theory, 24(2), 111–123. doi:10.3109/16066359.2015.1075980
Hagman, B. T. (2017). Development and psychometric analysis of the Brief DSM-5 Alcohol Use Disorder Diagnostic Assessment: Towards effective diagnosis in college students. Psychology of Addictive Behaviors, 31(7), 797–806. doi:10.1037/adb0000320
Helm, P. (2016). Addictions as emotional illness: The testimonies of anonymous recovery groups. Alcoholism Treatment Quarterly, 34(1), 79–91. doi:10.1080/07347324.2016.1114314
Petrakis, I. L. (2017) The importance of identifying characteristics underlying the vulnerability to develop alcohol use disorder. American Journal of Psychiatry, 174(11), 1034–1035. doi:10.1176/appi.ajp.2017.17080915
Hom, M. A., Lim, I. C., Stanley, I. H., Chiurliza, B., Podlogar, M. C., Michaels, M. S., ... Joiner, T. E., Jr. (2016). Insomnia brings soldiers into mental health treatment, predicts treatment engagement, and outperforms other suicide-related symptoms as a predictor of major depressive episodes. Journal of Psychiatric Research, 79, 108–115. doi:10.1016/j.jpsychires.2016.05.008
Document: Suggested Further Reading for SOCW 6090 (PDF)
Note: This is the same document introduced in Week 1.
Assignment: Final Project
The sign of an effective clinician is the ability to identify the criteria that distinguish the diagnosis from any other possibility (otherwise known as a differential diagnosis). An ambiguous clinical diagnosis can lead to a faulty course of treatment and hurt the client more than it helps. In this Assignment, using the DSM-5 and all of the skills you have acquired to date, you assess a client.
This is a culmination of learning from all the weeks covered so far.
To prepare: Use a differential diagnosis process and analysis of the Mental Status Exam in the case of Sandra to determine if the case meets the criteria for a clinical diagnosis.
Submit a 1000-word paper in which you:
· Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
· Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
· Identify 3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
· Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
· Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
· Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
· Identify client strengths, and explain how you would utilize strengths throughout treatment.
· Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.
To submit your completed Assignment for review and grading, do the following:
Must be Original Work and contain at least 4 references and citations. Must reference the following:
Morrison, J. (2014). Diagnosis made easier (2nd ed.). New York, NY: Guilford Press.
· Chapter 15, “Diagnosing Substance Misuse and Other Addictions” (pp. 238–250)
American Psychiatric Association. (2013r). Substance related and addictive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm16
Capuzzi, D., & Stauffer, M. D. (2016). Foundations of addictions counseling (3rd ed.). New York, NY: Pearson Education, Inc.
Substance Abuse and Mental Health Service Administration (SMHSA). https://www.samhsa.gov/