SOCW 6103 Post Responses
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6103Week4DiscussionResponseRequirements.docxWeek 4: Seeking Treatment
Sitting in the hospital room, Megan was in shock and in disbelief as the doctor told her she had almost died. Megan's 6-year-old daughter had found her passed out on the floor. Responders at the scene could not initially locate a pulse. Megan had nearly overdosed on Oxycodone, a prescription she had begun using for back pain. Addicted to Oxycodone for years now, Megan knew that she had to get help, not only for her health and well-being but for the sake of her children and family. Megan is concerned. She wants treatment, but she is really scared of relapsing.
When do people with addiction problems seek treatment? In some instances like Megan's, a traumatic event may trigger the need for treatment. In other cases, family and friends may persuade individuals to seek treatment. It is important that addiction professionals understand how to motivate a client to seek treatment in order to effectively assess the client's needs and the appropriate level of treatment necessary.
This week, you examine the relationship between traumatic events and how clients seek out treatment. In addition, you explore the levels of addiction treatment.
Learning Objectives
Students will:
· Apply levels of addiction treatment
· Analyze personal interest in levels of addiction treatment
· Analyze challenges in addiction treatment
· Analyze strategies to overcome challenges in addiction treatment
Learning Resources
Required Readings
Capuzzi, D., & Stauffer, M. D. (2016). Foundations of addictions counseling (3rd ed.). New York, NY: Pearson Education, Inc.
· Chapter 5, "Introduction to Assessment" (pp. 89-118)
· Chapter 6, "Assessment and Diagnosis of Addictions" (pp. 119-146)
· Chapter 8, "Psychotherapeutic Approaches" (pp. 165-191)
Edwards, D. (2018). Levels of treatment for substance abuse. Psych Central. Retrieved from https://psychcentral.com/lib/levels-of-treatment-for-substance-abuse/
Harrell, P. T., Trenz, R. C., Scherer, M., Martins, S. S., & Latimer, W. W. (2013). A latent class approach to treatment readiness corresponds to a transtheoretical (“Stages of Change”) model. Journal of Substance Abuse Treatment, 45(3), 249-256.
Kennedy, K., & Gregoire, T. K. (2009). Theories of motivation in addiction treatment: Testing the relationship of the transtheoretical model of change and self-determination theory. Journal of Social Work Practice in the Addictions, 9(2), 163-183.
Walitzer, K. S., Dermen, K. H., Barrick, C., & Shyhalla, K. (2015). Modeling the innovation–decision process: dissemination and adoption of a motivational interviewing preparatory procedure in addiction outpatient clinics. Journal of substance abuse treatment, 57, 18-29.
Required Media
Laureate Education (Producer). (2012b). Experiencing a traumatic event [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 7 minutes.
Accessible player
Singer, J. B. (Producer). (2009, October 10). Prochaska and DiClemente's Stages of Change Model for social workers [Episode 53]. Social Work Podcast [Audio podcast]. Retrieved from http://www.socialworkpodcast.com/2009/10/prochaska-and-diclementes-stages-of.html
Abigail Scenario Abigail is a thirty-five year-old Latina woman who is a divorced single mother of two children: a nine year-old son and a seven year-old daughter. She lives with her widowed mother who watches the children while she works evenings as a waitress and bartender at a local tavern. Abigail is popular with the regulars who frequent the bar. She gets tipped with ecstasy, cocaine, and prescription drugs. Abigail has recently started staying out late and occasionally has not come home to be with her children. She uses cocaine during her work shift, and drinks during the week after work. When confronted about staying out all night, Abigail becomes argumentative with her mother and storms out of the house. Her son has started acting out at school and her daughter isolates herself in her room and has begun wetting the bed at night. Abigail's mother contacts you to consult about how to help her daughter.
Respond to of your colleagues who chose the Abigail scenario. Offer your view and thoughts on the level of treatment that your colleagues chose.
Colleague: Top of Form
Sharun B. Dick
RE: Week 4 Discussion
Top of Form
Outpatient Addiction Treatment
The scenario that I selected is that of Abigail who is a thirty-five-year-old Latina woman who is a divorced single mother of two children. Abigail has a problem with substance use. Particularly, that is contributed by her place of work where she gets tips of ecstasy, cocaine, and prescription drugs. Also, she has recently started abusing cocaine and taking alcohol. The addiction is making her stay out late and she does not have time to be with her children which makes them adopt weird behaviors like acting out and isolating themselves.
The treatment level I would employ in this scenario is the outpatient program. This level of substance treatment comes in different formats and vary in terms of intensity. However, the treatment generally focuses on education, counseling, and building a safe and supportive network of client recovery (Recovery Center of America, 2019). The program under this treatment level offers drug and alcohol treatment as well as mental health care services. The client visits the treatment clinic, typically for less than 9 hours of service in a week.
The reason for employing this treatment on Abigail is the flexibility with which the treatment approach offers compared to the inpatient treatment. Notably, being a single mother, Abigail needs to work to feed her children and attend to them. The outpatient schedule allows the clients to continue with their day-to-day duties and continue living at their homes while being required to attend to the treatment clinics at the scheduled times ((Recovery Center of America, 2019). Therefore, the plan will work effectively for Abigail.
References
Recovery Center of America. (2020). Outpatient treatment. Recovery Centers of America. https://recoverycentersofamerica.com/outpatient/
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Colleague: Tara Cumly
RE: Week 4 Discussion
Top of Form
For this discussion I have chosen to focus on scenario 2.
Abigail is a 35-year-old Latina mother of two who has fallen in with the wrong crowd. Her mother cares for her 9-year-old son and 7-year-old daughter while she serves at the local tavern. She recently has been accepting drugs as her tip and stays out late drinking after her shifts. Her recent behavior has caused her children to act outside of their norm. Based on Abigail’s behavior I believe that she would benefit from outpatient treatment because there is evidence of alcohol and cocaine usage on a daily and weekly basis. From my opinion, Abigail sees no wrongdoing based on her current behavior. Abagail lashed out at her mother when she was questioned about staying out late and it seems that at the moment, she prefers to stay out drinking and experimenting with drugs as opposed to being at home with her kids.
According to Edwards (2018) outpatient treatment is listed as a level 1 treatment option for substance abuse. It involves a series of scheduled sessions with the guidance of addiction professionals and clinicians, weekly and or twice a week individual and group therapy, and engaging in self-help groups (Edwards, 2018). Abigail would have the most success with outpatient treatment since she has not admitted to herself and family that she might have a problem with drugs and alcohol. During the therapeutic process it will be important for Abigail’s social worker to engage in client collaboration while Abigail is going through her addiction treatment. Capuzzi and Stauffer (2016) highlight the importance of engaging the client in their treatment process because it ensures higher levels of motivation and trust (p. 94). When the client establishes a healthy relationship with their clinician who not only fully motivates them during treatment but is also entirely engaged during their recovery process overall allows the client to have a higher rate of being successful in treatment (Kennedy & Gregoire, 2009).
After reviewing the different levels of treatment, I think I would be most interested in working with level one clients who have been referred to the outpatient treatment center. These individuals often are unaware of why they have been referred to treatment. I want to be able to show them the reality of their lives on drugs vs their life without them. Level 1 helps the client identify that they have a substance abuse problem, it just may not be out of control as of yet (Edwards, 2018). With the help of the addiction professionals and clinicians working in outpatient treatment centers I believe that they will be able to help the client recognize that there is an addiction present whether they choose to believe it or not.
References:
Capuzzi, D., & Stauffer, M. D. (2016). Foundations of addictions counseling (3rd ed.). New York, NY: Pearson Education, Inc. Edwards, D. (2018). Levels of treatment for substance abuse. Psych Central. Retrieved from https://psychcentral.com/lib/levels-of-treatment-for-substance-abuse/ Kennedy, K., & Gregoire, T. K. (2009). Theories of motivation in addiction treatment: Testing the relationship of the transtheoretical model of change and self-determination theory. Journal of Social Work Practice in the Addictions, 9(2), 163-183.
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Colleague: Holie Pussie
RE: Week 4 Discussion
Top of Form
Post a brief description of the scenario that you selected and explain which level of treatment is most appropriate for the client and why
Abigail, thirty five years old, single Latina divorced mother of two, works two jobs as a waitress and bartender at the local tavern. Abigail has formed unhealthy illicit drug and alcohol abuse habits, due to who regulars tipping her with cocaine, ecstasy, and prescription drugs. Abigails drug and alcohol abuse has caused her to begin neglecting her children, argumentative with her mother, and staying out all night. Abigails son has developed behavioral problems at school and daughter self isolates.
According to the American Society of Addiction Medicine Patient Placement Criteria (2015), the patient must be screened and diagnosed by the evaluator, to assess their characteristics and determine the level and severity of their illness. The level of treatment I would choose for Abigail is intensive outpatient treatment. Intensive outpatient treatment provides services, responding to clients severe and chronic substance abuse disorders and oother problems they may experience (Center for Substance Abuse Treatment, 2006). ASAM intensive outpatient treatment requires adukts to participate 9 hours or more, depending on the clients needs, per week, that can be spread over the course of 3 to 5 days (Center for Substance Abuse Treatment, 2006). Shorter yet more frequent visists have been known to be more beneficial than less frequent and longer sessions. Intensive outpatient services should begin with developing a therapeutic relationship, by assessing the clients readiness for change and using motivational strategies to enter and continue treatment.
I chose this level of care for Abigail because it would allow a clinician to assess here severity of substance abuse and either continue her treatment along the continuum of care or refer her to a step down or up, depending on her severity. This level of care would also allow Abigail to still take care and be with her children, while also receiving treatment, without having to be hospitalized. Intensive out patient care can help Abigail maintain abstinence and eliminate the drug using lifestyle.
Finally, based on your review of the levels of treatment, explain which level you are most interested in working in and why
I would also choose to work in the intensive outpatient programs. I would choose this level of care to work in because it presents itself as a challenge. As a professional clinician, the most critical state of providing intensive outpatient services is motivating the client to remain in treatment. After only a few sessions, clients normall tend to drop out, according to the Center for Substance Abuse Treatment. I also chose this level of care because of of its highly structured environment and it envolves educational, group, and behavioral activities that help the client develop recovery skills, address lapses, and build a substance free lifestyle.
References
Center for Substance Abuse Treatment. Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2006. (Treatment Improvement Protocol (TIP) Series, No. 47.) Chapter 3. Intensive Outpatient Treatment and the Continuum of Care. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64088/
Mee-Lee, D., & Gastfriend, D.R. (2015). Patient placement criteria. In M. Galanter, & H. D. Kleber (Eds.), The American psychiatric publishing textbook of substance abuse treatment (5th ed.). Arlington, VA: American Psychiatric Publishing.
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