RA 2: Proposed Substance Abuse Treatment Plan

Substance Abuse Intake Assessment

SENSITIVE MATERIAL—DISCRETION IS NECESSARY

Data sources

The data source for details is a sample from the police department, in this we were able to get to know her relatives, and the record for selling illicit drugs was also evident from the police. Other relevant files from the probation office also affirmed that Sue was a drug addict and need intensive care. Other tools that were used to extract data include family interviews, medical records, and school record.

REASON FOR REFERRAL

Sue was called to the office of vetting since she had denied the fact that she was caught in possession of illicit drugs and Sue also pleaded guilty to the fact that Sue had attempted to commit suicide while she was in jail. The Intake assessment is necessary for determining the treatment essential for Sue.

IDENTIFYING INFORMATION

The detail from this case study reveals that Sue was a Haitian Woman Aged 28 years. She found herself in the US after a massive earthquake struck their country back in 2010. A single mother with four children all under the age of 8. The father of the four is said to have abused her before she was on her own. The report reveals that upon arrival at the Us she went to live with her uncle and aunt at Miami. The dual found Sue as a burden regarding financial needs, and this forced them to make her leave and start leaving on her own. This issue frustrated her, and it is at that juncture she started drug abuse and prostitution to meet the family needs. Sue has a good knowledge of both Haitian French and English although she had dropped out of high school at an earlier age.

FAMILY LIFE

From the report, Sue was born and grew up with her family in Port au Prince, Haiti as the last born from a family of eight children. A brother and a sister died at a very tender age due to pneumonia disease; she was raised in a religious background where she used to attend a Catholic church with her grandmother. Her father was an alcohol addict and spent a lot of his time drinking, her mother, on the other hand, was considered bipolar but had not been clinically diagnosed.

EDUCATION AND VOCATIONAL BACKGROUND

The report reveals that Sue was the only child who had a chance to study; the record shows that she had an exemplary performance in school work. She opted to drop out of the school in her 10th grade to help on the stability of her family. She made a comeback to continue her education where she eventually obtained General Education Development. She is considered the first to ever finish school. Upon completion of her training, she got a job as a teacher aide at a school in Haiti.

PREVIOUS MENTAL HEALTH TREATMENT

She gave us a report on her family and health history. She said that she had received some counseling back then concerning her illegal drug charge and how severe it is regarding the country capital and criminal offenses. Her family shows that she suffers from substance use disorder which may arise from her father drinking behavior. Her brother also confirmed the fact that he had little knowledge of sue receiving any mental health treatment.

AVAILABLE SUPPORT AND RISK

After Sue pleaded guilty to all her cases, the report shows that she was held up in the country for few days. While in jail Sue tried to commit suicide one night by trying to stuff her throat and nose with clothing. The cellmate noticed her activities and informed one of the acting officers to help out with the issue. After the incident, Sue was admitted to an impatient local unit for evaluation and medication. After the jail term, she was rendered homeless with no income to take care of her family needs. Since sure has no income at all her children have been forced to stay in a foster care facility. The local authority is also considering deporting her to her local country.

ACCESS TO COMMUNITY RESOURCES

Sue has been referred to this office for treatment. We are going to provide her with any necessary treatment plan and resources that she may require at her disposal. For her, we are going to adopt a Cognitive Behavioral Therapy (CBT). The initial stages will analyze whether CBT is the best treatment approach for sue. The specialist will be required to make several inquiries concerning her life and foundation. In this case, Sue must be willing to abide by the set rules of the treatment plan for it to be effective.

There is a high chance that Sue may be suffering from depression and anxiety; the specialist, in this case, will have to have a look at her family and social life which correlates to her current situation. We will also have an examination of the previous medications that she had in the past.

Given the time frame, the specialist will not have any other option but to begin separating various issues into different parts. Sue and her advisor will not have any other choice but to prepare a journal that will be used to track her performance. Her specialist will have the capacity to enable you to work out how to change unhelpful musings and practices

In consideration of the things that will work out better for her, her advisor will arrange for the rehearsal of adjustments to her day to day life until she reforms. These reforms may include:

• Recognizing the time frame when she will accomplish her goal-2015

• She must do several homework tests in the process of helping with the procedures.

At various sessions, Sue will have to talk about her progress with the advisor on how she felt about the training. The advisor in all cases should be able to help the specialist write different proposal concerning Sue. CBT most enormous advantage is that the standards that are applied during the course can be used in everyday life (First, 2015)

MENTAL STATUS AND GENERAL OBSERVATION

Sue is 28 female whose life seems to have lost track. She was always depressed and had a lot of anxiety may due to her previous experiences. During the training, Sue was able to speak out though to some; hesitation was noticed when it came to admit. She gave a deliberation of her family life though she did not want to shade more light on her father drinking behavior and her mother undiagnosed disorder.

In undergoing Mental Status Exam (MSE), She had instances where she was not willing to communicate at all concerning the issues related to charge and personal history. As the examiners asked more questions, Sue became very hostile about divulging information on the stolen goods in her possession. She was unhappy during the whole process of the interview and sometimes she could cry during the evaluation process. These reactions reflected how much the emotional impact it had on her mental wellness. She did not want to take responsibility for her actions.

RECOMMENDED SCREENING AND ASSESSMENT TOOLS

Test Administered-

Substance Abuse Subtle Screening Assessment- This was helpful in the identification of Sue Substance use disorder. It is essential for the identification of proper action for treatment of a disease. The results of the SASSI-3 were indicative of dependency with (the reference to the alcohol and drug test results).

Mental Status Exam- this test was essential in assessing Sue cognitive behavior. It was necessary for the determination of her overall functioning. For this section, the specialists used Mini-Mental Status Examination (MMSE-2) which is a small version of mental status Exam. The results of this examination showed that Sue could be suffering a minor depressive disorder (American Psychological Association,2013).

Minnesota Multiphasic Personality Inventory- This test is used for checking for both behavioral and psychological which a test is usually administered to adults. The MMPI revealed that Sue always blamed her drug addiction behavior on others. It also gave an insight of Sue unpredictable behavior.

SUMMARY

From the case study, we can note that Sue comes from a troubled background of having an alcoholic father and a bipolar mother. The fact that she has encountered domestic from the former husband's violence agitates the situation more. She is a mother of four without a job to feed her family. After an earthquake in her homeland, she is forced to move to the US to stay with her close family member but the burden for accommodating her becomes unbearable, and this makes her out to through her out to go and fend for herself. Hard financial situations force her to venture into hard drugs such as cocaine and prostitution.

For this case, Sue needs special care since it is hard for her to part ways with drugs. She needs to undergo a comprehensive recovery process to overcome this situation. Her children have already been held up in custody, in this case, she will be severe to the extent that it can affect her physical and mental wellness.

SUGGESTED DIAGNOSIS

We are persuaded that Sue has delusional confusion as the Theo Manschreck ventures to analyze her. In the first place, set up whether pathology is accessible. Now a clinical judgment that is now and again difficult to make. A couple of comments that appear to be capricious may be substantial. On the other hand, a couple of reports that at first have all the earmarks of being sensible may later be perceived as mind flights as the signs decrease, the fancies end up being less exemplified (i.e., begin to connect with more people or conditions), and more information winds up noticeably known. The clinical judgment that fantasies are accessible should be made in the wake of considering the level of validity, systematization, and the possible proximity of socially approved feelings that are remarkable in connection to one's specific feelings. Making the refinement of a real observation, a firm conviction, an overstated idea, and a wander off in fantasy land is now and again a testing errand. Frequently, the extremeness and raunchiness of the patient's practices, instead of the fundamental truth or deception of the conviction, exhibit its silly nature Beck, 2015).

The second step is choosing the closeness or nonattendance of essential qualities and signs consistently associated with stares off into space, for instance, perplexity, tumult, perceptual distortion impacts, physical appearances, and distinct demeanor varieties from the standard. Studies have exhibited that the most surely understood presentations reported were self-reference (40%), touchiness (30%), depressive slant (20%), and forcefulness (15%) (First, 2015).

The third step is to demonstrate a think differential conclusion. A comprehensive history, mental status examination, and research office/radiologic appraisal should be performed to markdown other therapeutic and psychological conditions that are typically present with fancies. CNS affliction is high on the differential finding of any insane issue, especially so at the start of a hallucinating problem in patients more settled than the usual beginning of schizophrenia. Preposterous confusion should be an investigation of restriction.

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