Co-occurring disorder

Identified Strengths: An identified strength for Marge includes the following:

1. Marge has strong family bonding. She shows exceptional affection for her three children, husband, and the rest of her relative and she is more willing to work towards her recovery so as to gain her family's love and trust back. This information is great for the clinical assessment due in the final week, however, not on the treatment plan.

2. memory and knowledge of how her uncle and father drank to their death. As such, she knowns the negative impact of alcohol-related complications. This is a strength that her counselor can use in assisting her to achieve the required short and long-term goals. See comment above, also use clinical strengths-based language. Due to HIPPA treatment plans only include the information on the patient treated. Eliminate other persons.

3. Marge is motivated for treatment. Admitting to drinking a lot of alcohol is another strength that Marge has because not all alcoholics admit to being alcoholics. Confessing to having a certain problem is the first step to seeking help (Doweiko, 2019).

Identified Problem/deficits: The following challenges may impede Marge successful recovery. (Both strengths/problem list should be balanced. A good number is 3 strengths/3 challenges.

1. Marge suffers from medical conditions such as diabetes. Statement of fact! Marge has a medical diagnosis of Diabetes.

2. Challenges with her 12-year-old son who is having issues at school as well as at home causing Marge to have depression.

3. Client has alcohol use disorder, anxiety, and the inability to maintain sobriety.

4. Financial instability and DUI violation may cause challenges to recovery.

5. Inadequate motivation, resistance to therapy, and defensiveness (Prochaska, DiClemente & Norcross, 1992).

6. Other factors that may obstruct Marge recovery include external stressors, close friends, and longer stay in residential treatment (Prochaska, DiClemente & Norcross, 1992).

Long-term goal(s ):

Short-term Goals

Objectives

Strategies

Expected Outcome

(with time-frame)

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. Marge will develop a program of recovery based on assessment information within the next one-year and will learn healthy communication skills in a residential facility at Owing mills Maryland

2. Marge will abstain from alcoholic beverages within the next one year. Abstainers will lower Marge’s urge for alcohol in the future which will enable her to socialize with family and friends .

3. Marge will learn how to tolerate uncomfortable feelings without using alcohol in the next 12 months and reunite with family and friends during treatment in the residential facility.

4. Client will learn new behaviors and positive self-talk within the next one year during treatment at the residential facility.

5. Marge will create new relationships with individuals who are abstemious.

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

Marge will complete a detox treatment within six hours for six days and receive a residential treatment program for 6 months. As evidence by client developing a positive commitment to sobriety.

Marge will receive individual counseling and sessions on alcoholic beverages within 3 months of stay in the residential facility at Owing mills Maryland.

Marge will attend recovery meetings twice a week. As evidence by new skills needed to maintain a sober lifestyle within 3 months of treatment.

Client will take part in motivational and positive activities that will help her stay motivated during the first 3 months of stay at the facility.

Marge will get in touch with alcoholic anonymous members who will positively inspire her within 3 weeks of treatment.

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

Marge will be active in all groups and individual sessions during the period of rehabilitation. Participation will help her reduce the urge to drink alcohol.

The counsellor will monitor Marge for withdrawal symptoms as the detox process progresses and will encourage Marge to share her feelings and provide feedback during stay at the residential facility for the next 6 months.

Marge will have one-on-one individual counseling session every week for 2hours and participate in cognitive behavioral therapy for 8-12 weeks during treatment

Marge will make attempts to have a family day out with her husband and children once a month for 6 months during treatment. She will enjoy activity such as riding a bike to help her with her health issues in relation to her diabetics.

Client will engage with sponsors who will guide her through the 12-steps in living a normal life and preventing relapse.

How objective will be carried out or accomplished

Example:

The counsellor will teach Marge stress management techniques such as systematic desensitization, biofeedback, and progressive relaxation and mindfulness.

Marge will complete stage one of Alcoholic Anonymous treatment during the first month of treatment.

Counsellor will use evaluation tools to monitor client progress, drug testing and self-report.

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Client will engage in activities she enjoys like walking, yoga, meditation and

engaging in family activities like going to the pool or playing games twice a month within 6 months treatment at the residential facility.

Marge will delete all contacts of friends that influence her drinking habits and write journal of her recovery progress.

Objective, measurable desirable outcome with timeframe

Example:

Marge will begin to restore her relationship with her husband and children within 6 months of treatment.

Marge will be productive in Alcoholic Anonymous and focus on getting the DUI charge removed with proves of treatment and detox classes attended and treatment progression before the end of 6 months treatment.

Marge will see her physician within 2 weeks of treatments and start a plan to get her diabetes under control and receive medications to reduce symptom of depression and anxiety.

Marge will restore her confidence level and regain self-esteem by attaining the maintenance stage of change to prevent relapse.