Final Project: Scholar Practitioner Project

Addressing Co-Occurring Disorders

Co-occurring disorders happen when an individual has two or more mental illnesses that may occur before or after the other or begin simultaneously (Kelley, 2021).

Marias 30 Day Addiction Treatment Plan

Admission

Identifying Information

Maria is a forty-four old Latina female who has a hearing impairment. Maria is married and a parent to two teenagers, but she is currently separated from the husband.

Presenting Complaint

Maria was brought into the residential treatment program by other members and not the husband or the children because the husband had left her and the children were back at home by themselves. Maria seems to be under emotional distress at the same time she is intoxicated and feels tired to even walk as two staff members are forced to carry her to her assigned room. This indicates that Maria is experiencing alcohol intoxication. Upon reaching the facility, it is clear that Maria is reluctant to receive treatment. She says that her family has not yet approved for her to receive psychiatric services and counseling only because they think it is a weakness. Maria also cries unstoppably when she reaches the residential treatment program, and this shows that she might be depressed.

Assessment

Upon doing a psychosocial intake assessment, Maria shows symptoms and signs of major depressive disorder, which means she may have a mental illness at the same time.

The course of Residential Treatment

Making use of the American Society of Addiction Medicine(ASAM) criteria will update the continuum regarding the care given to Maria. In the first week, Maria closely fits in level III residential or inpatient treatment criteria, mainly level 3.7. Medically inpatient programs are operational in patients who often have cognitive, biomedical, or behavioral conditions addressed best through 24hour clock care. During this time, observation, evaluation, and meetings that involve the team members are involved. At this level, the individuals are not allowed to present severe needs, which involve recommendations that are at the highest level of care. These recommendations should be monitored and not medically treated. As it relates to Maria, her major depressive disorder and alcohol dependence diagnosis suggests the need for a medically monitored inpatient program which is supposed to help her. Upon completion of residential treatment, Maria's mental and biochemical health needs will be steadied. At that time, Maria should be able to cope with the requirements when she is at home. Maria will then be referred to a 2.1 level outpatient intensive outpatient program where she can get psychological and mental assistance. Maria will also be able to access services such as recovery building enhancement activities and even psychotherapy over the next twelve months. Maria will then be transferred to receive level 1 services at the outpatient so that the skills she gained during the higher-level care can be sustained (American Society of Addiction Medicine, n.d).

Plans of Discharge

Once Maria has completed her thirty-day residential treatment, she will still require recovery and abstinence services regarding her alcohol use and depressive disorder. Maria will be transferred to an intensive outpatient program immediately. She will be required to attend the outpatient therapy immediately, where she will receive medication management, marital and family therapy in twelve months then followed by six months. Maria will concurrently take part in alcoholic anonymous to provide recovery care to other members of the group and at the same time increase social interactions that are positive. Maria's involvement in medication management might help in ensuring her compliance with medication and at the same time measure the effectiveness of the medicine.

Reflection of the Case Management Roles

To access and address illicit use of the substance in individuals, the counselor should be aware of how their value and personal experiences affect their addiction views. The counselor is needed to ensure ethics are being practiced and thus reduce the chances of risks of harm that might be brought to the client (Doweiko, 2019). As a substance abuse counselor, I have met many clients who have the same problem, and thus my addiction views may be exclusive. Witnessing other clients fight alcohol addiction and depression and succeed in overcoming it gives me hope that all mental disorders can be dealt with accordingly and that the individual can live everyday life. Using chemical substances in excess may hinder the processes of decision-making and thinking, but there is still a need for this people to receive high-centered care. After learning about addiction, its causes, signs, and treatment, I now have a better understanding, which has raised my preparation to positively contribute to the addiction field via social working.

Marias Treatment Plan

Long Outcomes

Maria will attain and keep alcohol abstinence and be able to manage symptoms of depression in a better manner.

Strengths that have been identified

Maria exhibits behaviors that show she is interested in the treatment as she cares about her two teenage children.

Needs identified

Maria depicts signs of alcohol dependency and major depressive disorder.

Factors that may impede successful recovery

Maria's lack of support from the family of receiving psychiatric services and counseling may hinder her treatment.

Short Term Goals

Maria will finish the residential treatment facility detoxification program.

Objectives

As needed by the detoxification program, Maria will quit or reduce alcohol use in the next 30day. After the 30days, Maria will take part in individual therapy sessions over the treatment course, which will help in addressing substance use. Maria will add the program's service to help address the challenges linked to hearing impairment and her major depressive disorder.

Strategies

While Maria is being monitored during the 30days, blood screening and urinalysis will be done on a daily basis. The counselor will assess Maria's change in motivation by asking her how she feels when she sees alcohol. The members of the team will come up with plans and use those plans to ensure that Maria does not find alcohol anywhere. After the thirty days of inpatient treatment, the substance abuse counselor will issue out individual therapy that will happen twice a week, enabling him to access Maria's substance abuse. The counselor will also provide family therapy sessions that will take place every week to educate Maria's family about addiction in general. He or she will also teach Maria and the support system on the skills of preventing treatment relapse. The counselor will also make plans or carry out a psychiatric evaluation to measure the mental health needs of Maria are met. Maria's treatment team will find available resources to raise the management of symptoms linked to depression. A meeting of only the interdisciplinary team will be held before Maria is discharged to organize service delivery.

Expected Outcomes

Maria will be able to stay for thirty days without using alcohol. The blood screens and urinalysis will confirm that together with reports from the rest of the team members giving her treatment. Before Maria is discharged after completing her 30day treatment, she will recognize triggers that cause her substance use. Maria and her family will be asked to define and use at least two skills to prevent her relapse. Maria will be given a chance of identifying and participating in a supportive program which is planned to meet depressive disorder individual's needs. Before being discharged from the inpatient detoxification program, Maria will plan sessions with her providers.

Short Term Goals

Maria will keep abstinence from the use of alcohol for above 12months after discharge.

Objectives

Maria will continue using individual outpatient therapy for up to one year after being discharged.

Strategies

Maria's treatment team will continue to link Maria to individual outpatient therapy during her session of discharge. They will continue building on a prevention plan of relapsing. The team will address Maria's vocational needs to help Maria get back to her everyday life. Assessments will be continued to identify where Maria's mental health needs have not been met and any reason for a referral.

Expected Outcomes

Maria will have upgraded the skill she would have gathered during her inpatient treatment as it will be important when it comes to her maintaining abstinence. Maria's children and husband will increase the functioning of the family, which will be seen through the increased role fulfillment and supportive recovery in the Marias case

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