What type of an assessment would you use and why? Alcohol or other drug abuse (AODA) assessment is a meeting between Jenna and a certified substance abuse therapist. Usually, AODA assessments may be wanted by lawyers, judges, employers, family affiliates or schools after an event such as an accident, legal charges in the behavior. This diagnostic interview will need to be planned and conducted to be the cornerstone of the diagnostic process; this will ensure that Jenna will get the assistance she needs to move forward in her life. For Jenna’s situation, she may be responsible for fees related to the assessment, or the expenses may be covered by a third-party. In the evaluation, which can last from one to two hours, I would conduct conversational …show more content…
interviews about her use of drugs and alcohol in her life, as well as other topics that may come up. Some of the discussed issues will include the impact of alcohol and drugs on her life; another factor would be the impact it has on her kids and brings out the incident where she left them at home while she was at a bar. At the end of the assessment, the counselor will discuss the findings and recommend appropriate treatment, if pertinent. These commendations may be followed voluntary, or they may be enforced by the court, depending on the results. One of the central themes of the assessment is the client's readiness for change; this includes determining the stage the client is in and get specific information about her background. The AODA counselor will need to set a plan in place with Jenna, so she is aware of the expectations and actions she needs to take for the healthy recovery process when it comes to Jenna. This assessment that needs to compete for her should do with support in her life; this will ensure a safe recovery into holding her accountable. Using DSM 5 Diagnostic Criteria, what might be actual or possible diagnoses you would consider? Based on the information about Jenna’s life, the diagnostic criteria for her is Cannabis use disorder 305.20 (F12.10).
CUD compacts with a condition characterized by the pressing concerns of chronic cannabis use, a pattern of compulsive cannabis use, and sometimes physiological dependence on cannabis tolerance and symptoms of withdrawal. Jenna admitted in her case report to using marijuana 5-7 times per week but does not feel a problem as it helps “deal with stress” in her life this also deals with the unsuccessful efforts to cut down or control cannabis use which she mentioned in the case study. Another possible diagnosis for Jenna is alcohol use disorder 305.00 (F10.10) Mild: AUD deals with a problematic outline of alcohol use leading to significant damage or distress. Because alcohol use varies significantly among people, it can be supportive to recognize general signs of a tricky, such as when drinking interferes with home life, school, or work. Consumption of alcohol may be problematic if it creates relational difficulties with family and people that Jenna might know if it leads to a retreat from other activities. Jenna is a 36-year-old single Native-American mother of two children who struggle with alcohol consumption and cannabis use; her report stated that she left her children at home ounce and went to drink at a local bar. Her report furthermore stated that she has had two previous treatment which was not successful, Jenna talked in the report that the use of …show more content…
alcohol has “gotten out of control sometimes and has led to a charge of Operating While Intoxicated (OWI) two years ago. What additional information would you ask to adequately assess this individual? The first set of information I would need from Jenna to fully assess is what her daily schedule is like; this includes when she does not have her kids and social life overall.
Knowing the information about her regular plan will be a guide to determining what changes might be implemented in her life. When thoroughly assessing an Individual that is struggling with AODA issues, it is imperative to get information about what kinds of things they like doing during the day. Assess of data will determine needed changes in her life that she will get the assistance she needs in her recovery process and for the wellbeing of her kids in this situation. An additional form of information is about her boyfriend, in her case study, Jenna mentioned that her current boyfriend has a history of domestic violence charges. The further sort of information is seeing if the relationship Jenna has with her boyfriend is healthy or not, also if her boyfriends are aware of her actions of wanting to get clean. Another form of information is her use when it comes to AODA drugs in her life; this will give the counselor a chance to see her current state when it comes to her cannabis use. Succeeding in information about her daily use of drugs will assist in creating a plan of action for the future, letting her know about the program and then getting her current support on board. Another form of information is seeing what changes Jenna would you like to happen in her life, this will ensure that Jenna is
serious when it comes to wanting a positive change in her life. Asking this question will also assist in Jenna setting her own goals up to know about the significant impact this will have on her kids and family. Another form of information I would like from Jenna if spirituality is something that she values and if that might be a resource for eh recovery process, that could play a part in the recovery process, and she might use spirituality in building relationships on the spirituality aspect. Who should be involved in the client’s treatment? Why? The involvement of people for Jenna’s plan needs to show the supportive side in her life; this will ensure the success in her recovery from AODA and continue the cycle of success. The involvement expects will also guarantee that people are holding her accountable and able to follow up during the week how her process is going when it comes to the lessening of her alcohol use. The first person who should be involved in Jenna’s treatment is her mom, in her case study Jenna mentioned that her mother who lives nearby as being “supportive” will assist in her recovery process. Getting Jenna’s mom involved in her treatment will ensure a positive person in her life and willing to watch her kids when she goes to AA meetings or counseling opponents. Jenna’s mom also has a safe environment for her kids and Jenna doesn’t have to worry about her kids being in danger. Having Jenna’s mom involved in treatment will ensure an individual available to offer inflation not just about her upbringing, but also about her personality and cetin things that might work in bringing a new perspective to treatment. Other people that’s should be involved are the counsels that were part of Jenna’s past therapies, this will ensure different aspects and idea as it relating to helping her a lot better when it comes to treatment. Having positive people involved from Jennie's past treatment will help in getting more information about her personality and strengths of possible better treatment options. Another person that should be engaged in Jenna treatment is her boyfriend; it is impactful that all the individuals that are going to be mainly in her life be involved as it relates her treatment. In Jenna’s case study, she cited that her boyfriend is currently in her life and sometimes stays over at her house. Letting her boyfriend know about the treatment plan will assist in shedding light on what she can accomplish and if he is willing to help in that.
A problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:
The clients goals are to be reunited with her children, maintain housing, and to attend parenting to strengthen her skills and the bond with her children. Client is doing well: abstaining from drinking and complying with and attending program, no longer with abusive boyfriend, willing to work hard. Key players agree on goals for the most part. Goals represent a change on the micro level. Identified objectives are to develop her parenting skills and strengthen the bond with her children, maintain sobriety, and to develop healthier coping skills, develop positive self-esteem.
Because of this misinformation, the examiner can take all the necessary precautions, yet still end up with errors beyond their control. I do think the fact that the ASI-J is given pre and post treatment can help to validate some of the information that the substance abuse users may have falsified in the beginning when they were under the influence of drugs and/or alcohol. Once the information from the pre and post tests are compared, it will allow the examiner to better determine hits, misses, false positives, and false negatives. Information gathered from results of the ASI-J is often used as prediction tools in treatment responses and outcomes and relapses; therefore, testing errors can lead to inaccurate prediction results which could lead to false positives and negatives. The ASI-J has also been proven useful as a comparison tool in clarifying similarities and differences between substance abuse users, so valid and reliable results are important (Haraguchi et al.,
Inv. Owens met with Aolany at 8610 Bruton Street, Dallas, TX. Aolany Gaytan stated her birthday is 10/21/2010, and she stated she attends Mexicanca School, and she's in first grade. She stated she likes to play on the playground with her friend. Inv. Owens observed Aolany and there were no marks or bruises on Aolany she was dressed well. Aolany was very observant, she asked plenty of question, such as "Are you the principal?". During the interview Inv. Owens explained to Aolany who
Generally speaking, the Diagnostic and Statistical Manual of Mental Disorders (DSM) references substance dependence (in this case, alcohol) as a cluster of cognitive, behavioral, and physiological symptoms that shows that the person is continuing use of the substance even with adverse effects on the individual’s life. Specifically, for a person to be diagnosed with substance dependence they must show at least three of the following symptoms; tolerance, withdrawal, substance being taken in larger amounts of over a longer period of time than intended, an unsuccessful desire or effort to control the use of the substance, there is a great deal of time devoted to the drug, important social, occupational, or recreational activities are given up or reduced due to the substance, and the individual continues use of the substance even with the knowledge that the substance is causing physical or psychological problems (APA, 2000).
“Ultimately, diagnosis of a substance use disorder or PTSD relies on clinical assessment using DSM criteria. Screening instruments exist that can help uncover or point the way toward a potential diagnosis. For alcohol use disorders, the Alcohol Use Disorders Identification Test (AUDIT) and the AUDIT-Consumption (AUDIT-C) have been widely validated as self-report screening measures. A single-item screening measure was recently validated for drug use disorders consisting of the single question, “How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?” A response of 1 time or more yields a positive screen.” -Returning Veterans With Addictions. (2011, July 11). Psychiatric Times. Retrieved Februa...
...ll. “Thus, AUDs [Alcohol Use Disorders] account for 18.4 million years of life lost to disability (YLDs), or 3.5 percent of all YLDs, in low- and middle-income countries and for 3.9 million YLDs, or 5.7 percent of all YLDs, in high- income countries” (Rehm 136).
Severe mood swings, violent rages, memory loss—each of these problems were a part of my family life during the past two or three years. These problems are the result of alcoholism. Recently, a member of my family realized his abuse of alcohol was a major problem to not only himself, but also to those around him. He would lose control of his temper and often would not even remember doing it the next day. Alcohol became a part of his daily life including work, home, and any other activities. His problem was that of a "hidden" and "high-society" alcoholism. When he was threatened with the loss of his job and the possibility of losing his family, this man knew it was time to get help. After he reached his lowest point, he took the first step towards recovery—admitting his problem.
People with addiction may seek counseling to help them recover from drug usage. Using motivational interviewing can help find out how motivated the client is to staying clean and what will encourage them to stay away from drugs. The clients also needs to see how the addiction is effecting their lives and the lives of their loved ones.
“Motivational interviewing was introduced by Dr. William R. Miller in 1983, to help problem drinkers prepare for treatment and has been developed in collaboration with Dr. Stephen Rollnick. Motivational interviewing is a client centered directive method of communication for enhancing intrinsic motivation to change by helping people to explore and work through ambivalence. (Miller &Rollnick,2002).” This definition simply means that motivational interviewing is a method that uses the techniques taught by Carl Rodgers, such as empathy, positive regard, and congruence all of which lead to a collaborative relationship between the counselor and the client. This supportive and collaborative relationship will enable the client to open up and have honest discussions with the counselor. Therefore, the counselor will be able to help the client recognize:
Liehr, P, Marcus, M, Carroll, D, Granmayeh, K L, Cron, S, Pennebaker, J ;( Apr-Jun 2010). Substance Abuse; Vol. 31 (2); 79-85. Doi: 10.1080/08897071003641271
Solowij et al. (2002). Cognitive Functioning of Long-term Heavy Cannabis Users Seeking Treatment. JAMA: The Journal of the American Medical Association, 287, 1123-1131.
Many people who experience these effects avoid alcohol, which helps protect them from developing AUD”( “Genetics of Alcohol”). Environmental factors are another risk for AUD as mentioned by the NIAAA. Genetic research related to alcoholism is still developing and it is still not confirmed if genetics have a role in alcoholism. It is also suspected that genes have an impact on the effectiveness of treatment for this disorder since treatment is only found to be effective in certain individuals. The substance abuse and mental health services administration reported in 2010 for people of age 12 and older in the United States that an estimated 131 million drink alcohol, 58.6 million participate in binge drinking, and 16.9 million participate in heavy drinking (“Addiction Statistics”). There are many resources and treatments available for individuals to deal with their alcohol addiction such as support groups, medication, or counseling. Genetic research will continue to develop through the NIAAA in hope of recovery for individuals suffering from alcohol
The intake process may vary based on the clinical setting from structured to unstructured models, each with the same core and theme of collective information that is customarily gathered. The effectiveness of the initial intake interviews are a reflection of balance between gathering information and developing a therapeutic working alliance (Whiston, 2009). Furthermore, “Research indicates that to become effective in intake interviewing so that a working alliance is fostered, counselors need to follow guidelines and receive training to obtain accurate and valid information” (Duley, Cancelli, Kratochwill, Bergan & Meredith, 1983). This is why as counselor we have the training necessary to successfully execute an intake process.
The diagnosis of this type of substance use disorder often is difficult because the symptoms of substance abuse can be comparable to the symptoms of other medical and behavioral problems that are found in older adults, such as dementia, diabetes, and depression. Many healthcare providers underestimate the extent of substance abuse problems among older generation, therefore, do not screen older adults. Seniors often live with or are supported by their adult children or other family members because of financial necessity and with their substance abuse it is placing additional financial hardship on supporting families, as well as the psychological damage. If the older adult’s spouse is present, they are likely to be an older adult as well, and may be perplexed by their partners new and disruptive behaviors and may not be able to understand the addiction. Therefore, their spouse may not be in a position to help assist in recovery. Their children may take on a parental, caretaking role. This role reversal can be stressful, painful, and embarrassing. In some cases, grown children may stop providing financial support, physical abuse, and assert emotional control because it is the only influence they have over the parent. Children may cut ties with the parent due to their substance abuse. Cutting ties have only increased the parent’s isolation and may worsen the predicament.