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Drug and alcohol abuse
Drug and alcohol abuse
Drug and alcohol abuse
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Recommended: Drug and alcohol abuse
Treatment Plan:
Problem 1: abuse of alcohol, severe
Goal 1: acknowledge the powerlessness over self harm, interact in a 12 step program.
Goal 2: sustain total abstinence; broaden knowledge of the disease and the recovery process (Perkinson, Arthur, & Bruce, 2014, p.391).
Goal 3: obtain the necessary 12-step skills to maintain long-term sobriety from drugs, alcohol, and behavior that may cause harm to self (Perkinson, Arthur, & Bruce, 2014, p.391).
Goal 4: enhance way of living by refraining from all alcohol and drugs that will cause harm to self (Perkinson, Arthur, & Bruce, 2014, p.391).
OBJECTIVES
1. Provide truthful details needed to complete a thorough assessment for a chemical dependency biopsychosocial history. (11)
INTERVENTIONS
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Intervention 3: complete a thorough pain management assessment and substance abuse agreement Objective 3: review the safe use of medications with primary medical physician (Perkinson, Arthur, & Bruce, 2014).
Problem 3: Major depressive disorder
Goal 3: abstain from any kind of harm to self or others. Objective 1: create a contract that will consist of no harm to self or others, and state in contract that client will abide by contract while in treatment (Perkinson, Arthur, & Bruce, 2014). Intervention 1: request that the client sign the no harm to self or others contract. If client is feeling violent towards self or others, then client should contact therapist or family. Objective 2: request that client receive a full medical evaluation. Intervention 2: refer client to be evaluated and receive a complete check up physically and mentally by primary care physician and therapists. Objective 3: participate in a biopsychosocial examination that will consist of a history of any childhood trauma, substance abuse, family history, and any prior history of violence (Perkinson, Arthur, & Bruce,
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Objective 2: finalize all psychological testing that is designed to objectively assess for
any spiritual confusion. Intervention 2: finalize the spiritual well-being scale with client, provide client feedback regarding the results, patient may need to be retested, if necessary to assess treatment progress (Perkinson, Arthur, & Bruce, 2014). Intervention 3: express to client that he/she needs to verbalize the powerlessness of recovery that result from unmanageability of spiritual confusion. Client needs to gain an understanding of how the confusion of spiritual being may add to the addictive behavior (Perkinson, Arthur, & Bruce, 2014).
Objective 3: ask about clients past history of spiritual confusion, and give in detail how confusion in spirituality may contribute to relapse and addiction (Perkinson, Arthur, & Bruce, 2014).
Intervention 4: state the need for spiritual attitude when working in the 12 step program.
Objective 4: explain to client that when participating in the 12 step program, results are best when the higher power is understood, which is God (Perkinson, Arthur, & Bruce, 2014).
In essence, McMinn’s intradisciplinary integrated approach to Christian counseling is more than a “toolbox of set strategies for change” instead it is a “deep, abiding, formative work of God’s Spirit,” within the counselors lives (p 31-32). McMinn (2007) explains his theoretical map is cognitive therapy along with developing a strong therapeutic relationship and trust with our clients is not only essential to the effectiveness of counseling, but also is vital to applying his approach of the integration of psychology, theology, and spirituality into counseling. By McMinn using his theoretical cognitive therapy map he can build upon it to integrate the concerns of the spiritual growth wellbeing of our clients as well as their wellbeing of mental
9). Based on the afore initiatives, the mental health professional must decide which therapy would be beneficial in treatment for the clients’ problems. Evaluations and reevaluations may be needed to be successful in treatment (Nurcombe, 2014,
Although we are given free will and choice it is the choice to relinquish ourselves to God and His grace. May (1988) argues that addiction attempts to gain control over the behaviors that lead to shame and guilt. This book may be implemented into counseling to help those struggling between release of addiction and increasing spiritual growth. Ultimately, May (1988) argues that there are three simple ways in stopping addictive behavior results in “don’t do it, refuse to do it, and keep refusing to do it” (p. 178). When clients are able to face the truth of addiction, in their abilities, and longing for God they can begin to fall in love with themselves and the desire to love
Coming into the substance abuse meeting the student nurse was scared and nervous. She was scared of the reaction of the consumers and feared all the stereotypes she heard about typical alcoholics. Innervison gave the student nurse a new outlook on these types of consumers. She no longer looked at them as people who were just drunks and wanted to use AA as an excuse to make it seem like they are getting help. She never really looked at alcoholism as a true addiction; it seemed like more of an excuse to escape life’s problems. Sitting in and listening to these consumers gave the student nurse a dose of reality. The student nurse now understands alcoholism better and AA helped her realize recovery is truly a process that takes one day and one step at a time.
Cunningham, M. (2012). Integrating Spirituality in Clinical Social Work Practice: Walking the Labyrinth (1 ed.). Upper Saddle River: Pearson Education Inc.
AA’s founder Bill Wilson asserted that alcoholism is a spiritual disease with only one cure., AA believes that the one and only cure is by following, and living by the 12 step program. Alcohol Anonymous 12-step program derived from this type of thinking and from the very beginning, new members are taught that they are absolutely powerless to alcohol, and that the only way for you to be cured is for “a power greater than yourself could restore you to sanity”. AA members separate themselves from the rest of society, and attribute their drinking problems to every other aspect of their lives. There is a list of contributing factors to an individual’s disease, published by Bill Wilson. The list is roughly 25 aspects of every alcoholic’s life but Alcohol is never listed because in Mr. Wilson’s eyes it’s not the alcohol that is the problem. Instead it is the individual that has become a victim to the alcohol.
Alcohol Anonymous (AA) is a fellowship worldwide consisting of over one hundred thousand men and women who are alcoholics, banded together in solving a common problem and in helping fellow alcohol users in their recovery from alcoholism. A.A.'s twelve steps are considered a list of principles which are spiritual in their nature, and if practiced as a way of life by members, can help significantly in expelling a member’s obsession to drink, and enable a holistic awareness. Step one is when the member admits they are powerless over the use of alcohol, resulting in an unmanageable life. No one wants to admit defeat, but admitting powerlessness over alcohol is the first step in becoming liberated. Step two is having a belief that the almighty power can restore their sanity. Step three is making the decision to turn their will and life over in the protection of the almighty God, which is the key to willingness of change as noted by the Twelve Steps of recovery. Step four is...
Then start to develop goals by finding out what they think is helping and what is not and are they willing to invest the time and effort by using the scaling exercise. The social worker with asks strengths-reinforcing coping questions how, what, and has. The Client is encouraged to define their goals from the start where the social worker may present and alternate perspective are to ask the miracle question. Answers to this question can provide indicators of change to be used. “All task are interventions are intended to encourage the client to think and behave differently with regard to the presenting problem than has been typical in the past (Walsh, 2013).” The formal first-session is the assignment of observing the good the client would like to continue in their life and maybe get the client thinking about exceptions. Second the surprise task surprising another person connected with the problem in a good way “shake up” in the clients’ routine and influence positive behavior. The ending is worked on from the start of intervention, where progress is monitored at each session that might be the last. Where the focus is on helping clients identify strategies to maintain and continue the momentum of enacting solutions.
May, G. (1988). Addiction & Grace: Love and Spirituality in the Healing of Addictions. New York, NY: HarperCollins.
This experience helped me to recognize the internal struggle that a substance abuser faces on a continuous basis. In addition, I know that an individual can have a difficult time changing their behavior even when they have a strong desire to change; the smallest thing can cause a person to relapse.
Falcone, Timothy J. "Alcoholism and Drug Addiction FAQ's Saint Jude Retreat House. 19 April 2004. Online. Internet. 19 April 2004. Available: http://www.soberforever.net/FAQ1.cfm.
There are very many key ideas that were discussed during this interview. The main ideas that were of most interest to me included counseling individuals from various religious and spiritual backgrounds, maintaining one’s safety and the importance of counselors practicing
Saisan, Joanna, Melinda Smith, and Jeanne Segal. "Substance Abuse and Mental Health." Help Guide. N.p., Feb. 2014. Web. 7 Apr. 2014. .
... The focus of the psychosocial interventions should be aimed at doing what is beneficial for the client’s physical health, mental health, and safety all at once.
People who struggle with an addiction to drugs and or alcohol are more likely to find success in their recovery than those who do not. Children, mental health clients, and recovering addicts, all report less use, or reduced use of substances if they are engaged in some sort of religious activity. It has been eluded to the fact that the God theory works because religion promoted better family living, focusing more on school or their job, associating with individuals who do not promote the use of substances, and instilling an anti-drug attitude in the individual (Fagan).