At 2:44pm Arlethea from Cardinal innovations contacted Mobile Crisis Management (MCM) in regards to requesting services for Mr. Shane Edmonds. Arlethea reported Mr. Edmonds is requesting assistance with his opiate abuse. Dispatcher contacted Qualified Professional (QP) to respond to 4615 Siler City Snow Camp Rd. Siler City, NC 27344. QP spoke with Bill Cook from Carinal Innovations to schedule estimated time of arrival of 4:00pm, which QP arrived at 4:10pm due to traffic. QP contacted Cardinal innovations upon arrival and MCM dispatcher. At the time of the assessment Mr. Edmonds and family are in the residence. QP set up in the kitchen of the residence to began processing Mr. Edmonds information. Mr. Edmonds denies suicidal ideation, homicidal ideation, and symptoms of …show more content…
He reported around thee age of 26, is when he first tried opiate. He expressed using opiate as recreational use, which turned into daily use. Mr. Edmonds reported last use was 5/9/18. He reported using 60mg of opiates. Mr. Edmonds reported earlier this morning feelings symptoms of withdrawals. He reported restless legs, sweats, and tremors. Mr. Edmonds expressed awareness of relationship between substance use and psychical complications. Mr. Edmonds reported attempting to calm symptoms by obtaining Suboxone from someone in the community. Mr Edmonds denies any history of treatment. He reported his family and him have been seeking detox treatment in the community, however have been unsuccessful in their efforts. Mr. Edmonds sister reported attempting to obtain a residential detox bed at Freedom House 2 days ago, but no beds were available.Mr. Edmonds reported recently quitting his job 5/7/18 due to his substance abuse issues. He expressed wanting to get help now in a program lasting no more than 30 days and is not close to his
...merican Psychological Association. The APA submits an arguments that an accurate proceeding requires an adversary hearing, the assistance of mental health professionals, and decision makers to specify in writing the factors relied upon making decision.
Therefore, a defendant, the court or the attorney general can order a hearing on motion. Before the date of the hearing of the case, the court may order a psychological or psychiatric evaluation of the defendant. Pursuant to the provisions of section 4247, psychologists or psychiatrists report the findings to the court. The court has the permission to request a deadline for the evaluation so that it can insure the promptness of the examination. The court can also request the experts who carried out the evaluation, to specify observations made of the defendant, the type of examination carried out and the opinion of the experts on the competency
Symptoms/Focus: Dr. Andrew Bourgeois at Simi Valley Emergency Room requested an evaluation of client by the Crisis Team for Suicidal Ideation and Grave Disability. Client placed a call to EMS on his own behalf on the evening of 05/14/2017. Client requested to be picked up from in front of a restaurant and taken to Simi Valley Emergency Room due to suicidal ideation with a plan to "cut head with a saw". Client stated to Dr. Bourgeois that his depression had increased over the last 3 days. Client denied drug or alcohol use, but was positive for amphetamine in the hospital toxicology screen. Client had been seen at Simi Valley ER and
With the growing number of individuals addicted to these narcotics, the need for better therapies and treatments to end these addictions has grown exponentially. Of these therapies and treatments prescribed to these patients, the newest and seemingly most celebrated is a treatment known as Suboxone therapy. This therapy is for those individuals who have opiate addictions and are seeking help toward a more speedy recovery (Thompson-Gargano, 2004).
Cameron Douglas’s case could be a turning point in the US of the endless war on drugs. The 33 year old, son of the famous actor Michael Douglas has been serving a 5 year sentence with the court for the distribution and the possession of drugs. He had an additional 4.5 year term for the possession of Suboxone which it’s substances contains both combinations of buprenorphine (an opioid medication) and naloxone while being imprisoned. Though Douglas had never received any rehabilitation treatments for his addiction towards heroin during his imprisonment, the court judges still saw his continuing drug use during incarceration was his defiance. Addiction experts said to TIME magazine that drug addiction is often developed and built up by mental
We are introduced to the story of Matt Schoonover, a young man who had recently obtained his masters degree from Yale. He had grown up “attending a Christian private school, and a prominent church” (2). Matt had begun abusing pills, though he was originally prescribed them by a doctor. Even after undergoing detoxification and then rehab, Matt could not curb his addiction. “Unable to afford street Oxycontin, Matt switched to black tar heroin, brought in from Mexico” (3). We are told how this is unfortunately quite common. People who are prescribed pills often end up abusing them; and once they can no longer afford the high prices of OxyContin they switch to black tar heroin. This transition is often what leads to overdoses, as black tar heroin is extremely deadly and overdoses like Matt’s are common. This is just one story out of tens of thousands of similar stories that all have the same ending. The opiate crisis is a problem that few recognize because it crept up on a majority of Americans. Young people throughout the nation were not using drugs in public, but privately in their own
Opioid addiction is a tragedy that affects countless of Americans on a daily basis. Almost everyone is acquainted to someone, who suffers from opioid addiction. Everyone, but specifically family and friends of the victims to opioid addiction need to understand why their loved ones are so susceptible to becoming addicted to opioids. The word opioid in itself is complex to define, but it entails a variety of prescription medications. Most opioids are used as pain management medications and qualify as CII medications also known as narcotics. They are supposed to be used on an “as needed” basis, but that is not the case for many users of opioids. Opioids cause great fear in the health community because they are easily addictive and
This leads to the second school of thought on medically assisted treatment. There has been a great deal of debate about the medication used to treat Opiate addiction, methadone. Many feel that the drug methadone is simply trading one drug in for another, as the addiction to methadone is quick and almost more powerful than an opiate addiction (Nelson, 1994). The withdrawals effects are far more intense with methadone and for this reason it is a lifetime maintenance medication. Some suggest that more rehabilitative programs are needed that would address the social problems the users have to help them recover, instead of the methadone program that is viewed...
McGovern, M. P., Xie, H., Segal, S. R., Siembab, L., & Drake, R. E. (2006). Addiction treatment
Roxie Riggs is a Caucasian female some sixty-five years of age who came in today with narcotic addiction for evaluation for medical treatment for this problem. The patient is presently receiving treatment with buprenorphine; however, her practitioner moved away. Ms. Riggs was placed on methadone in 2001 (age 51), and was taken off it in 2005 (age 55). She has never been treated with naltrexone. Ms. Riggs first started taking buprenorphine on January 1, 1994, and is presently using the drug.
Inciardi, Dr. James A., A Corrections-Based Continuum of Effective Drug Abuse Treatment. National Criminal Justice Reference Service. Avialable: http://www.ncjrs.org/txtfiles/contdrug.txt
Opiate pills are astonishingly easy to find. Disturbingly, prescription opiate abusers are more likely to eventually develop a heroin addiction than a non-opiate abuser, as heroin will offer a parallel high at an inexpensive fee. While opiate painkillers do vary in how powerful they are, opiates are numbing painkillers that weaken the central nervous system, slow down body functioning, and reduce physical and psychological pain. Although countless prescription opioid narcotics are used in the way they were intended for the extent prescribed without complications, certain people become addicted to the way in which the drugs make them
A treacherous killer has found its way into the homes and communities of many Americans, destroying the lives of millions. An epidemic is ascending resulting in the addiction and overdosing of many Americans of all ages. Opioids are unpredictable and can affect a huge number of people in a small amount of time. The opioid epidemic is not a battle specifically targeting a particular area; ethnicity; age; gender or social status they are affecting well-respected individuals. The opioid epidemic has led Criminal Justice Officials to make accommodations to meet the needs of opioid users.
Ryan is the presented client in this case at twenty-five years old. He identifies himself as a heroin addict and first started using substances at the age of twelve years old. This was around the time that Ryan reports his parents got divorced. His substance use first began with occasional alcohol and marijuana use that became daily use by the age of fifteen. Ryan shares that he then began to experiment with a variety of drugs including opiates which became his drug of choice. His use of opiates escalated from pills to intravenous heroin use that he was supporting through dealing, stealing, and pawning. The client has made attempts at sobriety previously including detox, inpatient, intensive outpatient treatment, and one-on-one therapy. His girlfriend recently entered treatment for her heroin use and Ryan is able to report numerous consequences of his drug use over the past several years including pending legal issues that have driven him to
Drug abuse has been a hot topic for our society due to how stimulants interfere with health, prosperity, and the lives of others in all nations. All drugs have the potential to be misapplied, whether obtained by prescription, over the counter, or illegally. Drug abuse is a despicable disease that affects many helpless people. Majority of those who are beset with this disease go untreated due to health insurance companies who neglect and discriminate this issue. As an outcome of missed opportunities of treatments, abusers become homeless, very ill, or even worst, death.