Rosa Lee Case Study

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DIAGNOSTIC IMPRESSION: Rosa Lee has exhibited signs and symptoms of substance abuse. She has become very skilled in the art of manipulation, a behavior that can often be associated with drug abuse. Her priorities are questionable, at best, regarding finances and her children’s own substance abuse issues. For example:
“She fires back, her words coming out in a steamy vapor from the cold. “I’m trying to feed my family and I don 't have any money. We 're just trying to survive!"
"That 's dead!" I say. "Save that for the judges at Superior Court. You just threw away several hundred dollars buying dope and crack for your children."
-Dash
She has become very tolerant of the pain that eventually comes with abusing drugs over a long period of time. …show more content…

According to Clinton and Scalise, stress is, “a state of mental and physical tension or the conditions that induce the tension.” (Clinton & Scalise, 2013) She experiences negative stress due to her everyday life struggles. Obsessive compulsive behavior has been exhibited in the amount of cleaning she initiates in an effort to balance out the stress. There are times in Dash’s account where she breaks down and begins to cry in front of the interviewer because she feels she can no longer handle the stress of her life.

RECOMMENDATIONS: The first step of recommended treatment would most likely be to remove Rosa Lee from her current, harmful environment. According to Doweiko, “Social support systems, including peers influence on the individual’s substance use behaviors. If a woman has a close associate who drinks heavily, for example, she is herself more likely to both drink heavily and associate with those who drink heavily.” (Doweiko, 2012) She even admits that environmental change would be helpful in the recovery process.
"Mr. Dash," Rosa Lee says one day in early October 1990. "Why is it I can 't find a place with no drugs?"
She is standing in her living room, her hands spread in a gesture of frustration and resignation, her voice competing with the sound of an afternoon soap opera on …show more content…

She also recognizes that there is little she can do to help herself while continuing to reside in her current environment. The treatment program in which she is enrolled does not remove her from the stressors and triggers in her normal, everyday life. According to Clinton and Scalise, “an inpatient drug rehabilitation center is the most effective means by which a heroin addict can be helped” (Clinton & Scalise, 2013). An inpatient drug rehabilitation center would be an ideal facility in order to provide her with a fresh and clean and healthy environment in which to recover. An inpatient treatment center will allow for all other medical needs to be addressed in addition to the main focus on recovery from substance use disorder. (Doweiko, 2012) During the time spent at a facility such as this, the goal would be for the patient to leave with the knowledge and skills to continue in their recovery even if they must return to their initial harmful environment. Here both psychological and physical needs are

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