To begin with, in order for a facility to be successful in treating people with addictions whether it be alcohol, or drugs the facility must have a treatment plan to use and guide both counselors and the client alike to be successful in the program.
Treatment plan for the facility.
Nobody denies that every client and situation is unique, but there is a general layout out of a treatment plan that can be used thought out the facility to ensure success for the client. The first step in the treatment plan is to screen clients to determine if he/she meets the criteria of the facilities drug, or alcohol program. The facility will use the standard CAGE, of the Substance Abuse Subtitle Screening Inventory questioner as a screening tool. These two screening tools are consist of few questions and require only short answers to determine (American Society of Addiction Medicine, 2012). These tools are easy to use and can be done by any qualified staff according to the ASAM. If more through information is needed then the client will go under an assessment.
Moreover, an assessment is a more in-depth line of questioning of the client that goes in to the client’s background such as childhood experiences, social life and psychological health; the assessment can also go into a series of testing. Additionally, the assessment is also used to determine a diagnosis of the client (Substance Abuse Counselor, n.d.). Many times clients with substance abuse problems do have psychological issues.
Further, after the assessment has been completed a diagnosis is determined by using the DMS IV. Patients must show signs of at least 3 of the following for 12 months: Tolerance which the drug has little to no effect, psychical or psychological signs of withdrawa...
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References
Boiling, K. (September 23, 2013). Foundation of group counseling chat 10 [Chat]. Retrieved from: Colorado Technical University, Virtual Campus, https://campus.ctuonline.edu
American Society of Addiction Medicine. (2012). Drug testing as a component of addiction treatment and monitoring programs and in other clinical settings.
Retrieved from: http://www.asam.org
Med Lexicon. (n.d.). All about addiction. How is addiction diagnosed?
Retrieved from: http://www.medicalnewstoday.com
The National Center for Biotechnology. (n.d.). Substances abuse for adults in the criminal justice system. 4 substances abuse treating plan.
Retrieved from: http://www.ncbi.nlm.nih.gov
Blue Cross of Massachusetts. (n.d.). Outpatient mental health/substance abuse request form.
Reterived from: https://www.bluecrossma.com
There are a variety of ways counselors can use assessment in counseling. According to Whiston counselors use (2017) assessments as a tool used to measure people behavior. Assessments can be informal and formal (Laureate, 2013). One significant part of assessments is to evaluate progress between the client and counselor.
Many programs develop a preliminary or initial treatment plan upon the client's admission to a program before a comprehensive assessment has been completed.The preliminary treatment plan starts the treatment process and is derived from the initial interview, intake assessment,ad other psycho social evaluations.The preliminary treatment plan defines the clients areas of concern and determines the severity of each problem to identify the clients immediate needs.it may involve drafting an abstinence contract and a schedule of treatment activities,such as establishing a time frame for the completion of a comprehensive assessment.Preliminary treatment plans outline an initial recovery strategy to support the client during initial treatment. They also achieve the
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
Behavioral Health Criteria: Decision support to aid clinicians in managing mental health and substance abuse patients both at the initial and existing stages.
This program does not turn down anyone with a substance problem; the only requirement for the services provided is that the person has a desire to seek help to improve his or her life through drug rehabilitation. There are a multitude of services available for the person with the substance abuse and the families. The services provided are counseling, vocational training, education, and housing. This organization gives people a chance to find an environment that is conducive to rehabilitation and reintegration back into main society. This program does this by having dormitories available to people who are suffering addictions. This program also helps by providing vocational training. There is also opportunities to seek out education; this may be everything from gaining a GED to entering into college courses.
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
In patient programs can also be very effective, especially for those with more severe problems. They are highly structured programs in which patients remain at a residence, typically for 6 to 12 months. Treatment Centers differ from other treatment approaches principally in their use of the community—treatment staff and those in recovery—as a key agent of change to influence patient attitudes, perceptions, and behaviors associated with drug use. Patients in TCs may include those with relatively long histories of drug addiction, involvement in serious criminal activities, and seriously impaired social functioning. The focus of the TC is on the resocialization of the patient to a drug-free, free living lifestyle and delivers healthy coping mechanisms for individuals that have not been able to function in society without the use of a mood altering substance.
Addiction is a dependence on a substance where the individual who is affected feels defenseless and unable to stop the obsession to use a substance or prevent a particular behavior. Millions of Americans have addictions to drugs, alcohol, nicotine, and even to behaviors such as obsessive gambling. Pharmacotherapy is a treatment process in which a counselor can use a particular drug to counter act an addictive drug or behavior. Not all counselors agree with this type of treatment. However in order to provide a client with an ethical treatment and unbiased opinions they should be made aware of all scientific evidence of different treatment options. “Thus, attention to addiction pharmacotherapy is an ethical mandate no matter what prejudices a counselor may have” (Capuzzi & Stauffer, 2008, p. 196). Some particular pharmacotherapy’s a counselor may use for the treatment of addiction are Bupropion (Wellbutrin, Zyban), Disulfiram (Antabuse), Naltrexone (ReVia, Depade), Methadone (Dolophine), and Buprenorphine (Temgesic, Suboxone).
There are many contributing factors and political issues that address substance abuse. Throughout the years, many researchers have designed many interventions and social policies designed to treat people who have used, abused, and became addicted to substances. Today, there are many new studies that address substance abuse at the individual, group, family, and community or policy levels. Today, there are many services that are effective for decreasing recidivism in youth who have completed a substance abuse program. A substance abuse treatment program or center is the best way to treat individuals who have abused substances.
There are several different ways to approach substance abuse therapy but the approach must be fitting to the client and the client’s needs. The main goal of substance abuse counseling is to prevent the client from using harmful substances in excessive and potentially dangerous ways. A major portion within the therapy itself is relapse prevention. Relapse prevention is aimed at counseling the individual in such a way to prevent future relapse. The relapse prevention technique also helps the client to discover any underlying issues that may have caused them to start using drugs and alcohol in the first place. Substance abuse counseling focuses on the whole counseling technique, not just the small area of substance abuse. Because substance abuse is frequently related to other life issues, the counseling takes a more broad focus to not only help the client recover from their addictions but also to solve mental, emotional, occupational, and family issues as well. There is a growing need for substance abuse counseling in today’s society because of the more prevalent presence of drugs and alcohol. It is important to understand the different counseling techniques for substance abuse clients because of the growing number of clients in need.
I met with Aileen Byron, Substance Abuse Lead Therapist for New Horizons CMHC, who explained that assessment/intake is the first procedure clients undergo upon their arrival at New Horizon. Assessment/Intake screening consists of collecting data from the client such as demographics and medical history to help link the individuals to appropriate services within the New Horizon database. Intake/Assessment services are provided on a first come first serve basis at its main location. Once the client has gone through the screening process of intake, he/she then moves on to a Bio Psychosocial Assessment that indicates the clients presenting problem and why he/she is requesting services, which is usually conducted by a Master Level Social Worker.
The intention of evaluations are to develop a depiction of the client’s substance abuse problems, substance abuse history and behavioral patterns; to identify the client’s strengths and weaknesses; to identify the client’s spirituality/religious beliefs/morals; to help determine the client’s social and psychological functioning; to observe the client’s attitude and behavior during assessment; and determine how treatment will address the client’s issues and needs. The evaluation process confronts the client about the consequences of their substance abuse; and both the client and clinician determine what behavioral changes are needed; and what changes the client is willing to make, or wants to make (Miller, 2011). In addition, the clinician also puts together a summary statement (that includes all of the detailed information) of recommendation for appropriate treatment.
In order to understand the life cycle of a drug rehab program, addicts need to learn what type of program suits their current level of addiction and their need for mental health treatment. For example, dual diagnosis facilities treat the addiction to the drug along with the mental aspects of addiction. Several categories of drug rehab programs exist that range from detoxification to long-term care.
The interpretations derived from the scores of assessments can have an impact on the client, or can be used to determine a diagnosis or best course of treatment. If test scores or the interpretations of the scores are incorrect, then the client can be given false information about themselves, can be misdiagnosed, or provided ineffective treatment for their disorder. The best practice for scoring and interpreting assessments is to be competent to do
There are many possible theories that can pertain to the idea and concept of drug treatment programs. The first theory that applies to effective drug treatment is the labeling theory. The labeling theory suggest that self identity and behavior of an individual is may be determined by how others classify or describe them. Drug use had a stigma that follows it. If you are doing drugs, you are considered a junkie, drunk, crack whore etc. When you are labeled you tend to believe and act in that way. The person takes on the identity of what others are labeling them. When building these programs, the stigma and labeling has to be eliminated. These patients like any other are looking for help and want to improve their lives. Labeling them will only