The client reported having all of his documents ready for his next housing appointment as requested by Laurie Garza. The client reported his plan to walk to his next appointment with LAMP and to reserve lunch for that day. Substance abuse: Client reported abstaining from using illicit substances. Client reported his intention to remain sober while in the program. Mental Health: Client denied having any PTSD symptoms at this time.…
D-Met with the patient upon his arrival. This writer addressed with the patient about TEAM's decision of not reinstating him for treatment due to his non-compliance of his multiple AWOLs and following through with Hartford Dispensary with regards to making his payment to the clinic. According to the patient, he did everything on his end with the Hartford Dispensary, but the clinic wants him to be taper off on his methadone. This writer questioned the patient if he had obtained a letter from his prescriber stipulating that he cannot get off on his benzos script and no response to this question. When the patient was questioned as to whether or not he did indeed paid the Hartford Dispensary, he says, " I did, but if I have to do it again, I will."…
Client report Mr. Diaz is requesting more day for client PCP to complete medical analysis. Client continues to reports she suffers from, hypertension, Dyslipidemia, Psoriasis, H/O stroke, chest pain and this week she reports having headache and psoriasis. She takes the following medications: Lisinopril 5mg, and Hydrocortisone Cream 1%. Client reports she used to go to HCC "Health Care Choices" for all medical exams, but she has recently switched to AG "Ameri Health Group" located at 1349 Broadway, Brooklyn, NY 11221 718-975-2270 Dr. Dollis on/PCP and…
This writer addressed the patient's AWOL from yesterday as she reported that she overslept. This writer informed the patient about the risk of missing her dose as she is placing herself at risk for relapse, which the patient agreed to this writer comment. The patient admits to using crack cocaine by smoking, but only a…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medications daily. The medications he takes are Metoprolol, Valsartan, Amiodarone, Atorvastatin, Clopidogrel, Metformin and Rivaroxaban. He takes the same three medications for three years now and the same four medications since his bypass surgery.…
Patient states that he will bring the summary in tomorrow Nov 19. Pt verbalized understanding to the POC.…
Risk of overdose is high, due to its unpredictable pharmacokinetic properties, inadequate patient education, polysubstance abuse, and over prescribing by healthcare providers (Aschenbrenner,2009). The methadone problem is growing in the United States. In fact, methadone…
These clinics see about 1,042 people on a daily basis (Sarah Deeth, 2011). Methadone is used more than people think. “The health care community says methadone maintenance treatment plays a big role in overcoming painkiller addiction and that the presence of a clinic is good news for people that need help (Sarah Deeth, 2011)”. Dosage and routes of methadone: Server pain “Adults PO\SUBCUT\IM\IV 2.5-12mg q8-12hr prn: IV dose approximately 1\2 PO dose (Linda Skidmore-Roth, 2015)”. “Opioid withdrawal: Adults 20-30mg unless low opioid tolerance, additional 5-10mg q2-4hr as needed, can give up to five days (Linda Skidmore-Roth, 2015)”.…
o Heidy’s letter to Rafael (the perpetrator) had helped her to identify and verbalized her feelings in connection with the sexual abuse, which had helped to affirm to her that she is not responsible for the abuse and ease her feelings of guilt. o Counselor validated what Heydi is already doing well and invited her to keep doing what is working. Plan (P): [Areas to be addressed in the next session, plan of action for client to achieve outstanding goals]: o Counselor would use a scale from 1 to 10 in each session to anchor problems, measure progress and to obtain a rating from the minor on where she perceives she is on the scale that day.…
The counselor will continue to meet with the client four times a week to address the anger , drug addiction and talk about being referred out to anger and Domestic Violence class once he graduate the…
This includes, but not limited, to the psychiatrist, the therapist, and myself. It is important to involve the treatment team in order to facilitate the creation of the treatment plan. This will assure all parties agree to the diagnosis and all parties understand who will carry out each component of the intervention. The last individual I would involve in this intervention process, if needed, is Peter’s supervisor.…
Recommendations for new services depend on the youth’s response to current treatment and services. 12. 03/02/2017, Phone, MHP, MHS and the youth was present 03/09/2017, Face to Face, MHP, MHS, DSS Worker and the youth was…
The counselor met with Orenthal for his individual session. He denies any substance use this week. Orenthal state that his employment is going well and is happy to be working. Orenthal reports he spending some quality time with his family and their relationship has improved since he stop using. He reports that he would like to start back seeing the therapist.…
This clinician is counseling a 23-year-old Hispanic male with a co-occurring disorder. Client has a primary diagnosis is severe opioid use disorder, severe alcohol use disorder, and severe benzodiazepine disorder. Client has a secondary diagnosis of anxiety disorder and depressive disorder. Client and clinician has been working together for four weeks and have developed a great rapport and therapeutic alliance. Client has even made the comment “these assignments that you have been giving me are working”.…