Keane Smith, A Case Study: A Brief Description Of A Patient

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Brief description of client

Keane Smith is a 20 year old Caucasian male student in his sophomore year at a college in Wooster, Ohio. He moved to the United States from Hastings, East Sussex, approximately two years ago to attend college. When Keane is in Hastings he lives with his loving parents and siblings; he is the oldest of three children. He appears to be his stated age and is approximately 6’ 2” tall and weighs 190 lbs. Keane appears to be in excellent physical condition. He is on the men’s rugby team and lives on campus currently.

Keane was neatly dressed, had good hygiene, and was well groomed. He made direct and appropriate eye contact and has no notable physical characteristics. He appeared relaxed, sat comfortably, and remained
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• The client will cooperate with an evaluation by a physician for psychotropic medication and take medication as prescribed under clinical supervision to reduce symptoms of withdrawal.

• •
Objectives maximum points: 1.5 points /1.5

Assessments (in addition to standard client history, psychosocial assessment, and MSE)

The Modified Addiction Severity Index (mASI) (Innovative Training Systems, 1999).

Rationale: The mASI is a reliable and valid instrument that will afford the client and counselor means to determine the severity of addiction, so treatment can be structured to fit the client’s needs. The mASI is utilized for treatment seeking individuals regardless the types of facility, type of addiction, or individual’s perception to problems and has a high concordance with the DSM-V diagnosis for substance abuse and alcohol abuse disorder (Denis, Fatseas, Beltran, Serre, Alexandre, Debrabrant, Daulouede, & Auriacombe, 2015).

Clinician (Who? Characteristics? Expertise/training?)

Clinician should be trained to administer and score the Addiction Severity Index.

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