Heroin Addiction Case Study: Juan Medina

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Section 1: Introduction Patient Demographic Information Juan Medina is a 23 year old male presenting to treatment for heroin addiction. Currently he is living with his girlfriend and young son. He attended school until 10th grade where a combination of poor academic performance and a learning disability lead Juan to drop out of school. Limited by his lack of academic achievement Juan has had trouble holding down a job. To earn money Juan has turned to his cohorts in the local gang. He sells drugs and steals for the gang in order to support his family. (Addiction Case Studies, n.d) Juan first began using alcohol at the age of 12 and by the age of 13 he was using marijuana. He has continued to use both alcohol and marijuana into adulthood. On occasion Juan uses heroin and when he stops the use of heroin he will experience mild withdrawal symptoms. However, Juan has avoided using heroin on a regular basis. This is the first time Juan has sought treatment for his drug abuse problems. The treatment is court ordered and Juan must successfully complete treatment instead of going to jail for possession of heroin. (Addiction Case Studies, n.d)
Section 2: Applications of the Social Model The suggested treatment protocol for
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Juan’s and his mother show codependency. Since Juan is the only child that remains nearby she puts all her attention on him. Juan’s mother also seems to be trying to make amends for working so much as Juan grew up. Whenever Juan asks for money his mother is always there to supply what she can. She has picked him up in the middle of the night from parties when he was too intoxicated to make it home. She is often at Juan’s home dropping off food, preparing meals, and taking care of Juan when he is sick from heroin withdrawal. As Juan continues in his treatment if will be importance to break this codependency cycle. (Thombs & Osborn,

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