The client’s commitment to recovery must be first met with abstinence in order for proper treatment to be rendered. Assessing individual patterns can establish proper points of focus and create a goal-oriented plan to change unhealthy behavior. Therapeutic approaches must be adaptive to the social, environmental, and cultural differences that may be present. Continued education of what high-risk, social, and belief systems that may trigger a relapse process can further habitual changes through continued practice. Understanding that addiction is a disease of isolation, a key change that is universal is the formation of community that supports continued recovery.…
Group members then were presented with steps/strategies to cope identified high-risk situations. PO attended group on time, clean and sober, and had a moderate level of participation, as evidenced by sharing personal HRS openly, and demonstrating the ability on how to cope with HRS in group. PO also shared with peers about his recovery experience and ways to cope with temptation and HRS. It appears that PO has gained insight into his HRS and has been working on changing his past behavioral for his recovery. PO appears to have a strong desire to maintain her sobriety.…
PO is referred to ASAM Level 3.5 inpatient treatment services at ABHS with Co-Occurring disorder Program. PO is recommended to re-engage Spectrum for Intensive Outpatient treatment upon successful completion of inpatient treatment. PO will benefit from developing and building sober social support and gaining insight and knowledge to minimize relapse potential and improve chances at long term sobriety. PO will benefit from learning skills/strategies to cope with social pressure, interpersonal conflicts, anger issues, and addictive behavior. PO has a high potential for relapse due to her pattern of frequent interpersonal conflicts.…
Scene TIMELINE: 1. Two summers ago on a Thursday night after we went out for dinner, my best friend Julia received a phone call from her mother, who has suffered from alcohol dependence syndrome for years. 2. Her mother told her that she had signed up for Alcoholics Anonymous classes, was feeling much more exultant and energetic, and was overall in an extremely better condition. 3.…
Thomas Jefferson’s Monticello begins with the architecture of Monticello, Thomas Jefferson's mountaintop home in Charlottesville, Virginia. The book describes the story of Monticello architecture, an inside look at the house, the furnishings, the gardens and the plantation. The authors of this book are William L. Beiswanger, Peter J. Hatch, Lucia C. Stanton, Susan R. Stein. These four members are part of Monticello’s Scholarly staff.…
James Mccay, director of the University of Pennsylvania’s Center on the Continuum of Care in the Addictions states that “typically, what people have been told to do is go to a lot of Alcoholics Anonymous or Narcotics meetings… the usual line is 90 meetings in 90 days, and once-a-week group counseling...” which is in fact something that many, if not all, patients are told at one point or another. The only problem with this statement is that without someone acting upon this and guiding the patient on how to find these sort of meetings and counseling groups this becomes just another saying to the patient and not an actual resource. Ray Tamasi, president and chief executive of Gosnold on Cape Cod, another addiction treatment organization, gives her input on people's perspective of how rehabilitation for alcohol addiction and substance abuse is supposed to be some kind of miraculous success, when in reality the transitioning between outpatient and inpatient is abysmal. The reason Tamasi believes that the transitioning is extremely difficult is because patients are not given the tools necessary for their own success. Another reason why patients do not receive the appropriate after care is that “insurance didn’t used to cover anything post-discharge” (Madly Chalk) which led to many unwanted expenses.…
The Thomas Jefferson house has a lot of classical features that are described in the architecture of the building. If we first look at the middle of the building, we see a triangle right above the columns. Right in between the triangle and the columns is a large slab known as the abacus which is to support the architrave that is right about it. The triangle that is above of the columns is known as the frieze. The frieze is the widest and central part of a piece and is often richly decorated with relief sculpture.…
I attended an open meeting at the Holy Name Church Broadway on 96th Street. The meeting takes place every Friday evening at 7:30 PM and it runs for one hour. The leader of the group immediately self-identified and was very personable. He started the meeting by reading the 12-steps of Alcoholics Anonymous. He then welcomed the speaker of the night, a 40 something female who has been sober for the last 10 months originally from New Jersey.…
Thomas Jefferson's house in Monticello is a very famous architectural landmark because it was designed, instructed and help built by our past president. People believe that this house is an expression of his personality. Jefferson was a controversial leader, so this house has many interesting aspects about it. Jefferson was a very independent person who decided to study ancient Rome and the Italian Renaissance to inform him on the architecture of that time. He drafted the blueprints,he later would find himself as an actual accomplished architect being hired for famous capital buildings.…
It was a blustery and gloomy morning as I trudged along the weathered pavement to the entrance of the church. My Sympathetic Nervous System was revved up as I anticipated what lie behind the faded and chipped paint door. Upon entering the room I was jovially greeted by a man with a melodious “Welcome!” There were about thirty people from all different lifestyles, huddled in the room around three long wooden tables. Men and women, some appeared jovial and others exhibited a flat effect.…
Because I came into this counseling program to better help those individuals who suffer from addiction, I want to be able to balance my personal experience with addiction and my long history of sponsorship with my newly acquired clinical mental health counseling skills. I realize that addiction can be an amazingly difficult problem to treat. I know that it takes a strong minded, experienced sponsor to help individuals find their way to sobriety. I also believe that recovery must go beyond just being sober, and a mental health counselor is in a better position to help with compounding issues that a person who suffers from addiction faces. I want to be able to not only help a person stay sober, but help them have a fulfilling life, emotional…
Thomas Jefferson the third president of the United States was born in 1743 in Shadwell, Virginia. He joined the institution of William and Mary but received no formal training in architecture. Fundamentally self-taught, Jefferson accumulated a remarkable collection architecture and art that comprised several reproductions of Palladio’s Quattro Libri. Eventually, Jefferson developed a concentrated obligation of Palladio’s architectural notions based on their link to early Romans (Howard, 2003). Distinguishing the authoritative political suggestions intrinsic in antique Roman constructions, Jefferson calculated many of his civil constructions in Neo Classical elegance.…
The chronic alcoholics and addicts remained on my caseload, but a new variety of clients referred due to drunk driving offense, underage drinking, or low level drug offenses lightened the load. This environment also let me expand my skills into program administration and development. I was given the opportunity to develop a women’s specific treatment group and administer a presentencing program for Operating While Intoxicated offenders. I was doing very well for a 24 year…
“Vodka with ice please” These words were a frequent verse my grandmother yelled to the bartender. Five, Six, Seven times a night until the man refused to sell her another drink. The bar was my grandmother’s second home. This is where she felt at ease, with vodka in her right hand and a chaser in her left. Every sip she swallowed cracked a smile on her face.…
My assignment was to visit a community agency or clinic offering substance abuse counseling and discuss my findings. I spoke with June Mikels, MSW, LSW, LCAC an addictions counselor who has been in the field since 1985. After discussing her qualifications, I asked June what her focal point was and the population she primarily served? She stated, as a counselor, my primary focus is education and outpatient treatment programs for alcohol and drug abuse. And, the primary population I serve is persons with mental and substance abuse disorders and active duty military personnel” (June Mikels, personal communication, April 7, 2017).…