Because of non-compliance, his reinstatement is denied. However, this writer discussed with the patient about the Apt. Foundation of which the patient is willing to consider to seek admission due to the clinic acceptance of benzodiazepine and affordable weekly fees upon speaking with an admission representative. The patient is aware of the clinic's intake dates and time as he plans to go tomorrow and once this writer received confirmation, this writer will send his record to assist with…
Donald is a 30-year-old, single Caucasian male who presents to CRU 2 from Abrazo Maryville Campus via ambo. He is SMI with SW Network Bethany Village. He has a history of bipolar and psychosis. Donald OD'ed on 27 pills of Zoloft, 27pills of Seroquel and 27 of trazodone. Patient has an extensive hx of SA.…
CM observed that client lately is talking about action was prescribed. Client was referred to go to Woodhull Hospital for Individual Mental Health Counseling. SUBSTANCE UPDATE: Client continues to reports no substance of mental history. REVIEW ILP AND CLIENT RIGHT AND CLIENT CODE OF CONDUCTE: CM reiterates the shelter rule and regulation and for the client to adhere to the 10pm curfew.…
Supervisor File and Supervision Plan Review: (Case Management and Treatment) Since the last file review, Mishai continues to adjust poorly. She has acquired multiple major and moderate infractions for failure to comply and threats to institutional infractions. She had several SIB incidents, and PO has attempted to address this issue with her to no avail. The Comprehensive Re-Entry Case Plan has been addressed with Ms. Harrington (PDSS), Mishai, the grandmother, and the JCC counselor.…
D: PO is a 40 yrs. old white American, showed up for scheduled assessment appointment on time. PO appeared to be calm and relaxed, and was engaged throughout the session. PO reports no current use of substance(s), Methamphetamine and cannabis as his drug of choice with the last use date of 06-06-2014. No signs or symptoms of intoxication or withdrawal was reported/observed.…
Rachael Fisher of Alkermes had provided your contact information to our office, as Judge Bloch requests time to schedule a meeting in the interest of drug courts in Multnomah County. To provide a brief summary, Judge Bloch is the presiding judge for START court; an adult drug court for convicted property offenders who have an addiction to drugs and/or alcohol. Participants attend substance abuse treatment, are supervised by an assigned Probation Officer, attend court regularly, and submit to random drug testing. Specifically, Judge Bloch would like to discuss giving access to patients being successfully treated in START Court, that can only access Vivitrol thru limited Grant Funds, as there is a case to be made for better access to patients…
On 10/29 worker called Mr. Michael McGinnis to set up an interview. Mr. McGinnis refused to set up an interview time. When questioned about his mother’s positive methadone reports he admitted to giving her methadone during her first admission to Senior Care but denied giving her any medication after discharge from Senior Care. According to Mr. McGinnis, his mother was doing well until admission to Senior Care and she received all new…
Reported using of heroin and methamphetamine on 10/11/15, 10/26/15, and 11/02/15. PO has been unable to maintain sobriety while in community treatment.…
Pt. has been in the program for over 2 years and she has been able to earn level 7 take home privilege once again. Pt. recently lost her take home privileges due to counseling non-compliance. Pt. completed a take home request form and attended two groups this quarter in order to resolve tx issues. The pt. has had her take-home privileges reinstated. Pt. was provided with feedback regarding her engagement in her tx plans and she started to reach this writer and other individual with the same recovery issues to learn and improve relapse prevention skills.…
An attending physician statement completed by Allison Willox, dated 11/22/2016, indicated that the claimant was incapacitated from 03/01/2016 - 07/04/2016. He was diagnosed with major depression. HE was noted to be depressed, confused, and mildly anxious.…
Problem # 5: illicit opiate use Goal(s): to become drug free Status: active Objectives/Progress: Pt. has been able to maintain her commitment to abstinence from all illicit substances as indicated by submitting 10 negative UDS results and she reported no relapse in over 3 years. Pt. maintained her Phase 7 privileges over the last quarter. Pt. demonstrated good use of tx skills by balancing work and treatment obligations. Pt. reports that she is taking her subutex medication as prescribed by AMS Doctor and she maintained stability.…
This is a 57-year-old female with 8/01/06 date of injury, due to a slip and fall. Diagnosis: chronic pain syndrome primary OA-L ankle and foot, MDD, Single Episode and Generalized Anxiety disorder. 12/08/15 progress note by Mehtani documented that the claimant had been seeing Dr. Desai for a period of time. She has been on a complex medication regimen.…
Treatment vs. Incarceration for Opioid Abuse There are more than 15 million Americans that suffer from opioid abuse disorder (WHO,2014). This paper looks at treatment options verses incarceration. Out of the 2 million people in federal and state prison more than one-quarter of them suffer from drug abuse (Common Sense for Drug Policy, 2016). What is more astonishing is that most of them do not receive the treatment they need to recover from their opiate addiction.…
Members of the armed forces sacrifice not only their time, but also their lives serving in extreme stressful situations and remote circumstances in the world. Although these individuals are considered to be one our bravest people in this nation, they are also not immune to the substance use issues that affect the rest of society. U.S. military members are considered to use illicit drug use the least as compared to their civilian counterparts, but the popularity of heavy alcohol and tobacco, prescription drugs, and opioids are increasing in a fast pace. If this is left untreated, then it can often lead to criminal activity and can tragically increase numbers of veterans that are being arrested and entering the criminal justice system. Factors of a Veteran Not Seeking Help…
As of now, the client has met the criteria for severe substance use disorder, with behaviors that have put the client at risk of serious physical harm and has presented with signs of withdrawal. The breaking of addiction is seriously taxing work, and the client will need all of their strength and resources dedicated to this task…