A-Based on this writer's assessment,
A-Based on this writer's assessment,
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."…
Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his new treatment plan update objectives and interventions. Pt. agreed to sign the AMS Record of Services sheet. Counselor helped Pt.…
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.…
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.…
Lundvall Group topic: Understanding Addiction PO attended group on time and moderately participated in the group activities. PO learned the definition of addiction, the addiction process, and the different types of substance(s) withdrawal symptoms. PO shared his substance…
QP provided MY-Kayla with a CBT activity geared towards mood management. QP explained to My-Kayla that the activity will help her to understand negative emotions, help her to identify automatic thoughts that leads to negative emotions and develop ways to counter automatic thoughts and relate negative moods with cognitive and behavioral changes. QP asked My-Kayla to list some negative feelings and thoughts that leads to negative emotions. QP discussed with My-Kayla ways to counteract negative emotions. QP discussed with My-Kayla, how she can better manage mood.…
The client is highly motivated to change, she stated she wants to stop using drugs and live a higher quality of life. The client stated one of the reasons she wants develop a closer relationship with her family, citing her substance dependency as the reason for their distance. The client stated she knew she had hit rock bottom when she missed a close realtives funeral because she was binge using. The client stated Myrover-Reese Fellowship Homes Incorporated is her last opportunity to obtain sobriety, and if she cannot do so, she will be sentenced to five years in prison. The client stated she smoked marijuanafor the first time at the age of eight years old.…
This writer informed the patient that this writer was in fact in receipt of her missed phone detailing about running late to her sessions. The patient reports she cannot stay for a full session because she has to be at work by 9:30am. This writer immediately addressed with the patient about the need for the early dosing card as the patient has been dosing after 7am and the early dosing card will have to eliminated if the patient is not utlizing it. The patient agreed to return the early dosing card and/or change her status based on her work schedule. Furthermore, the patient requested to increase her dose again due to relapsing two days ago, heroin-2 bags by IV.…
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.…
QP engaged Maunica in participating in a CBT activity geared towards mental health relapse prevention. QP explained to Maunica that the activity will help her to reduce and prevent mental health relapse. QP congratulated Maunica on maintain the progress she has made towards her mental health progress. QP explained to Maunica, what mental health relapse is. QP discussed with Maunica, how to prevent relapse of mental health progress.…
D-Addressing the AWOL on 02/15/2017, the patient used the excuse as a transportation as barrier due to not having a bus pass through Logisticare. The patient addressed this issue with Logisticare and he is expected to receive his bus pass by next week. The pateint then reported that he kept his appointment with Wheeler Clinic on 02/2/2017 and is scheduled to see a "doctor" from Wheeler Clinic next month on 03/3/2017. He's also scheduled to appear in court again on 03/29/2017. Furthermore, the patient attended the cocaine group today and discussed his participation in the group discussion.…
Tracey B: Client has done the relapse exercise before and I found it interesting that her her biggest warning sign this time is that she is experiencing anger and resentments that she keeps to herself. In the past, I know she had listed in the relapse assignment previously that she avoids talking about her problems, her life is out of balance, and that she ruminates about the past. She talked a bit about her daughter’s rape and disclosed that she is seeing someone to help sort out her feelings.…
Meetings are held within this group to help and aid others in maintaining a drug free lifestyle. Observing a meeting made it clear to see how effective this treatment may be. Working closely with others and sharing…
Susan, you mentioned that both of your models included group therapy. I am a strong advocate of group therapy for substance abuse users. Group therapy can be the glue that keeps them held together as a unit. The same principle is applied with support groups such as AA, however a person is generally assigned a sponsor that they can call when they feel their sobriety is being threatened. Lewis (2014) explains the correlation between group therapy and recovery.…
Robin was admitted to a residential facility for drug addiction. She is given numerous assessments, such as The Minnesota Multiphasic Personality Inventory, Beck Depression Inventory and finally the Substance Abuse Subtle Screening Inventory. Robin was unaware of the activity and their purpose. Approximately 6 weeks later when Robin wanted to know her results she was denied and informed that clients are not allowed to see their results. There are three questions to ask yourself when determining Robin’s situation.…