Interventions for Substance Use and Mental Disorders in Healthcare

This case study revolves around Jayne, a 22-year-old girl who is at her final year at the university. The following paragraphs highlight the various interventions required to help Jayne as well as enhance her mental conditions and limit her issues with substance use.

Running head: HEALTHCARE
Topic: HEALTHCARE
Name of the Student:
Name of the University:
Author Note:

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The following case study revolves around Jayne. Jayne is a 22 year old girl who is at
her final year at the university. She has also revealed her obsession with drug and alcohol
from childhood. Daily cases of alcohol intake along have eventually led to isolation and
depression which have occasionally shown increased chances of suicidal attempts. The
following paragraphs highlight the various interventions required to help Jayne as well as
enhance her mental conditions and limit her issues with substance use. Moreover, it also
includes the implementation of a proper and effective care plan based on the requirements of
Jayne with the help of a Multidisciplinary team.
Since Jayne has a combination of mental disorder due to isolation and depression and
constant issues of substance use, dual diagnosis is a possible option for her recovery.
Significance of dual diagnosis
According to National Alliance on Mental Illness (NAMI), the type of treatment
given to a patient suffering from substance use and mental illness simultaneously is defined
as dual diagnosis. People consider it as a forms of self-medication and a means of improving
their present health situation. According to National Survey on Drug and Use, almost 7.9
million people suffer both from substance use disorder and mental disorder (DeLuca et
al.2016). As already mentioned in the aforementioned paragraphs, Jayne have revealed
increased substance like cannabis and smoking. Moreover she have heard different voices
due to the increase in substance use. Therefore, dual diagnosis would be helpful in assessing
Jayne’s mental health.
Assessment for urinary tract infections
According to Lam et al (2015), urinalysis tests are semi analysis tests for the
treatment for urinary tract infections. Although it is has a limited accuracy, it is a quantitative

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biochemical method for diagnosing bacternuria using biomarkers. In the case study it has
been evident that Jayne has consulted with her general practitioner for urinary tract
infections. Thus a urinalysis test would be better giving a proper diagnosis of her disease.
Interventions for low mood, depression and mental disorders
a) Significance of Bio psychosocial assessment
A psychosocial assessment is defined as the evaluation of the patient’s mental health
social status as well as functional capacity which is present within the community. It
considers the perception of the patient’s self along with the ability of the patients function in
the community (Rentala et al.2015). It is helpful in covering the aspects of the patients life to
receive an idea of the treatment goals ( Kazak et al.2015). Jayne has already discussed about
her low health conditions. So such an assessment would be helpful in focusing on her mental
health as well as instances of substance use.
b) Significance of Mini Mental State assessment
Mini mental state exams are tests widely used for testing the cognitive function
among elder people which includes tests for orientation, memory, language as well as visual
spatial skills. It is extensively used in clinical as well as research settings for measuring the
cognitive impairment. Moreover it is helpful in estimating thee progression as well as
severity of the disease which follow the course of cognitive changes in individuals over time
(Holis et al.2015). Jayne has accepted smoking of cannabis as well as drinking. MSSE would
be effective in assessing her mental disorders like isolation, depression stress as well as
psychosis.
c) Significance of risk assessments
Risks assessments are used for the identification of hazards which can negatively
impact their health. Patients who suffer from health problems often experience unpleasant
symptoms of their condition as well as enhanced risk of harming themselves. Risk

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assessments are an important component of mental health care. Such assessments often
include observation and assessment of the present situation like body language, verbal cues as
well as various aspects of the presentation of the patient (Taroun, 2015). In the case study,
Jayne has experienced various attempts for committing suicide. Thus the risk assessment
would provide safe care, effective and decision making skills and ultimately help in reducing
the psychological impact on Jayne.
Interventions for substance use
Psychological intervention based on an evidence based care for patients have been
found to be effective to people suffering from substance use (Cohen et al.2017). Interventions
like cognitive behavior therapy, relapse prevention as well as motivational interviewing have
been effective across various drug abusers. Moreover, contingency management crisis
interventions have been fruitful for cases related to substance like cannabis and tobacco.
From the case study Jayne has already shown increased substance use and prolonged alcohol
use. She also have attempted suicide due to excessive substance use. Thus, there should be an
effective therapeutic relationship between the patient and nurse where the nurse would help
her to recover from the traumatic experiences and reduce her increased levels of substance
use.
Care of plan and the significance of multidisciplinary team
Proper nursing care with a person centered approach ad a holistic care plan should be
incorporated for Jayne. A multidisciplinary team is required for creating awareness
highlighting the available risks as well as side effects of her prolonged substance use and
addiction (Houseley,2017). Psychological therapy would be required by a mental nurse who
would help Jayne to recover from her mental disorders. Psychiatrist is also required for
treatment of the various voices she hears due to substance use and alcohol intake.

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Thus from the following paragraphs it can be concluded that Jayne is a patient
suffering from mental disorder due to substance use like alcohol and cannabis. As a result she
is suffering from mental disorders clubbed with the cases of substance use. Thus,
implementation of a proper care plan with the help of various assessments and
multidisciplinary team would be helpful in enhancing the mental health of Jayne and help in
the recovery.

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References
Cohen, G.L., Garcia, J. and Goyer, J.P., 2017. Turning point: Targeted, tailored, and timely
psychological intervention.
De Luca, S.M., Franklin, C., Yueqi, Y., Johnson, S. and Brownson, C., 2016. The
relationship between suicide ideation, behavioral health, and college academic
performance. Community mental health journal, 52(5), pp.534-540.
Hollis, A.M., Duncanson, H., Kapust, L.R., Xi, P.M. and O'connor, M.G., 2015. Validity of
the Mini‐Mental State Examination and the Montreal Cognitive Assessment in the Prediction
of Driving Test Outcome. Journal of the American Geriatrics Society, 63(5), pp.988-992.
Housley, W., 2017. Interaction in multidisciplinary teams. Routledge.
Kazak, A.E., Schneider, S., Didonato, S. and Pai, A.L., 2015. Family psychosocial risk
screening guided by the pediatric psychosocial preventative health model (PPPHM) using the
Psychosocial Assessment Tool (PAT). Acta oncologica, 54(5), pp.574-580.
Lam, C.W., Law, C.Y., To, K.K.W., Cheung, S.K.K., Lee, K.C., Sze, K.H., Leung, K.F. and
Yuen, K.Y., 2014. NMR-based metabolomic urinalysis: a rapid screening test for urinary
tract infection. Clinica chimica acta, 436, pp.217-223.
Rentala, S., Fong, T.C., Nattala, P., Chan, C.L. and Konduru, R., 2015. Effectiveness of
body–mind–spirit intervention on well‐being, functional impairment and quality of life
among depressive patients–a randomized controlled trial. Journal of advanced nursing, 71(9),
pp.2153-2163.
Taroun, A., 2014. Towards a better modelling and assessment of construction risk: Insights
from a literature review. International journal of Project management, 32(1), pp.101-115.