AUFP6900 Substance Abuse Intake Assessment
Added on 2020-05-28
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Substance Abuse Intake Assessment SENSITIVE MATERIAL—DISCRETION IS NECESSARYNAME:Sue DATE(S) OF ASSESSMENT: 08/01/2018DOB:NADATA SOURCES:American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.Perkinson, R. R. (2016).Chemical dependency counseling: A practical guide. Sage Publications.Rowe, C. L. (2012). Family therapy for drug abuse: Review and updates 2003–2010.Journal of marital and family therapy,38(1), 59-81.Johnson, S. L. (2017).Therapist's guide to clinical intervention: The 1-2-3's of treatment planning.Academic Press.Legha, R. K., & Novins, D. (2012). The role of culture in substance abuse treatment programs for American Indian and Alaska Native communities.Psychiatric Services,63(7), 686-692.Stone, A. L., Becker, L. G., Huber, A. M., & Catalano, R. F. (2012). Review of risk and protective factors of substance use and problem use in emerging adulthood.Addictive behaviors,37(7), 747-775.Mental, H. S. A. U., & Office of the Surgeon General (US. (2016). Facing addiction in America: The Surgeon General's report on alcohol, drugs, and health.REASON FOR REFERRAL:Sue has been refered for this intake assessment because firstly, she is addicted to cocaine andmoreover she has been in jail for the past few days because she was found guilty for chargesagainst possession, dealing of illicit substance and also found involved in prostitution. However,in the jail she has also tried to commit suicide and was saved by her cellmate. After releasingfrom jail she has been moved to a homeless shelter. Her current state is that she is left with nomoney, her children in the foster care and she and her children are facing banishment issues. IDENTIFYING INFORMATION:Name- Sue Sex- FemaleAge- 28yearsDate of Birth- NA Occupation- NAMarital status- SinglePhone no- NAHome no- NAPage 1 of 2Substance Abuse Interventions© 2013 Argosy University
2Substance Abuse Intake AssessmentAddress- NADate of examination- 08/01/2018Refered by- The Adult Probation Department FAMILY HISTORY:Sue was reared by her maternal grandmother in a city of Port au Prince in Haiti because hermother was undergoing an undiagnosed bipolar disorder and her father was alcoholic who wasalso involved in minor crimes. Sue was the youngest among her other seven siblings amongwhom the one elder brother and sister died out of pneumonia at a very young age. However, afterher marriage she was victimized of domestic violence by her husband who left her and their fourchildren of age 2years, 4years, 5years and 8years and no one knows about her whereabouts. Atpresent she is a single mother who has been living with her four children in US as they all havebeen relocated here after the earthquake which took place in 2010. Moreoever, she is currently ina lesbian relationship with her best friend who is also a prostitute.EDUCATIONAL AND VOCATIONAL BACKGROUND:Sue was a class 10 dropout because she had to help her family. But she returned and was theonly one in her family to have finished her schooling and acquired a General EducationDevelopment (GED). She can talk in a satisfactory smooth English as she has studied Englishand was pretty much good with academics but he is more comfortable in Haitian French. Moreoever in her early 20s she use to work as a teacher’s assistant and was very much interested in working with children in the near future. PREVIOUS MENTAL HEALTH TREATMENT (INCLUDING SUBSTANCE ABUSE TREATMENT): No detail was provided. Needs assessment:AVAILABLE SUPPORTS AND RISKS:Supports for the substance abuse- There are many governmental as well as nonprofitorganizations along with educational institutes which are associated to work with various drugs ofabuse. However, among them those which can render support to the substance abuse areNational Intitutes on Health (NIH), Substance Abuse and Mental Health Service Administration(SAMHSA) and National Institute on Drug Abuse (NIDA). Drug addiction is mainly a complicateddisorder which includes practically every feature of a person’s functioning like its family, studies,work as well as community. In US they provide supports through more than 14,500 exclusivefacilities of drug treatments through counseling, medication, behavioral therapies, casemanagement along with various other services to those suffering from drug addiction. Moreoever,supports are also provided through physicians office, mental health clinic by different providerswhich involve the counselors, physicians, psychiatrists, psychologists, nurses as well as socialPage 2 of 6Substance Abuse Interventions© 2013 Argosy University
3Substance Abuse Intake Assessmentworkers. Supports are further provided through outpatient, inpatient and in residentialsurroundings. In US drug abuse and addiction is considered as an important health issue andthus, a huge portion of the treatment is sponsorded by local, state as well as federal governments(Mental, & Office of the Surgeon General US ,2016). Risk factors – Risk factors mainly effects drug abuse in many ways. The more risks a person isdisclosed to the more that person is likely to abuse drugs. The common risk factors are earlyaggressive behavior, no parental guidance, substance abuse, availability of drug as well aspoverty. Moreoever, there are other risk factors as well which are genetic tendencies, some braincharacteristics which can make a person more prone towards addictive subtances in comparisonto a normal person, psychological factors which mainly includes stress, traits of personality likehigh imulsivity as well as seeking for sensation, depression, anxieties, eating disorders, individualpersonalities as well as other psychiatric diseases (Stone et al., 2012). Environmental influencescan also act as a risk factor like when an individual is victim of physical, sexual or any emotionalabuse, has faced severe trauma and lasly another factor can be use of drugs or alcohol from avery young age.However, a person having one or more of these risk factors does not mean thathe or she will become addicted but rather it means that this person has greater chances of gettingaddicted. Therefore, more the risk factors present, more the chances are to acquire the disease. ACCESS TO COMMUNITY RESOURCES:Addiction can has an impact on people from every parts of their lives. Communities all over theUS has experienced the negative affect of substance abuse on various levels. Therefore, a largenumber of Nation’s topmost public health as well as social concerns have ascribed to drug oralcohol dependency. The major concerns in relation with addiction in US involves drunk driving,cardiovascular diseases, mental illnesses and crimes. Thus, in order to define the immense effectof substance abuse all over the communities the national officers as well as the policy makers areall working towards a proposal that mainly centres on prevention, awareness and recovery.Moreoevr, modifying the conversation from addiction and dependency towards a disease thatneeds help rather than viewing it as a crime which needs to be punished will break the stigma ofsubstance abuse. Thus, the community is clearing the stigma that is associated with addiction sothat more individual can seek help with more confidence (Legha & Novins, 2012). Intake Review:MENTAL STATUS AND GENERAL OBSERVATIONS:1.Appearance- needs grooming2.Behavior- extreme mood swings3.Attitude- apathetic4.Level of consciousness- lethargic5.Orientation- present 6.Speech and language- spontaneous7.Mood- fluctuating 8.Affect- indifferent9.Thought process/form- linearPage 3 of 6Substance Abuse Interventions© 2013 Argosy University
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