Working with Addiction: Assessment, Modalities, Case Plan-Brad

This report analyzes the case of Brad, who struggles with alcohol addiction and other mental health issues since childhood. It outlines how to proceed with therapy sessions, addressing issues like ADD, aggression, and past trauma. The report suggests using assessment tools such as the Beck Depression Inventory (BDI) and Kessler-10 (K-10) to evaluate Brad's mental state. Various treatment modalities, including individual, group, couples, and family therapy, are considered, with individual therapy deemed most suitable for Brad. The report also emphasizes formulating a contract and case plan to guide Brad towards recovery and improved mental well-being. Desklib provides access to this and many other solved assignments for students.

Working with Addicted
Population

Table of Contents
INTRODUCTION...........................................................................................................................2
MAIN BODY..................................................................................................................................2
How to proceed with this session and beyond.............................................................................2
Presenting issues of Brad.............................................................................................................3
Assessment tool that might be used in this case..........................................................................3
Modalities used to work with Brad..............................................................................................4
Formulate Contract and Case plan for Brad................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8
Books and Journal........................................................................................................................8

INTRODUCTION
Addiction refers condition which is relapsing as well as chronic disorder that has been caused
due to continued use of the drug and it resulted in harmful consequences causing long lasting
changes in the mind or brain and can create mental illness and complex brain disorder. It is a
condition where an individual is not able to stop the addictive substance and causes harmful
disorder in the individual due to its continuous use (Tan, 2018). Drinking alcohol is considered
as one of the addiction that has been noted in many individual these days. Excessive drinking of
alcohol can result in development of chronic disease in an individual and also causes various
other serious problems such as stroke, heart disease, digestive problems, high blood pressure,
cancer and many more. Brad is suffering from the habit of drinking as well as also diagnosed
with other problems since he was at age 9. This report contains the process that has been
followed to continue the session with Brad and go beyond it and analyze the present issues that
has been faced by Brad. It also contains several assessment tools and modalities that can be used
in the case of Brad and formulate a case plan for Brad.
MAIN BODY
How to proceed with this session and beyond
In order to proceed with Brad, it is essential to make him realize that he is really suffering
from the problems that has been caused by drinking addiction which is not possible to proceed in
one session and requires more session to be conducted with Brad. In this session, it is required to
be familiar with Brad so that he can be able to willingly share his experience of life. To proceed
with session it is essential to make bread comfortable with the discussion and ask him about his
experience and points at which we feel depressed. In spite of saying I'm addicted of alcohol
again and again it should be adopted to ask him when he started his alcoholic habit and from
when he find out that he experiences frequent memory loss. It is essential to make him
understand that it is completely normal to be like him but it is essential for him for his long life
to take several measures that are required for his healthy life. To make him realize, his drink
driving charge can be pointed out to make him realize that those charges can cost his life to be in
jail or with high penalty that he cannot afford to pay to the government (Lewis, and Jarvis,
2019). He must be ask about the exhilarating facts apart from all these that has been told to him
by his friends related to his tendency after drinking and analyze several issues he is facing since

his childhood. This information will be very helpful in analyzing Brad and go beyond with
several sessions with Brad.
Presenting issues of Brad
After analyzing the situation of Brad, with the help of session there are several problems that has
been identified in the mental as well as physical health of Brad. The various issues that are at
present with Brad that has been diagnosed with the help of appointment and session conducted
with him are given below:
 The first issue that was identified and Brad was at the age of 9 when he was diagnosed
with ADD that is attention deficit hyperactivity disorder. It refers to the condition of an
individual in which he faces several symptoms such as impulsivity hyperactivity and
inattentiveness (Salmond, and Allread, 2019). There are various causes of this attention
deficit hyperactivity disorder that is if someone in blood relatives have the same disorder
or the person who use maternal drugs alcohol and smoking during pregnancy.
 Another issue that has been diagnosed in face of Brad is its aggressiveness. It has been
analyzed that Brad was feeling and his University from over the past 12 months which
makes in verbally aggressive towards a sister as he does not get attention at home.
 According to her mother Sander, Brad is also going through a lot for which he needs to
talk about that is about the accident that he caused before 4 years and left one of his
friend with a permanent brain injury. This incident has a great impact on the brain of
Brad.
 The major problem that has been identified in the present times in Brad is the problem of
alcohol which became its habit. The present issue that has been creating a major problem
for Brad is its problem of addiction of the alcohol which he don't even realize about.
 Many of his friends and Brad also admitted that he has a problem of frequent memory
loss that has been considered in his present issues. This frequent memory loss can be
caused by the addition of alcohol or any other reason.
Assessment tool that might be used in this case
In order to analyze various problems in the mental and physical health of Brad it is
essential to use various tools that are used for assessment (Tays, Garrett, and Earle, 2019). In the

case of Brad it has been analyzed that it he has issues related to his mental health and the tools
that are required for its assessment are explained below:
Beck Depression Inventory (BDI): It is a kind of assessment tool that has been used to screen
the problems related depression. It helps to measure severity of depression in an individual and
also analyze the behavioral manifestation. There is a certain age for which this assessment tool
can be used. It can be used for people of age 13 to 80. The Beck Depression Inventory helps to
analyze 21 self-report items. In this report there are 21 questions that are required to get a
response in multiple choice answers (Cornfield, and Hubley, 2020). This can be provided to Brad
to fill in order to judge his severity of depression he is going through behind all these issues. It
will take approximately 10 minutes of Brad and the assessor will be able to detect the severity of
his depression.
Kessler-10 or K-10: A questionnaire has been prepared under medical supervision which
contains questions related to the recent feeling of an individual. This assessment is called K-10
or Kessler 10 because the questionnaire that has been used to record feeling is known as Kessler-
10. This questionnaire contains approximately 10 to 14 questions. This assessment can also be
used with Brad as it take his hardly 15 minutes to answer this questionnaire. This will help the
assessor to get the important data to prepare the care for his mental health.
Modalities used to work with Brad
There are several models that has been designed for the treatment of mental health
patients that can also work with Brad in the case of the issues that has been faced by him. The
several modalities, or methods, of treatment that can be used in the case of Brad and among
which one or two can be chosen:
Individual therapy: Individual therapy refers to the therapy that has been provided by the
counselor individually by having a meeting between client and the creation one-on-one. These
meetings are generally conducted for approximately one hour to 45 minutes and generally
conducted every week in a caring as well as confidential environment to be created for the
patient. In this type of individual therapy the clinician generally help the patient to expose their
feelings in front of him and help them to work with them life challenges. In this kind of
individual therapies clinician helps the individuals to set their goals and objectives to work
towards the changes that are required for their better mental health (Tsirigotis, 2019). The

amount of time taken in individual therapy between the clinician and client can last in few
sessions and sometimes take a year or longer to get good mental health. It completely depends on
the mental health of the individual and the amount of time that has been spent for the therapy. It
is also affected with the help of personal goals and the needs of the clients. In case of Brad, the
appointment that was taken by his mother is also for the individual therapy that has been required
by him for his better mental health.
Group therapy: In case of group therapy a meeting has been conducted between clean Asian
and various clients having similar problems to provide the therapy altogether. It is essential to
create a group therapy between the clients that have a matching in their age and problem to get
maximum benefit from the therapy. This kind of group therapy helps clients to decrease their
shame and isolation and these clients will be able to share their problem in front to get the
required support from the clinician. But using this group therapy can also lead to some
limitations that are the member in a group can be scared to speak in front of so many people
about their secrets and problems. As the individuals who are included in the group are complete
stranger to the member then it will be stressful for him to show their problems in front of
strangers as it can create personality classes and arguments between group members. Having this
kind of group therapy also increases the concern of confidentiality between members and
clinician. In case of Brad, this group therapy can be used but it can create severe problems to
him. As it has been analyzed that, brad is so shamed in sharing his problems and he will not be
comfortable in group therapy.
Couples therapy: Couples therapy refers to the therapy in which couples who are in in intimate
relationship are included in a therapy who are facing difficulties in their relationships and wants
to resolve them with the help of therapy (Tsirigotis, 2019). To involve couples therapy it is not
necessary that the couple is married the couple can be dating and waste partner for married to
enter into a couple therapy and uses cognitive behavioral therapy to treat the problems between a
couple. The counselor in this case of therapy helps the couples to analyze their backgrounds
police actions that has a great impact on the relationship of the couple and help them to resolve
their conflicts and problems by implementing several strategies which can help them to get
happy and healthy relationship. This kind of couple’s therapy helps the couple to get solution of
how to listen how to express their feelings and argue with each other so that they can be able to

get healthy and happy relationship. In case of Brad, there is no need of couple therapy and it is
not suitable for him to use couple therapy in this case of mental health causes that has been
identified with Brad.
Family therapy: Family therapy is a kind of group therapy which has been formed in a special
manner which consist of one or more families in the therapy. There are several theoretical
orientation that has been used in family therapy for which that predominant in the system is the
system approach. According to this family therapy a family is organized system in which every
member has their own value to create and manage process to shape behavior of individuals in a
family. Every member of a family has been influenced by each other and is required to use the
approach which will help the family to grow their relationship. These theories are used in the
case of dysfunctional patterns of communication that has been identified in family members
which lead to conflicts in families. This is a very beneficial for the people all families who are
facing problems and conflicts between family members and requires treatment of therapy to get
into with each other. This family therapies are very essential in case of nuclear family their
parents and children live together but have several kinds of conflict with each other. In case of
Brad, he also require to have a family therapy to resolve his conflicts with his mother and sister
(Oral, Gunay, and Cetinkaya, 2019). This will help him not to feel alone at his place and also
help the family to live together happily with each other.
Formulate Contract and Case plan for Brad
The case plan for a patient is prepared to analyze the important factor about a patient. In
case of Brad, it is also necessary to prepare a contract and case plan for Brad so that he can be
able to get suitable treatment for his mental and physical health (Lucherini, Rooke, and Amos,
2019). The contract and case plan to provide Sandra in this case is prepared and provided below:
The patient's personal information:
 Name of Patient: Brad
 Name of his Mother: Sander
 Family history for the illness or ill health or addiction: Father has alcoholic addiction.
Psychological history and demographics:

 It has been analyzed that John has diagnosed with added at the age of 9 which shows his
psychological history of in mental health.
 It also has been analyzed that brad is going through feeling at University of the past 12
years which makes in verbally aggressive.
 Brad has a psychological history to not get off and sometimes to sleep all day.
A diagnosis of the current mental health problem:
 Great impact on the mental health from the drinking drive incident.
 Addiction of Alcohol
 Great Depression
High-priority treatment goals:
 Drink and drive case charges that has high impact on the mind of Brad.
 Alcohol Addiction
CONCLUSION
The above discussion helps to conclude about the case study in which Brad is facing
addiction of alcohol and it is very essential for Brad to proceed with the sessions that are
required to treat several problems that has been faced by him. The above special helps to analyze
declination about what he can do to proceed in the session and analyze the present issues that has
been faced by Brad. There are several assessment tools that has been used by the clinician to
analyze the severity of mental health that has been faced by Brad which contains questionnaire
containing recent feelings of the individual and answers of these questions will help the clinician
to get the information to create a care plan for the mental health at that has been faced by Brad.
The individual therapy and family therapy are the therapy that should be needed for Brad
according to the case study. This will help to formulate the case plan for him so that he can be
able to treat on time with proper care.

REFERENCES
Books and Journal
Tan, L., 2018. When Neurobiology meets Psychotherapy: Mirror Neurons, the Social Brain and
Group Work with the Addicted Population.
Lewis, L.F. and Jarvis, L., 2019. Undergraduate nursing students' experiences and attitudes
towards working with patients with opioid use disorder in the clinical setting: A
qualitative content analysis. Nurse education today, 73, pp.17-22.
Salmond, S. and Allread, V., 2019. A population health approach to America's opioid
epidemic. Orthopedic nursing, 38(2), p.95.
Tays, T., Garrett, B. and Earle, R., 2019. Clinical boundary issues with sexually addicted clients.
In Clinical management of sex addiction (pp. 181-195). Routledge.
Cornfield, Z.A. and Hubley, A.M., 2020. Counselors’ Attitudes Towards Working With Clients
With Substance Use Disorders. The Counseling Psychologist, 48(5), pp.630-656.
Tsirigotis, K., 2019. Gender differentiation of indirect self-destructiveness in drug addicted
individuals (indirect self-destructiveness in addicted women and men). Psychiatric
Quarterly, 90(2), pp.371-383.
Oral, B., Gunay, O. and Cetinkaya, F., 2019. Attitudes of health professionals working in a
university hospital towards ageism. Medicine Science, 8(1), pp.117-122.
Lucherini, M., Rooke, C. and Amos, A., 2019. “They’re thinking, well it’s not as bad, I probably
won’t get addicted to that. But it’s still got the nicotine in it, so…”: Maturity, Control,
and Socializing: Negotiating Identities in Relation to Smoking and Vaping—A
Qualitative Study of Young Adults in Scotland. Nicotine and Tobacco Research, 21(1),
pp.81-87.