Clinical Work With Substance Abuse Cases • Nursing Area

Clinical Vignette

While acknowledging that each client is unique, the following case reflects an amalgam of and illustrates some of the commonly occurring features.

Don't use plagiarized sources. Get Your Custom Essay on

Clinical Work With Substance Abuse Cases

Just from $9/Page

Order Essay

John Jones, a 46 year old, white middle- class client, sought treatment at an on outpatient substance abuse clinic for help with his excessive drinking after being arrested for drunk driving for the third time.

Mr. Jones had already called his insurance carrier to obtain authorization for the intake session. A traditional biopsychosocial history was conducted, and a multidimensional range of information was generated about the clients clinical status. Mr. Jones was in no acute distress and presented no signs of withdrawal. He appeared to be bright and capable of insight.

The assessment revealed that Mr. Jones had begun his drinking career when he was 16 years old. At that time he consumed a six-pack of beer on weekends. By the age of 20 he was drinking at least three nights per week at the rate of 8 beers per night. By 30 years of age he was consuming up to 10 beers each day. This level of consumption continued until his current arrest for driving under the influence of alcohol.

Although he had attended AA in the past in compliance with court orders after his first two arrests, Mr. Jones felt that he had nothing in common with these people and that he was drinking because of job stress and marriage problems. His score on the MAST and his SASSI-3 profile indicated a high probability of an SUD. He had made no significant effort to discontinue his alcohol consumption in the past, and his current participation in treatment is the result of legal and family influences. Mr. Jones seemed depressed and defensive in his emotional functioning; he denied any suicidal ideation. He started that he was currently on medication for elevated blood pressure, but denied any history of illicit drug or medication abuse.

Mr. Jones described his father and two uncles as heavy drinkers. He described his childhood as non- nurturing. He was the middle child of five, raised in a rigid family in which he felt unloved and unimportant. His school performance was poor despite his intellectual abilities, and he dropped out at the beginning of the 12^thgrade.

Mr. Jones has been married to his wife Mary for the past 16 years, and they have two sons. He had been experiencing financial stress due to legal fees, court costs, and missing work as a result of hangovers. He claimed that Mary was also a heavy drinker, although, when interviewed later, she claimed that she only drank to help tolerate his drinking.

Mr. Jones was given a physical examination: The findings included enlargement of the liver and substantially elevated liver enzymes; his blood pressure was slightly elevated despite the use of medication. Mr. Jones was prescribed Antabuse (disulfiram), which he was to begin taking once his . He was also prescribed Vivitrol (naltrexone) to curb his crave for alcohol.

His diagnosis (using DSM-5; American Psychiatric Association, 2013) is Sever Alcohol Use Disorder, 303.90, and the initial treatment plan indicated the following:

Problem: A pattern of excessive alcohol use.

Goals: Total abstinence from alcohol

Objective: ( 1) Participate in a motivational enhancement group;

(2) Understand the disease concept of dependence on alcohol

(3) Learn the medical consequences of excessive alcohol use

(4) Understand the process of recovery.

(5) Correct cognitive distortions about addiction

(6) Identify personal relapse triggers

(7) Develop two relapse prevention strategies for each trigger

(8) Learn the philosophy and 12 steps of AA

(9) Attend five AA meeting each week

(10) Actively participate in group and individual therapy

(11) Participate with spouse in family education and join session at later time

(12) Select a technology-based application that supports clean recovery.

oLevel of care.It is recommended that Mr. Jones pursue these and other objective in an intensive outpatient treatment program, compromising 4 hours of treatment each day for 3 weeks. Mr. Jones will be further evaluated for alcohol problems and a separate plan developed. Once a stable recovery process is in place, the related issues of job stress and marriage problem will be addressed. After 1 month of complete abstinence, his mood will be reevaluated and the issue of the non-nurturing childhood explored. Following intensive outpatient care, it is expected that regular outpatient counseling will continue and be approved by the managed care company. Concurrently, a more thorough assessment of his wife drinking behavior should also be made.

It is important to note that as the treatment process unfolds, new information may emerge that requires changes to his treatment plan. Therefore, it is essential that the treatment staff remain flexible and willing to make changes in a timely manner.

John Alcohol Assessment

Given what you read about Johns alcohol abuse

Write 3 pages assessment on .

Assess the severity of .

Give him a mental health diagnosis

Decide on a plan of action which include treatment and after care planning.

Get Professional Assignment Help Cheaply

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

Plagiarism free papers
Timely delivery
Any deadline
Skilled, Experienced Native English Writers
Subject-relevant academic writer
Adherence to paper instructions
Ability to tackle bulk assignments
Reasonable prices
24/7 Customer Support
Get superb grades consistently

Online Academic Help With Different Subjects

Literature

Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.

Finance

Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!

Psychology

While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.

Engineering

Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.

Nursing

In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.

Sociology

Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.

Business

We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!

Statistics

We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.

Law

Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
We will have a different writer write the paper from scratch.
Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment Help Service Works

1. Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2. Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3. Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.