Ms. Little is a 21-year-old black woman who sought treatment after the Departmen
ID: 126564 • Letter: M
Question
Ms. Little is a 21-year-old black woman who sought treatment after the Department of Social Services threatened to take her two children, a boy aged 6 and a girl aged 2. Client stated that her neighbor reported her for leaving her children alone. Client is unemployed and on welfare. She said she can’t make enough money working to pay bills and child care. Client has drunk alcohol and abused drugs since age 15. She is currently still drinking and abusing diazepam (Valium).
Ms. Little stated she has used cocaine for the past 9 months and denies any other drugs since then. She also reports drinking at least 3-4 alcoholic beverages a day which don’t affect her at all. Client admitted to using her welfare check for drugs and selling her food stamps to obtain money. She was never married and does not receive financial support from the father of her children. Client, who is slightly overweight, was observed purging food in the bathroom of the detoxification unit and admitted to episodic purging to control weight.
Ms. Little described herself as a good student in high school until her drug use became more important than studying. She has a high school diploma but did not attempt college, as she felt she could not afford it. Client’s parents both drank and were physically abusive to one another. Ms. Little denies physical or sexual abuse of self or siblings by parents. Client reported she cooks, cleans, and takes care of all household chores independently. She stated she has been “out of control”, “snorting” approximately $200 worth of cocaine 1 to 2 days per week at friends’ homes or on the street. She admitted to leaving the children alone twice over the last month and was appalled to having slept with drug dealers to obtain drugs. Client stated that she knows she has to get clean or she will lose her children. She has never obtained a driver’s license but does have a car of her mother’s that she drives. She has no friends except other users, and other than drug use her only leisure activity is renting a movie for the children. Ms. Little stated that she feels depressed much of the time and has no energy.
OT goals identified:
Client will obtain a driver’s license
Client will complete 1 job interview.
Client will identify leisure activities to pursue with children at home and in the community
Client will improve energy level through exercise and explore healthier methods of losing weight, as well as maintain healthy and balanced nutrition for her and her children.
QUESTION
1. Identify a frame of reference/ treatment model on which to base the treatment approach and give rational and one relevant assessment/ checklist/ evaluation tool to be used to gather information to help treat this client.
Explanation / Answer
Identify a frame of reference/ treatment model on which to base the treatment approach and give rational and one relevant assessment/ checklist/ evaluation tool to be used to gather information to help treat this client.
Treatment approach for the client:
Successful treatment has a few stages:
A scope of care with a customized treatment program and follow-up choices can be significant to progress. Treatment ought to incorporate both restorative and psychological wellness benefits as required. Follow-up care may incorporate group or family-based recuperation emotionally supportive networks.
Medicines can be utilized to oversee withdrawal side effects, anticipate backslide, and treat co-happening conditions.
Withdrawal. Pharmaceuticals help smother withdrawal indications amid detoxification. Detoxification isn't in itself "treatment," however just the initial phase all the while. Patients who don't get any further treatment after detoxification as a rule continues their medication utilize. One investigation of treatment offices found that solutions were utilized as a part of just about 80 percent of detoxifications (SAMHSA, 2014).
Back slide aversion. Patients can utilize drugs to enable re-to build up ordinary mind capacity and diminishing yearnings. Meds are accessible for treatment of opioid (heroin, medicine torment relievers), tobacco (nicotine), and liquor dependence. Researchers are creating different drugs to treat stimulant (cocaine, methamphetamine) and cannabis (pot) enslavement. Individuals who utilize more than one medication, which is extremely normal, require treatment for the majority of the substances they utilize.
Behavioral treatments help patients:
Patients can get treatment in a wide range of settings with different methodologies.
Outpatient behavioral treatment incorporates a wide assortment of projects for patients who visit a behavioral wellbeing instructor on a consistent calendar. The vast majority of the projects include individual or gathering drug directing, or both. These projects ordinarily offer types of behavioral treatment, for example,
Treatment is now and then concentrated at initially, where patients go to different outpatient sessions every week. In the wake of finishing escalated treatment, patients change to customary outpatient treatment, which meets less regularly and for less hours every week to help maintain their recuperation.
Inpatient or private treatment can likewise be extremely compelling, particularly for those with more serious issues (counting co-happening issue). Authorized private treatment offices offer 24-hour organized and serious care, including safe lodging and therapeutic consideration. Private treatment offices may utilize an assortment of restorative methodologies, and they are for the most part gone for helping the patient carry on a medication free, wrongdoing free way of life after treatment. Cases of private treatment settings include:
Notwithstanding the general standards of treatment, a few contemplations particular to wrongdoers incorporate the accompanying:
Assessment checklist/screening/evaluation tool:
There are so many standardized questionnaires by the experts are available such as:
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