Design a treatment plan utilizing the case study of Leigh (p

Design a treatment plan utilizing the case study of Leigh (page 171) following the format displayed in Figure 6.2 on page 172 of the textbook. Be sure to address the following in your treatment plan: Problem areas identifiedDSM Diagnosis with specifiersGoals & Objectives to address each problem area identifiedDescribe Treatment InterventionsClient’s strengths and weaknesses (liabilities)Theoretical model for treatment strategiesInclude at least four scholarly sources in your treatment plan to include the course readings.While APA format is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success CenterCase Discussion Case 3 (Leigh). To illustrate the concept of treatment settings, let us extend Case 3 and imagine Leigh, a 16-year-old marijuana and alcohol user who has run into trouble with her substance use. Her problems intensified one evening when she and her friends were brought into cus-tody for questioning by police. Leigh was par-tying with some new friends in a wooded area close to the high school she attends. Police, responding to a complaint initiated by neigh-bors in the area, confronted the adolescents and found alcohol and marijuana. Officials were concerned about the underage drink-ing, illegal use of marijuana, and in particular Leigh’s emotional state, which was hostile, disoriented, and apparently intoxicated. Police contacted Leigh’s mother and dis-cussed the possibility of charging Leigh with possession of marijuana and disorderly con-duct. After several unsuccessful attempts by police to persuade Leigh to seek immediate medical care, she was evaluated to be at risk to herself and was involuntarily admitted to medical detoxification. She spent several days in detoxification and getting “clear headed,” and then she voluntarily agreed to attend a re-habilitation program. When she had 28 days of successful treatment, her counselors rec-ommended an intensive outpatient program to continue her recovery. This scenario illustrates that treatment settings are not stagnant environments but integrative opportunities to move clients to-ward recovery and health. The reverse is also possible. Leigh might have a relapse (or slip) and need a temporary, more restrictive set-ting to regain her hard-won progress. Moving up and down this continuum of care provides a multitude of treatment ser-vices designed to fit the client’s unique needs. The effectiveness of treatment settings comes from their flexibility, adaptability, and respon-siveness to the client’s current recovery needs. Page 171. Let us return to the case of our 17-year-old, polysubstance-abusing client Leigh. After her arrest and detoxification, she was admitted to a 30-day chemical dependency rehabilitation program. Her biopsychosocial assessment re-vealed a history of using alcohol and marijuana at parties and sometimes during school hours. She has had some moderate school-related problems (e.g., lateness) and a shoplifting charge. She described a new, well-defined group of peers who “I like to hang out with and party with.” Some potential problem domains re-lated to Leigh’s situation might be as follows: Relationship factors: gravitates toward unhealthy, drug-using peers Home environment: disengaged rela-tionship with father, financial stressors, and feelings of having to choose be-tween parents Medical treatment: potential dietary problems, disheveled appearance, and poor hygiene It is important to have an accurate, reliable, and detailed assessment to identify problem areas and match them to the most fitting problem domain. Each problem domain, al-though often conducted separately, is con-sidered part of the full treatment plan that is both time-consuming and inclusive. Here is figure 6.2 info Treatment Setting and Treatment Planning 171 The Elements of a Severe Substance Use Disorder Treatment Plan Elements considered necessary for an effective severe substance use disorder treatment plan follow: • Plan Identification (early treatment, comprehensive treatment, modified) • Diagnosis of the problem • Symptoms/Behavior • Treatment/Individual goals • Treatment Objectives • Interventions/Action (kind and frequency) • Contract (Signatures of participating parties, including the client) Figures 6.2 – 6.4 provide examples of treatment plans. Sample Substance Use Treatment Plan: Relationship Factors Facility Shady Pines Rehabilitation Center Client name Leigh Diagnosis of the Problem Client states that all friends drink and use drugs/she will find it difficult to change friends and remain sober/clean. Symptoms/Behavior Patterns Client cannot identify sober friends and is reluc-tant about giving up current group. Treatment/Individual goals Client will develop a healthy, sober/clean network of friends. Client will identify peer changes necessary to avoid drugs and alcohol. Intervention/Action (kind and frequency) Client will devise a written plan ad-dressing changes she needs to realize to remain sober/clean. Case Discussion (Continued) Let us return to the case of our 17-year-old, polysubstance-abusing client Leigh. After her arrest and detoxification, she was admitted to a 30-day chemical dependency rehabilitation program. Her biopsychosocial assessment re-vealed a history of using alcohol and marijuana at parties and sometimes during school hours. She has had some moderate school-related problems (e.g., lateness) and a shoplifting charge. She described a new, well-defined group of peers who “I like to hang out with and party with.” Some potential problem domains re-lated to Leigh’s situation might be as follows: Relationship factors: gravitates toward unhealthy, drug-using peers Home environment: disengaged rela-tionship with father, financial stressors, and feelings of having to choose be-tween parents Medical treatment: potential dietary problems, disheveled appearance, and poor hygiene It is important to have an accurate, reliable, and detailed assessment to identify problem areas and match them to the most fitting problem domain. Each problem domain, al-though often conducted separately, is con-sidered part of the full treatment plan that is both time-consuming and inclusive. ISBN 1-323-39896-1Substance Abuse Counseling: Theory and Practice, Fifth Edition, by Patricia Stevens and Robert L. Smith. Published by Pearson. Copyright © 2013 by Pearson Education, Inc. nitial: Master: Update:Client Name:Problem #: You are at risk for having difficulties getting used to being in a drug-free and structured living situation here at [facility].Indicators:New patient in treatment here at [facility] and first time in treatment.Long-Term Goal: You will have a satisfactory and rewarding treatment experience at [facility].Short-Term Goal: You will understand the reason and importance for following all directions and treatment plan instructions.Objective #: You will display the ability to follow all directions and instructions to help you settle into treatment.Due Date: ______________________________Date Completed: ________________________Methods:1. You will need to perform your daily assigned house chore posted in the _____ area on the bul-letin board.2. You will need to be at all scheduled group activities as indicated on your daily schedule 5 min-utes before the group starts.3. You will have an assigned buddy for your first week. After this, you will be assigned a new person to whom you will be a buddy. Learn all you can from your buddy this week.4. You will report to the nurses’ station for vital signs for first _____ days in treatment at 7:30 A.M., after lunch, and again at dinner time. The nurse will inform you of any changes in times.5. You will need to review your Patient Handbook to familiarize yourself with the routine and expec-tations of _____. Bring any questions to your assigned counselor or any staff on duty.Services and Frequency Provided: Group therapy ___ x’s weekly; individual therapy ___ x’s weekly; activities group ___ x’s weekly; thera-peutic work assignment daily as assigned; daily attendance at AA and NA meetings; peer feedback group ___ x’s weekly; family therapy ___ x’s weekly; family program ___ x’s weekly; medication lecture 1 x; ___ lecture series daily (indicate)Client Signature: ________________________ Date:________________________Staff Signature: _________________________ Date:________________________ FIGURE 6.2 Initial admission plan. Source: Information from Chemical dependency treatment planning handbook, by R. J. Laban, 1997, Springfield, IL: Charles C. Thomas. ISBN 1-323-39896-1Substance Abuse Counseling: Theory and Practice, Fifth Edition, by Patricia Stevens and Robert L. Smith. Published by Pearson. Copyright © 2013 by Pearson Education, Inc. Treatment Setting and Treatment Planning 173Initial: Master: Update:Client Name:Problem #: You are preoccupied with legal matters and situations outside treatment that could interfere with your need to stay focused on recovery.Indicators:Self-disclosure during admission; repeated requests to call probation officer; comments to peers that your probation officer “pushed” you into treatment.Long-Term Goal: Stable and self-directed involvement in a recovery program.Short-Term Goal: You will understand the need to focus your full attention and energies on the treatment program in order for you to get well.Objective #: You will demonstrate an ability to maintain a 70% or greater focus in the treatment program over a 48- to 72-hour period.Due Date: ______________________________Date Completed: ________________________Methods:1. You will write down, and prioritize, the five things in your life that continue to cause you the most pain. Discuss with your group these five situations and ask for feedback, specifically if they believe these issues are interfering with your ability to commit to a recovery program.2. Write about your fears and preoccupations—that is, exactly what kinds of thoughts you have, how they affect your behavior (negatively), and how you have dealt with these in the past. Share with your group and ask them for feedback re positive alternatives.3. Make a list of all those things you are focused on or worried about that are outside treatment. Next to each item, describe in detail the impact your addiction and behaviors have had on each area. Read this to your group and let them critique your level of honesty into the assignment. What does this tell you about your use and need for treatment?4. You will be given [_____ days] to get settled into treatment, but will be expected to present a convincing appeal to your counselor and group at the end of this time telling them why you should be allowed to remain in treatment. This appeal needs to be convincing. When done, your group will respond as to how convincing you were, and the treatment team will make a decision.Services and Frequency Provided: Group therapy ___ x’s weekly; individual therapy ___ x’s weekly; activities group ___ x’s weekly; thera-peutic work assignment daily as assigned; daily attendance at AA and NA meetings; peer feedback group ___ x’s weekly; family therapy ___ x’s weekly; family program ___ x’s weekly; medication lecture 1 x; ___ lecture series daily (indicate)Client Signature: ________________________ Date: ________________________Staff Signature: _________________________ Date: ________________________

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