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HS 252 Co-Occurring Disorders
HS 252 Co-Occurring Disorders. Assignment: Case Study I- 400 points
Instructions:
- Identify a minimum of five themes that applies to this case.
- Describe your assessment rational for each theme.
- Developed a treatment goal for each theme.
- Describe your interventions how to achieve your treatment goal.
Themes:
- Acceptance of Mental Disorder-
- Acceptance of the impact of Substance Use-
- Identifying what is normal-
- Differentiating between Medication and Drug Use-
- 5- Dealing with Negative Client, Family or Community Response to the Symptoms of Mental Disorder-
- Dealing with the Victim’s Role-
- Dealing with Relapse and the Return of Psychiatric Symptoms-
- Dealing with Suicidal Ideation-
- Dealing with Achieving More Stability-
- Dealing with Mental Illness and Self-Help Meeting
Case Vignette:
?The client is a 21-year-old African-American man. He is mandated by court to stay in an inpatient treatment facility for at least six months before his case and progress is reviewed by the judge. He has charges pending due to a number of "bounced" checks written over the past several months, as well as drug use and drug possession. He is unemployed and does not have a place to live. If he was not living in the inpatient facility, he would have been homeless.
Client’s History:
Client reports that his father died of liver disease due to alcoholism ten years ago at the age of 38. Client was raised by his mother. He has two siblings. An older brother 28 and an older sister 27. He reports that his older brother and his sister-in-law got a divorce last year. His brother has a seven year old son and has been granted a joint custody. Client reports that he was very close to his nephew, but he has not seen him for almost fifteen months because his brother has stopped talking to him and doesn’t want to have him near his son.
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Client reports that at the age of 18 he came out to his family. He says he believes that his older brother started distancing himself from him as he had a hard time accepting him being gay. Client discloses that he used to have a very close relationship with his older brother and looked up to him as a father figure. His mother and his sister, however, were supportive of him and he does have a good relationship with them. He reports that he started drinking alcohol around the age of 16 and later on started using amphetamines too. Client identifies himself as bisexual and not gay. He discloses that he had his first relationship with a young man who was their neighbor when client was 16 years old, and the neighbor was18 years old. This was at the same time when the client had a girlfriend in high school.
Prior to his arrest he has been drinking and using meth heavily. He reports that while living in the streets in order to supply his drug-use he was having unprotected sex with men. He reports that recently has started to see lesions on his skin and around his genitals. He also complains of ongoing fatigue and sleeplessness. Client expresses struggling to find happiness and feeling depressed and hopeless. He discloses that he has felt depression and melancholy ever since he remembers, even when he was about ten or eleven years old. He says that he has missed his family terribly and feels that he is an embarrassment to his family. He says he feels shame and guilt. He claims that alcohol and methamphetamines help him feel somewhat more normal. He says that psychiatric medication makes him feel sicker and he does not like to take them.
- Theme
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- Rational Assessment for This Theme
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- Goal for This Theme
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- Intervention(s) for of this Theme:
- Theme
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- Rational Assessment for This Theme
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- Goal for This Theme
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- Intervention(s) for of this Theme:
- Theme
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- Rational Assessment for This Theme
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- Goal for This Theme
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- Intervention(s) for of this Theme:
- Theme
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- Rational Assessment for This Theme
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- Goal for This Theme
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- Intervention(s) for of this Theme:
- Theme
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- Rational Assessment for This Theme
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- Goal for This Theme
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- Intervention(s) for of this Theme:
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