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Substance Use Disorders Case Study

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Evaluating for Substance Use Disorders From reviewing the scenario of Maricella’s case, it is quite evident that she has experienced more than one of the risk factors that would ultimately put her at risk for developing a substance use disorder. Some risk factors that could potentially contribute to any instance of substance abuse are: drug availability, academic failure, lack of parental involvement, poor social skills, gender, race, and family history of substance abuse (Miller, Forcehimes, & Zweben, 2011). These are all risk factors that are present in Maricella’s life; however, there are also protective factors present as well, but there are some that can be implemented also. While Maricella has many risk factors present in her life, …show more content…

When utilizing this I will be able to determine the drug that is used, how frequently it is used, problems that have resulted from the use, degree of drug dependence, any presence of medical harm, and if she has any motivation to change (Miller, Forcehimes, & Zweben, 2011). Through the collection of this information, I would be able to determine that prescription pain medication and alcohol would be the drugs being evaluated and the reason for treatment. The reasoning for this is because not only has she been exposed to drinking by her family, but she has also tried it. Which could develop into a problem, if not addressed. Also, overdosing on prescription pain medication that was not hers points to more potential problems, if not addressed right away. I would discuss Maricella’s strengths and weaknesses with her, with particular emphasis on her strengths, what she finds enjoyable, and how those things together can be utilized to benefit treatment (Miller, Forcehimes, & Zweben, 2011). According what is listed in the DSM-V, Maricella does not meet the diagnostic criteria listed for a substance use disorder. The reasoning for this is because she only drinks on occasion, and claims to have never been intoxicated. I believe the best course of action to take in this case would be to help Maricella keep her occasional drinking from becoming an addiction, and to keep in contact with her to avoid another potential suicide

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The Addiction Services Council is a non-profit organization. It provides services to those that have an addiction to tobacco, or other drug related issues. They have provided services since 1957 they have always aimed at providing services to help improve the quality of life to the residents of Cincinnati and the surrounding areas. Since 1949 the focus of Addiction Services Council has been to reduce problems related to alcoholism, and drug addiction through the delivery of treatment and prevention services. The Addiction Services Council has been providing services for 65 years they have a wide range of programs that serves children, adolescents, families, women, older adults.

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And although it seems that Sheila was adjusting well, something in her life might be causing her to revert to the maladaptive behavior that comes along with substance abuse that she had in the past. Sheila was already on a plan through Work First in helping her become self-sufficient, she has obtained a GED, a low-income apartment, and working on skills to keep gainful employment in addition to a part-time job. But in light of the behavior that she has recently been displaying, we may need to get other aspects of social services such as rehab and mental health to get involved in a treatment plan. Sheila has had prior sessions with county mental health professionals in the past, but this issue needs to be addressed right from the onset so that she will not be in a position where she could slip back into that maladaptive behavior and lose her children or her life. There is a lot of treatment that is offered for free with the county through social services, which is different then when Sheila first began her maladaptive behavior in the past.

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This section will provide a rational for the prioritized issues, as well as, a brief examination of possible treatment outcomes. Marci’s encounters with the law have been an immediate consequence of her alcohol use. Five months prior, Marci was arrested for driving while impaired,

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As long as people have access to illegal and dangerous substances, American will continue to have issues with substance abuse. If you have fallen victim to the insidious disease of addiction, it is incumbent on you and perhaps your family members to become aware of all that could potentially go wrong with extended substance abuse. It 's also important for you and perhaps your family members to know help is out there and available. In Louisiana, there is a number of drug and alcohol treatment centers located in interesting communities.

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Samkisha has used alcohol, but not in the last three months and marijuana approximately 12 times in the last three months. She admitted to using marijuana about “every weekend.” She reported she used alcohol only once when she was in the 10th grade. Samkisha has never participated in treatment for alcohol or other drug use, but stated she would be willing to participate in such a program if ordered. Mental and Physical Health There are no indications of mental health problems in Samkisha 's case.

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Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.

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Triggers, warning signs, and crisis planning are the components of the process, and require interdisciplinary work from the patient, nurse, doctor, counselor and other support staff. As with every human being, stress is a normal part of life. How we cope with those stressors is the difference between mental illness and mental wellness. With patients with substance-abuse issues, their coping mechanism is their substance of choice. So it is important to identify those stressors early on, identify early warning signs, look for inevitable situations where the patient feels like everything is falling apart, and most of all, prevent them from using.

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Some areas in the United States face higher rates of crime and drug abuse. This contributes to the prevalence of health disparities within different communities. In order to eliminate or decrease the distinct difference between areas that are at higher health risks than others one must begin to understand why they exist. Some areas have higher drug abuse rates than others due to factors such as poor education, poverty, unemployment rates, and lack of community involvement. These things play a major role in whether or not a young adult is going to start the use of drugs or drinking alcohol.

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Coping with Alcohol and drug addiction Substance abuse disorders are classified in medical science as an illness but the society still looks at them as a characterological trait which the sufferer is solely responsible for. Even though the socio cultural factors play a significant role in substance use behavior, genetic and biological influences can’t be discounted. Epidemiological studies of twins and families have demonstrated a genetic contribution of 30-60% in developing addiction. Coping with substance use disorders thus requires understanding and education of both biological and psycho social factors.

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In today’s society, substance abuse is a serious issue that has many explanations as to why it occurs. Peer pressure, boredom, rebellion, etc., are all common examples of why a person uses drugs and alcohol but there is more depth to it. Individuals will often get blamed or judged on the actions they perform and do not usually think of society itself as a factor. There are relatively stable patterns of social relations that contribute to the values and decisions of humans. Three levels of social structures that surround and permeate us are macrostructures, microstructures, and patriarchy.

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Bio-Psycho-Social Biological Factors A few biological factors that need to be considered are age, biological sex, and substance abuse. According to Shieh and Kravitz (2006), pregnant cocaine/heroin users were 6 years older, had more pregnancies, higher drug severity scores, and initiated prenatal care later compared to pregnant marijuana users. Therefore, a social worker working with the family should ask Kyla information in regards to her heroin use and her pregnancies. If possible, the social worker should also try getting information on Kyla’s mother and her substance use. Using heroin frequently, the physical structure and physiology of the brain changes (National Institute on Drug Abuse, 2014).

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