Treatment Plan for Marge’s First Year of Recovery ✓ Solved

Treatment Plan for Marge’s First Year of Recovery

Develop a hypothetical treatment plan for Marge as you think it would look at the end of the first year of her course of treatment. Begin with her admission into residential treatment (Counseling Session 1). The plan should include Marge’s course of residential treatment, plans for discharge from residential treatment, and aftercare plans for the next 12 months. The plan should include all aspects of Marge’s life that are related to her recovery and reflect the case management role of the counselor (e.g., counseling/treatment, family, social, vocational, legal, mental health, medical).

Identified strengths: Strengths that will help the client achieve long-term goal(s). Client should help identify strengths throughout the course of treatment. Identified problems/deficits: Factors in the client’s life that may impede successful recovery. Long-term goal(s): Short-term Goals, Objectives, Strategies, Expected Outcome (with time-frame) stated as broad desirable outcome broken down into short-term goals and objectives.

The narrative case study section will include identifiable information, presenting problem, assessment, addiction history, co-occurring disorders, medical history, educational/vocational history, legal history, social/cultural status, family/relationship status, models of addiction, models of treatment, models of case management, the role of spirituality, course of treatment, and discharge plan. Conclude the case study with a reflection on personal mission statement.

Paper For Above Instructions

Hypothetical Treatment Plan for Marge: First Year Overview

Identifying Information: Marge is a 34-year-old Caucasian female who is single and currently unemployed due to her substance use disorder. She resides in a small town and has limited social support, with her family being distant and her friends mostly involved in similar substance-using behaviors.

Presenting Problem: Marge presented with severe alcohol use disorder, characterized by compulsive drinking behavior, physical dependence, and significant impairments in social and occupational functioning. She was accompanied by her older sister, who provided collateral information regarding Marge's alcohol abuse history and attempts at previous treatments.

Assessment: Initial screening was conducted using a structured clinical interview and standardized assessments such as the Alcohol Use Disorders Identification Test (AUDIT). Ongoing assessments will include progress monitoring through regular individual and family counseling sessions, along with ongoing interviews.

Addiction History: Marge began drinking alcohol at age 18, escalating gradually from social use to daily consumption. A family history of alcoholism is present; her father has struggled with severe alcoholic dependence. Marge faced legal issues due to driving under the influence and has had multiple unsuccessful attempts to stop drinking on her own.

Co-occurring Disorders: Marge presents symptoms of depression and anxiety, which may complicate her treatment. Previous evaluations indicated a moderate level of motivation to change upon admission.

Medical History: Marge has no chronic medical conditions, but recent blood work indicated liver stress due to alcohol consumption. She is not currently on any prescribed medications but may require medication management as part of her treatment.

Educational/Vocational History: Marge completed high school but has not pursued higher education. Past job experiences include retail and service sector roles, where she faced challenges related to attendance and performance due to alcohol use.

Legal History: Marge has been arrested twice for DUI offenses and is presently engaged in probationary requirements.

Social/Cultural Status: Marge's socioeconomic status is low, and she feels culturally disconnected due to the stigma she faces as a woman with addiction. Her leisure activities were previously centered around drinking, limiting her social interactions and overall life satisfaction.

Family/Relationship Status: Marge's family dynamics are strained. Her sister has expressed willingness to support her recovery but has been significantly impacted by Marge’s addiction. Family therapy will be integral to the treatment plan to heal relational wounds.

Models of Addiction: The Biopsychosocial model will be used to guide Marge's treatment, as it provides a comprehensive framework for understanding her addiction's multifaceted nature.

Models of Treatment: Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) will be the primary therapeutic modalities due to their evidenced effectiveness in treating addiction.

Models of Case Management: The Strengths-Based Approach will inform case management, focusing on Marge's identified strengths and resources to support recovery.

The Role of Spirituality: Spirituality may play a significant role in Marge's recovery. Identifying and connecting her with community resources such as 12-step meetings and spiritual support will be essential.

Course of Treatment: Initially, Marge will receive intensive residential treatment followed by outpatient support. The projected American Society of Addiction Medicine's Patient Placement Criteria (ASAM PPC) over the next year will emphasize a gradual increase in independence and coping skills.

Discharge Plan: Comprehensive aftercare will include continued outpatient therapy, attendance at support groups, and regular drug testing to ensure accountability, with an emphasis on maintaining sobriety and addressing co-occurring mental health issues.

Reflection on Personal Mission Statement: My traits of empathy, strong communication skills, and resilience will enhance my work as an addiction counselor. By maintaining a balanced approach to my personal and professional life, I aim to model healthy behaviors and coping strategies for clients like Marge.

References

  • Beattie, M. (2011). The Language of Letting Go: Daily Meditations on Codependency. Hazelden Publishing.

  • Brown, S. (2013). The Recovery Book: Answers to All Your Questions About Addiction and Alcoholism and Finding Health and Happiness in Sobriety. Da Capo Lifelong Books.

  • Hester, R. K., & Miller, W. R. (2003). Handbook of Alcoholism Treatment Approaches. Allyn & Bacon.

  • Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change. Guilford Press.

  • National Institute on Drug Abuse. (2020). Principles of Drug Addiction Treatment: A Research-Based Guide. National Institutes of Health.

  • Substance Abuse and Mental Health Services Administration (SAMHSA). (2019). TIP 42: Substance Abuse Treatment and Family Therapy. SAMHSA.

  • Weiss, R. D. (2010). Group Therapy for Substance Use Disorders. American Psychiatric Publishing.

  • Wolfe, J. (2003). The Addiction Treatment Planner. John Wiley & Sons.

  • Yalom, I. D. (2005). The Theory and Practice of Group Psychotherapy. Basic Books.

  • Young, A. (2016). Connections: A Guide to the 12 Steps. Hazelden Publishing.