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GrandSquirrelMaster251
Angel is a 44-year-old separated man who says that his substance…
Angel is a 44-year-old separated man who says that his substance dependence and his anxiety disorder both emerged in his early 20s after joining the army. He says that he started to drink to “feel better” at the NCO club on the base when his episodes of anxiety made it hard for him to interact with his peers. He states that his anxiety became extreme after his first deployment to Irag. He worked as a military police officer and was often exposed to hostile fire as his group supported operations. He also states that alcohol and now cocaine were a part of his dishonorable discharge.
His wife called police after an argument regarding his drinking. He shoved her and police arrested him and charged him with domestic violence (DV). He was required to attend (DV) classes as well as substance abuse treatment as part of the plea. He further has community service hours(48) and 2 years of probation. You are conducting the intake assessment into you treatment agency.
Angel notes that coming off the cocaine and binge drinking contribute to low mood and increased anxiety, but he has not responded well to referrals to adjunct support services, and past inpatient stays have led to only temporary abstinence. He does not have VA connected benefits and his job as a cook offers no insurance coverage. Yet, Angel is now trying to forge a closer relationship to his adult children, and he says he is especially motivated to get a better handle on his PTSD and his substance use because he and his wife are currently separated but talk on a daily basis.
Symptoms: alcohol use, depression, anxiety, PTSD, substance abuse
Diagnosis and related treatments: PTSD, The following treatments have empirical support for individuals with PTSD: Cognitive Processing Therapy (CPT), Trauma-Focused Cognitive Behavioral Therapy (cf-CBT), Eye movement desensitisation and reprocessing (EMDR)
Mixed substance abuse/Dependence: The following treatments have empirical support for individuals with MIxed Substance abuse/dependence: Motivational interviewing plus CBT for MIxed substance abuse/dependence, Motivational Enhancement Therapy (MET) for substance abuse treatment.
Generalized anxiety disorder: The following treatments have empirical support for individuals with Mixed substance abuse/dependence: CBT for generalized anxiety Disorder, Psychoeducation, MIndulness
Adjunct Support services: AA, NA;other 12-step program, smart recovery, peer recovery coaching, mindfulness recovery
Questions:
1.Analyze the effects of Angels substance abuse and the addiction on his life, including the impact on the following: HIs marriage, HIs adult children, HIs health, His legal status.
2. Explain how the adjunct substance abuse treatment support available in the correctional setting supports Angel. Include the following in the report: Identify one of the following programs: AA, NA, or another 12 step program, smart recovery, mindfulness recovery, or peer recovery coaching. Briefly describe the program selected for Angel( how long it is, what the focus is, etc.) Briefly describe how the principals of the program will assist Angel to maintain sobriety. Briefly describe the research that supports the effectiveness of the treatment program that is appropriate for Angel to attend.
3. Explain why Angel would benefit from group treatment strategies for substance abuse treatment while he is ordered to the correctional system. *Group therapy is separate from adjunct substance abuse treatment support*
Briefly describe the benefits to Angel from this type of therapy, Briefly describe how long Angel will be in this form of treatment, Briefly describe any special considerations that should be taken into account for Angel’s offender status with substance abuse disorders.
4. Discuss why you believe Angel would benefit from individual therapy to address his PTSD and anxiety disorder. Briefly describe the benefits to Angel from this type of therapy, Briefly describe how long Angel will be in this form of treatment, Briefly describe any special considerations that should be taken into account for Angel’s offender status with substance abuse disorders.
3 References. References need to include hanging indent rule.
