Read Foundations of Addiction Counseling Chapters 7-9 Explore SAMHSA publications. Link is located under Resources in your course syllabus
For this assignment, you are given a case study. You must support your discussion by providingevidence-based research on the assessment, diagnosis and treatment of substance use and co-occurring disorders in direct and specific context to the case as written.
Your case study must include the following:
1. Assessment, considering biological, psychological, environmental, cultural and ethical issues (ACA and AAMFT Code of Ethics) 2. Provisional diagnosis of substance related and co-occurring disorders using the DSM-5 criteria 3. Adolescent substance abuse 4. Prenatal substance abuse 5. Treatment plan based on evidence-based research 6. Referrals, coordination of care and case consultation 7. Relapse prevention plan to include community resources, individual and/or family counseling
Select a minimum of eight (8) current research articles taken from scholarly journals (online or hard copy) to support your work. You may use the bibliography located in the Resource section of your syllabus
The course text or other course texts, are not considered research. You may use and reference the text occasionally, but please remember that this is a research-based paper. The majority of your supportive citations must come from scholarly, professional research journals based on evidence-based assessment, diagnosis and treatment of substance use and comorbid disorders.
All assignments MUST be typed, double-spaced, in APA style, and must be written at graduate level English. You must include any relevant legal, ethical, and cultural considerations in your paper
Your paper should be 8-10 pages plus a title and reference page
This assignment is due in Week 7.
The Case of Rosa
Rosa is a 32-year-old, divorced, Latino woman being treated for alcohol and cocaine (crack) dependence. She is employed as an administrative assistant at a local human services program. She lives with her 14-year-old daughter, Christina, in an apartment located near her job. Although she makes a relatively low salary, Rosa has managed to support herself and her daughter without financial support from Christina’s father. Rosa was married briefly to Christina’s father when she was 20, but she left him after he became physically and sexually abusive toward her. He also was an alcoholic. She had almost no contact with him for many years. Rosa’s mother, is a strong support for Rosa and Christina. Rosa admits to drinking during her pregnancy with Christina. Christina was diagnosed with Fetal Alcohol Syndrome (FAS) at birth. She expresses guilt and remorse that Christina’s emotional, academic and social difficulties are a result of FAS.
Rosa reports that at age 13, her father began molesting her when he was drinking, but that in her family no one was allowed to mention any problems. She reports never telling anyone until now. She is the youngest of three children and the only girl. Her father died in an alcohol related car accident when Rosa was 17. She is not close to her brothers, who she reports have been in and out of jail for substance related crimes. Up until a month ago, Rosa was regularly attending twice-weekly treatment sessions at an outpatient chemical dependency clinic, and she went to AA/NA regularly 3 times a week. She had a sponsor and they kept in touch several times a week, sometimes daily. From the beginning of recovery, Rosa has experienced some mild depression. She describes having little pleasure in life and feeling tired and “dragging” all of the time. Rosa reports that her difficulty in standing up for herself with her boss at work is a constant stressor. She persisted with treatment and AA/NA, but has seen no major improvement in how she feels.
After Rosa celebrated her 6-month sobriety anniversary, she reports that she started having a harder time getting herself up each day. Around this same time, she returned to drinking daily. She says that she then started experiencing bouts of feeling worthless, sad, guilty, hopeless, and very anxious. Her sleep problems increased, she began having nightmares, and she lost her appetite. She started her crack use again one night after her boss got very upset with her not finishing something on time.
Rosa reports that she began drinking regularly (several times a week) around the age of 13, when her father started molesting her. She recalls having felt depressed around the same time that she began drinking heavily, although she states she has very few clear memories of that time in her life. Rosa’s drinking became progressively worse over the years, although she did not begin to see it as a problem until after she began using crack, at around age 28. She reports feeling depressed over much of her adult life, however her depression got much worse after she began using crack daily.
Rosa fears that Christina is using alcohol and drugs to fit in socially with her peer group, and believes she is sexually active. Rosa is certain that Christina is pregnant. She does not believe in abortion, and is concerned that Christina continues to use drugs and alcohol in spite of her pregnancy. She believes this is all her fault that Christina is following in her footsteps with substance use and teenage pregnancy.
Now, one week into treatment, Rosa reports feeling numb and tense. She talks only in women’s treatment groups and, then, only when specifically asked a question. She feels hopeless about her ability to put her life together and says that she only sees herself failing again to achieve sobriety. Rosa reflects that she was unable to adequately protect her daughter from repeating her own past with drugs, alcohol and teenage pregnancy. She speculates that maybe she is an unfit mother and should give her mother full custody of Christina.
Examine ethical and legal issues related to substance use and related disorders
Identify standard screening and assessment instruments for substance use and related disorders
Develop appropriate treatment plans incorporating recovery methods and strategies in collaboration with other professionals
Apply a working knowledge of research on prevention, early intervention and treatment of substance use and related disorders
Recognize methods and strategies related to working with diverse and marginalized populations
See Learning Outcomes on page 1 of your course syllabus