In the previous milestones, you have focused on certain aspects of provided

In the previous milestones, you have focused on certain aspects of provided

In the previous milestones, you have focused on certain aspects of provided case studies. For your final paper, you are asked to discuss client information, assessments, addiction information, and treatment found in the provided case study. Read Case Study 1 and then refer to the Case Study Final Project Guidelines and Rubric in the Assignments Guidelines and Rubrics folder for a complete description of this paper.

Your paper should:

• Be composed in MS Word and formatted in APA style
• Be at least 5 pages in length, not including the title page and references page
• Employ a minimum of three scholarly sources that directly support your main ideasScenario/Case Study: This is a final project (with milestones) in which students will analyze a scenario of an individual dealing with an addiction in order to explore potential diagnoses that could apply and to articulate a treatment plan for the individual. The goal of this assignment is to understand how addictions impact the individual, family, community, and/or society.

 

 

 

• Case Study Milestone One: Short Paper
  In Module Two, you will read this case study and write a short paper. You will be focusing on the addiction and its effects. This milestone will be graded with the Case Study Milestone One Rubric.
• Case Study Milestone Two: Short Paper
  In Module Four, you will write a short paper in response to this case study. In the previous milestone, you focused on the addiction and its effects. In Milestone Two, you will want to focus on the assessment used as well as the addiction. This milestone will be graded with the Case Study Milestone Two Rubric.
• Case Study Submission: Final Paper
  In Module Seven, you will submit your final paper, which consists of a full analysis of this case study. This submission will be graded with the Final Case Study Rubric.
• Final Case Study Rubric
• Guidelines for Submission: This submission should follow APA formatting guidelines, use 12-point Times New Roman font and 1-inch margins, be at least 5 pages in length, not including the title page and references page, and employ a minimum of 2 scholarly sources that directly support your main ideas.
• Instructor Feedback: Students can find their feedback in the Grade Center.
• Critical Elements Exemplary Proficient Needs Improvement Not Evident Value
  Identify Client: Background Information Meets “Proficient” criteria, and analysis of the client is extensive and imperative to the case study
  (10) Provides a complete background history of the client
• (8.5) Provides an incomplete background history of the client
• (5.5) Does not provide background information
• (0) 10
  Addiction: Assessment Meets “Proficient” criteria and utilizes relevant examples to substantiate claims

 

 

 

 

 

Case Study 1 | Case Study 2 | Case Study 3

(Identifying information has been changed in order to maintain confidentiality.)

Identified Client: Robert, 66-year-old male, retired for the past 4 years. He is a husband, father, grandfather, and friend.

Drug of Choice: Alcohol

Initial contact: Harriet, Robert’s adult daughter, made the initial contact asking whether or not Family Intervention might be an option in trying to get her father some help for his drinking problem.

Because this family lives in a large city on the West Coast, the initial interview was done over the phone.

Client History: “The drinking got worse after Robert retired, or maybe I started noticing it more.”
Robert has been married to Colleen for 44 years. They raised 2 daughters, numerous pets, and have lived in the same house for the past 35 years. Some things have changed in their marriage such as they now sleep in separate bedrooms; mostly because of Robert’s drinking.
Robert would begin drinking in the late mornings just as soon as he could get his chores and errands done.
Robert and Colleen began to have less and less to talk about as time went by. Colleen didn’t want to talk to Robert when he had been drinking and it began to seem like he was always drinking. And Robert really didn’t have much to say to Colleen. She was always coming and going and when she did stick around it seemed as though she just had something negative to say about what he was doing or not doing, “have you been drinking?” He felt like all she did was nag.
“The drinking got worse after Robert retired or maybe I started noticing it more” complained Colleen. Robert began to go to bed earlier and earlier. “Now that I look back at it, I think he went off to bed to be able to drink and not have me on his back.”
Some health issues began to arise, complicated by years of drinking. Roberts’ doctor was having him get his blood tested every 3 months to monitor his diabetes and prostrate concerns. The doctor had long ago told Robert to stop drinking.
Harriet (Robert’s daughter) stated that others were concerned about her dads drinking as well.
(A more complete history, not included here, was gathered.)

Intervention Team members: During the course of the initial interview a list of possible intervention participants were discussed over the phone (this is often the case where family members live at a distance from each other). Harriet was asked to contact potential participants and ask them to give the Interventionist a call so they might discuss their concerns and also to see if they would be appropriate members of the intervention team.
Those that called and became part of the team included; older sister Marsha, older brother Franz (living and calling from Sweden), younger brother Bill, wife Colleen, oldest daughter Harriet, younger daughter Liz, nephew Mark, long-time co-worker/friend Arthur and friend Terry. Interviews were conducted and homework assignments given – to write a letter to Robert about their concerns and feelings.

Treatment Program: A residential treatment program was contacted by Harriet. Arrangements were made for admission should Robert agree to go to rehab.
Schedules were arranged and dates set for the upcoming role-play followed the next day by the Intervention.

The Role-Play: The day of the role-play arrived. The team members met at older sister Marsha’s house in the same city in which Robert and Colleen lived. We arrived at Marsha’s at 1:30pm . Over the next four hours we heard from everyone. There was a wide range of emotion and a lot of anxiety about whether or not this would actually work.
Many agreed that Robert was most likely depressed. Some voiced concerns that there were certainly more issues than just the alcohol to be dealt with. “Maybe if his marriage was better he wouldn’t drink so much.” Some were very worried that Robert might get up and walk out.

 

“Have you ever had someone just walk out?” someone asked. “Rarely” I responded. “But what do we do if he does?” they asked. “What if he tells us all to get the heck out of his house?”

The team talked about the anxiety and solutions were discussed.

People read their letters aloud. Some cried. One person was very angry with Robert. We talked and processed through the feelings and arrived at a shared group conclusion that Robert was killing himself by continuing his drinking behavior.
After years of having to be vigilant for her children’s safety, Harriet stated in her letter that if Robert was unwilling to accept the help being offered through this Intervention and go to the treatment program that she would no longer allow her father to be around his grandchildren. Some team members had strong reactions about her feelings and decision.
By the time the role-play was complete we had heard all the letters, team members had received feedback from others about how their letters sounded, and some received editing suggestions. We decided the order of who would go first to last.
Everyone made the decision to be firm with a willingness to hold the line with Love, Concern, and Respect: to encourage Robert to say yes and go directly to the treatment program.
We addressed all the logistical questions again, making a plan for how Robert would physically get to the treatment program and who would go with him. By the end of the role-play all team members agreed that we had done our best.
We were providing a plan that could succeed. We were collectively offering Robert the opportunity and method to get his life back.
We agreed on a time early the following morning to meet at Robert’s home and have the Intervention.

The Intervention: No one had mentioned to Robert that an Intervention was in the works. We met just down the street from Robert and Colleen’s home at 8:30 am . When we were assembled we walked to the house. We knocked and with Harriet in the lead we went directly in and got seated in the living room. Robert was in the back of the house. By the time he made his way to the living we were all in position.
He looked at us, looked at his wife, and his daughters. I introduce myself.
“Hello Robert, my name is Jerry Wittman and I’m a counselor. I’ve been consulted by your family and friends to help facilitate a family meeting. Everyone has some things to talk with you about, please hear them out. We are going to start with your friend, Arthur.”
One at a time, each read their letters. Tears were shed. Robert cried as well. When the letters were complete, I briefly summarized the intention of the meeting and discussed where and what the treatment program was and that what was being asked of him today was to agree to go to treatment and begin the process of recovery. He said yes.

All congratulated him, gave hugs and prepared for departure to the program.
Within 45 minutes of completing the Intervention, Robert was on his way to Treatment.

Post-Intervention: After Robert had left the house the remaining team members and I sat down and processed through the feelings and thoughts people were experiencing. Team members had previously been given information about self-help (Alanon meetings) and therapist names in their community to follow up with as needed. Immediately family members were encouraged to attend the program’s Family Program. We all agreed to do a check-in via phone in three days.

Since then, I have talked with all the participants. Every single one expressed their gratitude for being part of this process. They’ve said that this has been a very powerful and important event in their lives. Colleen (his wife) and I have talked several times. She says that this has been the hardest and most important thing she has ever done in her life. She followed the recommendations and is attending family week at the program.

 

• (15) Discusses the physiological procedure client uses to administer his addiction, the environmental elements he is affected by, and his philosophical stand about his addiction
  (12.75) Discusses the physiological procedure the client uses to administer their addiction but does not discuss the environmental elements he is affected by, and/or his philosophical stand about his addiction
  (8.25) Does not provide addiction assessment information
• (0) 15
  Addiction Information: Identification  Meets “Proficient” criteria and uses specific, relevant examples to substantiate claims through the synthesis of the scholarly research
  (15) Identifies the addiction the client presents with and the background history of that addiction. Supports by referencing scholarly research
  (12.75) Identifies the addiction, but does not provide a history of the addiction or does not support by referencing scholarly research
• (8.25) Does not identify the addiction and its background history
• (0) 15
  Addiction Information: Impact Meets “Proficient” criteria and uses multiple examples to substantiate the addiction’s impact on the client, his family, his friends, and his society/community
  (10) Identifies the impact of the addiction on the client, his family, his friends, and his society/community and provides an example for each
• (8.5) Identifies the impact of the addiction on the client, his family, his friends, and his society/community, but does not provide examples
• (5.5) Does not identify the impact of the addiction
• (0) 10
  Addiction Information: Physiological and Psychological Effects Meets “Proficient” criteria and uses specific and relevant examples to substantiate claims
• (10) Discusses if and how the addiction physiologically and psychologically affects the client’s behaviors and mental processes
• (8.5) Discusses if the addiction physiologically and psychologically affects the client’s behaviors and mental processes, but discussion lacks how it affects the client’s behaviors and mental processes
  (5.5) Does not discuss the physiological and psychological effects of the addiction
• (0) 10
  Treatment Plan: Therapy Model Meets “Proficient” criteria and uses specific, relevant examples to illustrate the effectiveness of this model for this client
  (10) Utilizes an appropriate therapy model within the treatment plan and supports this decision with one peer-reviewed article
  (8.5) Utilizes a therapy model, but model is not appropriate or decision is not supported with a peer-reviewed article
  (5.5) Does not utilize a therapy model within the treatment plan
• (0) 10
  Treatment Plan: Relapse Prevention Plan Meets “Proficient” criteria and uses specific, relevant examples to identify the elements of the relapse plan, the treatment model, and the client’s support system
  (10) Describes the elements of the relapse prevention plan, the treatment model that will be used, and the client’s support system
• (8.5) Describes the elements of the relapse prevention plan, but does not describe the treatment model that will be used and/or the client’s support system
• (5.5) Does not include a relapse prevention plan
• (0) 10
  Treatment Plan: Impact on the Individual, Family, Community, and/or Society Meets “Proficient” criteria, and specific, relevant examples are used to support the claims. Synthesizes information exemplified in reference
• (10) Describes how the proposed relapse prevention plan will impact the individual, family, and community/society. Utilizes a reference to support claims
  (8.5) Description contains gaps between the relapse prevention plan and how it will impact the individual, family, and community/society, OR the description does not utilize a reference to support the claims
  (5.5) Does not discuss the impact of the treatment plan on the individual, family, and community/society
• (0) 10
  Application of APA Format Submission is free of errors related to citation format, references, or other elements of APA style
  (5) Submission has no major errors related to citation format, references, or other elements of APA style
  (4.25) Submission has major errors related to citation format, references, or other elements of APA style
  (2.75) No attempt to apply APA style is evident within the submission
• (0) 5
  Articulation of Response Submission is free of errors related to grammar, spelling, and syntax
• (5) Submission has no major errors related to grammar, spelling, syntax, or organization
• (4.25) Submission has major errors related to grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas
  (2.75) Submission has critical errors related to grammar, spelling, syntax, or organization that prevent understanding of ideas
  (0) 5
  Total
  Comments:  100%
• Comments:  100%Total(0) 5(2.75) Submission has critical errors related to grammar, spelling, syntax, or organization that prevent understanding of ideas(4.25) Submission has major errors related to grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas(5) Submission has no major errors related to grammar, spelling, syntax, or organizationArticulation of Response Submission is free of errors related to grammar, spelling, and syntax(0) 5(2.75) No attempt to apply APA style is evident within the submission(4.25) Submission has major errors related to citation format, references, or other elements of APA style(5) Submission has no major errors related to citation format, references, or other elements of APA styleApplication of APA Format Submission is free of errors related to citation format, references, or other elements of APA style(0) 10(5.5) Does not discuss the impact of the treatment plan on the individual, family, and community/society(8.5) Description contains gaps between the relapse prevention plan and how it will impact the individual, family, and community/society, OR the description does not utilize a reference to support the claims(10) Describes how the proposed relapse prevention plan will impact the individual, family, and community/society. Utilizes a reference to support claimsTreatment Plan: Impact on the Individual, Family, Community, and/or Society Meets “Proficient” criteria, and specific, relevant examples are used to support the claims. Synthesizes information exemplified in reference(0) 10(5.5) Does not include a relapse prevention plan(8.5) Describes the elements of the relapse prevention plan, but does not describe the treatment model that will be used and/or the client’s support system(10) Describes the elements of the relapse prevention plan, the treatment model that will be used, and the client’s support systemTreatment Plan: Relapse Prevention Plan Meets “Proficient” criteria and uses specific, relevant examples to identify the elements of the relapse plan, the treatment model, and the client’s support system(0) 10(5.5) Does not utilize a therapy model within the treatment plan(8.5) Utilizes a therapy model, but model is not appropriate or decision is not supported with a peer-reviewed article(10) Utilizes an appropriate therapy model within the treatment plan and supports this decision with one peer-reviewed articleTreatment Plan: Therapy Model Meets “Proficient” criteria and uses specific, relevant examples to illustrate the effectiveness of this model for this client(0) 10(5.5) Does not discuss the physiological and psychological effects of the addiction(8.5) Discusses if the addiction physiologically and psychologically affects the client’s behaviors and mental processes, but discussion lacks how it affects the client’s behaviors and mental processes(10) Discusses if and how the addiction physiologically and psychologically affects the client’s behaviors and mental processesAddiction Information: Physiological and Psychological Effects Meets “Proficient” criteria and uses specific and relevant examples to substantiate claims(0) 10(5.5) Does not identify the impact of the addiction(8.5) Identifies the impact of the addiction on the client, his family, his friends, and his society/community, but does not provide examples(10) Identifies the impact of the addiction on the client, his family, his friends, and his society/community and provides an example for eachAddiction Information: Impact Meets “Proficient” criteria and uses multiple examples to substantiate the addiction’s impact on the client, his family, his friends, and his society/community (0) 15(8.25) Does not identify the addiction and its background history(12.75) Identifies the addiction, but does not provide a history of the addiction or does not support by referencing scholarly research(15) Identifies the addiction the client presents with and the background history of that addiction. Supports by referencing scholarly researchAddiction Information: Identification  Meets “Proficient” criteria and uses specific, relevant examples to substantiate claims through the synthesis of the scholarly research(0) 15 (8.25) Does not provide addiction assessment information(12.75) Discusses the physiological procedure the client uses to administer their addiction but does not discuss the environmental elements he is affected by, and/or his philosophical stand about his addiction(15) Discusses the physiological procedure client uses to administer his addiction, the environmental elements he is affected by, and his philosophical stand about his addictionAddiction: Assessment Meets “Proficient” criteria and utilizes relevant examples to substantiate claims(0) 10(5.5) Does not provide background information(8.5) Provides an incomplete background history of the client(10) Provides a complete background history of the clientIdentify Client: Background Information Meets “Proficient” criteria, and analysis of the client is extensive and imperative to the case studyCritical Elements Exemplary Proficient Needs Improvement Not Evident ValueInstructor Feedback: Students can find their feedback in the Grade Center.Guidelines for Submission: This submission should follow APA formatting guidelines, use 12-point Times New Roman font and 1-inch margins, be at least 5 pages in length, not including the title page and references page, and employ a minimum of 2 scholarly sources that directly support your main ideas.Final Case Study RubricIn Module Seven, you will submit your final paper, which consists of a full analysis of this case study. This submission will be graded with the Final Case Study Rubric.Case Study Submission: Final PaperIn Module Four, you will write a short paper in response to this case study. In the previous milestone, you focused on the addiction and its effects. In Milestone Two, you will want to focus on the assessment used as well as the addiction. This milestone will be graded with the Case Study Milestone Two Rubric.Case Study Milestone Two: Short Paper In Module Two, you will read this case study and write a short paper. You will be focusing on the addiction and its effects. This milestone will be graded with the Case Study Milestone One Rubric.Case Study Milestone One: Short Paper Milestones ii. Did the client relapse?i. Did the client respond positively to the treatment?o Discuss the results of this case.• Resultsvi. Sponsorship v. Volunteering within the community to help othersiv. Aftercare programsiii. Monitored recoveryii. Use of an employee assistance program i. Family therapyo Provide examples of how the proposed relapse prevention plan would impact the individual, family, community, and/or society. (See choices below.)iv. Intensive outpatient (9 hours of therapy per week)iii. Support meetingsii. Group therapyi. Would you collaborate with a psychiatrist to use medication?o If the counselor were to develop a relapse prevention plan for this client, what could this plan look like? (See choices below.)g) Multi-causal modelf) Sociocultural modele) Biological modeld) Disease modelc) Family modelb) Psychological modela) Moral modeliii. Out of the seven therapy models discussed in this course, which do you think would work best for this client? ii.  If so, discuss why you agree with the counselor’s choice. If not, describe how you would alter the treatment plan. Provide support for your claims. i. Do you agree with the counselor’s choice of treatment?o Describe the treatment plan for this client. • Treatmentiv. Does the addiction psychologically affect the client’s behaviors and mental processes? If so, how?iii. Does the addiction physiologically affect the client’s behaviors and mental processes? If so, how?o Differentiate between the physiological and psychological effect of the addiction.ii. Has he lost his family, job, friends, community standing, self-esteem, credibility, freedom?i. What are the consequences on the individual, his family, his workplace, and his community due to his addiction? o What is the impact of the addiction on the individual, family, community, and/or society?ii. Does the client have a process addiction, like gambling, video gaming, or shopping?i. Does the client have a substance addiction, like alcohol, prescriptions, or illicit drugs?o Identify the addiction that this client presents with and provide a background history of that addiction• Addiction Informationii. Is there a sense of hope or hopelessness? i. What is his motivation level for getting help?o What is the client’s philosophical stand about his addiction?iii. Is the subject working for a company where his addiction is encouraged?ii. Does the subject hang around with friends who are using addictive substances?i. Is there support within the family?o Describe the type of environment in which the client spends his time.o Identify through the use of assessments the physiological procedure the client uses for administration of his addiction (oral, injection, watching videos, phone calls).• Assessmento Provide a complete background history on the client, including identifying the client and providing the addiction that the client presents with.• Client InformationIn the final project milestones, you focused on certain aspects of the case study. For your final paper, complete a full analysis of this case study. Specifically, address the following critical elements in your paper:Throughout this course, you have learned about addictions, their impact on the individual/family/society, and treatment options. For the case study project, you will draw on what you have learned to analyze a provided case study.Case Study Prompt • Identify connections between historical milestones and contemporary approaches to addictions • Analyze addictive behaviors for their social and psychological effects on the individual, family, community, or societyThis assessment will assess your mastery with respect to the following course outcomes: Prevention Program: Students will design a small prevention program that could be implemented at a health fair, at a workplace, or in a school. The goal of this assignment is to articulate the social, biological, and psychological consequences of addictive behaviors to an at-risk population and contextualize issues of addiction in historical and social frameworks.• Differentiate between the biological, environmental, and philosophical perspectives on addiction• Analyze addictive behaviors for their social and psychological effects on the individual, family, community, or society• Differentiate between the physiological and psychological effects of mood-altering substances on behaviors and mental processes • Evaluate major intervention techniques for their effectiveness in treating addictionsThis assessment will assess your mastery with respect to the following course outcomes:

 

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