She is currently enrolled in ISNAP. Ms. Gisler is not compliant with the program. She was inducted into the program in 2015 for severe opioid dependence. Her drug of choice was hydrocodone. She had a no-contact order with her sister.…
John is a 34 year old IV heroin user. John is homeless, estranged from his family and has limited support from other hostel residents and rough sleepers. He has been using heroin for 10 years and is currently injecting up to five £10 bags per day and frequently sharing injecting equipment. He states that he is keen to get off heroin and get his life back on track.…
SOCIAL HISTORY: Married, has 1 daughter; patient works as a substitute teacher. Smokes 1 pack of cigaretts on a daily basis. Denies EtOH. Smoked marijuana last night. No IV drug abuse.…
Michael Doe is a 21 year old methadone patient. He presented at a Methadone Treatment Center with a 3 year history of opioid prescription use (egg. Percocet).…
SOCIAL HISTORY: Patient admits to alcohol ingestion nightly and on weekends. Denies tobacco use. Denies illicit drug use. He is married.…
Pt. currently regain his Phase 3 take home privileges after submitting a positive UDS, which came back positive for opiates. Pt. has relapsed after having 8 months clean, but he demonstrated a desire to learn from the relapse and regain previous take home privileges. Pt. has experienced a recurrence of symptoms but he learned how to cope with the consequences of his current use and decided what to do next. Pt. dealt with these issues by finding and using his sources of support and AMS staff. Pt discussed his relapse was caused by speeding time with negative friends who are actively using. Pt. reported that the he has not responded as expected to his prescribed methadone medication. Pt. has maintained his financial responsibilities as evidenced by paying all his treatment services fees in advance over the last…
SPC Diakite achieved the XVIII Airborne Corps Noncommissioned Officer Basic Leader Course graduation requirements with an Overall 89.67 grade point average. SPC Diakite presented a superior performance during his Physical Readiness Training Evaluation, demonstrating what practice and determination will do to overall performance. Executing all commands and movements with precision, he motivated his squad and executed an excellent performance of Squad Drill. SPC Diakite vast knowledge in training and leading soldiers was apparent and resulted in superior rating in Individual Trainning Evaluation covering skill level one task. SPC Diakite executed outstanding navigation skills by finding all four points, earning him a superior score. Displaying…
According to the patient, she's always take her methadone daily and does not understand why it would be a negative. This writer informed the patient, " This was not the first time, you tested negative for methadone and it was dosed with your counselor." The patient then says, " I do not remember that.....I take my methadone....so, what will happen with my take home bottles." This writer informed the patient, this writer haven't heard anything from TEAM decision, but will advise the patient. This writer asked the patient…
Counselor met with Pt. to discuss his updated treatment plan dealing with Relapse Prevention Strategies. Pt. agreed to sign the record of services sheet. Pt. indicated that his current prescribed medication is “doing fine”. Pt. is taking 60 mg of methadone as instructed by AMS Doctor. Counselor asked him whether he has used any illicit drugs since the last session which he replied yes. Pt. read and answered few questions on his treatment plan without objections. Per treatment assignment, Pt. will develop a relapse prevention plan consistent with recovery while identifying social, emotional, and physical pressures that pose risks for relapse. Pt. is currently in the Level 0 + 1 because he continues to use heroin. Counselor prompted Pt. to identify justifications he told himself to make poor decisions and lead to an unhealthy path that eventually led to using heroin recently as evidenced by his previous UDS. Pt. reported that he decided to use opiates recently because he was bored and “I fall back to my old self.” The next step in the session, Counselor encouraged Pt. to recommit to his recovery program by reinstituting some positive behaviors. Counselor tried to…
For about 7 years Jerry has been a daily heroin user. He is HIV positive and has recently been diagnosed with hepatitis C. His treatment plan consists of Interferon and he is considering the “methadone cure” for his heroin addiction however he is not sure if he wants to give up his heroin use. Jerry feels torn, but he knows that his life depends on this choice.…
SHORT AND LONG TERM GOALS: Client will participate in counselling session to discuss some of his past experiences that is affecting his present situation, and to be registered into a rehabilitation facility, which will help in placing the client in an environment where he will not be influence by the drug and alcohol…
SOCIAL HISTORY: Married has one daughter. Patient works as a substitute teacher. Smokes one pack of cigarettes on a daily basis. Denies ETOH. Smoked marijuana last night. No IV drug abuse.…
"Drug Addiction Not a Criminal Issue, Says Chief Medical Officer." Theguardian.com. Guardian News and Media, 19 Aug. 2013. Web. .…