This writer discussed with the patient about alcohol while at a methadone clinic can cause a significant effect with her recovery process.
PCP-
The patient hasn't yet located a PCP. This writer again, provided the patient with a listing of PCP in her area and gave her deadline by 03/03/2016 to provide a PCP. This writer will monitor the patients UDS and daily dosing. Provide positive feedback for negative UDS results.
A-Based on this writer's assessment, the patient appears to be alert and oriented. There was no evidence of SI/HI. At this time the patients appear to be under the preparation stage of change as she wants to change behavior in her recovery process, but yet did not resolve her ambivalence behavior for her ongoing use of illicit drugs. The patient needs more convincing and encouragement for her recovery.
P-The next appointment is scheduled for 03/03/2016 at 9am. The patient will update this writer on the status of her PCP