Ronny is a 46-year-old WM who presents to CRU from UPC. He is on ACOT for PAD and DTO. He is SMI designated. Life Behavioral Wellness is client's OP treatment agency. Per amended letter, client moved to a new place and the next day picked a knife and threaten to cut myself. He has a hx of self-harm including an attempt to hang himself whiles in prison. He is calm and cooperative during admission. He has a PMH of HTN, Asthma, TB, seizure and brain surgery. Client's vitals were WNLs. He will benefit from meeting with the provider, and medication…
I would refer John to his G.P to join the methadone programme – I would expect the GP to refer John to the Primary Community Addiction Team, to help John with changing from Heroin to Methadone – giving him daily support where he lives. There remit would be testing John for Heroin in his blood, taking his blood pressure, checking his general health. All this being safe they would administer his prescribed Methadone to him.…
D-The patient arrived on time for her appointment to meet with his writer. Reported stable on her dose and deny the need to start tapering off on her methadone. During the beginning of the session, the patient discussed about her friend moving to Maine and addressed the pros and cons on taking on her friend's offered to move with her to another state. The cons out weighs the pros whereas the patient's family is here, mental health services, and her daughter medical provider(s). The patient feels moving to another state is a major move and she does not want to feel dependent on others to take care of her. This writer validated the patient's feelings and provided support to the patient decision. The patient then reported, she tried to find…
D-The patient arrived on time for her counseling session. Reported stable on her dose and deny the need to alter her methadone, referring to a dose increase. According to the patient, she's clean for a month, at which this writer provided a positive feedback to the patient. Then the conversation shifted about the patient's father health. Patient reported, her father has a history of heart attacks, he's 74 years old, and the doctors placed a new stem to the heart. The patient discuss her feelings about her father's health and this writer validated her feelings.…
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).…
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…
The applicant is 38 year old married male with no children. Applicant currently resides with his significant as they both own their home together. The applicant is seeking admission to CSAC for the second time because according to the applicant, he says during his intake process, " I like it here, but the fees were too much weekly." The reason the applicant is being discharged from the Hartford Dispensary is due to his AWOL status as he left town due to a family emergency and did not notify the clinic in a timely manner for assistance with guest dosing. At this time, the patient's drug of choice is only heroin. His last used was 1-3 weeks ago, 3 bags by IV. The applicant was unable to identify any external factors as to why he is seeking treatment…
In order to encourage Jerry to continue with a methadone cure which may be the appreciate treatment for him, he will need to be giving some compelling information about methadone cure. Contrast to Heroin which creates a “downer” impact or result that quickly persuades a condition of elation and relaxation. Similar to other opiates, heroin utilize blocks the cerebrum's ability to recognize pain. Methadone will not get Jerry high nonetheless it will help him to keep away his physical drug cravings or the feeling that you need to get high. When he first starts his treatment, he may feel lethargic or discombobulated for a small number of days, however, he will rapidly build up a resistance to these effects. He will anticipate feeling “normal” when he is on methadone. Long-term utilization of methadone is not dangerous. It will not harm his internal organs, nor when on the accurate dose, it will…
Doctors advise pregnant woman who are using drugs to substitute their drug of choice with methadone treatment because the baby can suffer from severe withdrawal symptoms in the womb. Doctors will closely examine the mother and baby. It is much better for the soon to be mother to be on methadone rather than any other drug because it is less stress on the baby. Some states offer residential treatment, homes for the homeless in severe cases. One specific program offers sterilization for men and women. Those addicted get $300 if they go through with this process. I personally don’t agree with this method however I can understand the reasons why someone would chose that solution.…
In 1964, Doctor Marie Nyswander and Vincent Dole started their groundbreaking study of managing opiate addicts with methadone. They unearthed that a customer might exchange the opiate they certainly were harming, usually heroin or morphine in those days, for methadone without severe unwanted effects such as for instance withdrawal signs, mood-swings or excitement. After their achievement…
Beth will benefit from receiving Methadone treatment in addition to therapy. Methadone as mentioned above is design specially for opiates addiction. The methadone will work with Beth to reduce her drug use. Once this happens, Beth will need individual, family and couples therapy to assist her improve every aspect of her life. My goal as her therapist is to focus on her parent’s divorced and sexual abuse and how they affected her during the years. As the therapist, I want to explore ways in which the divorced and abuse may have contributed to her substance abuse. With the individual therapy, I will work with Beth to discuss her plans for school work with her to balance her work and school. I will also explore her feelings about being exotic dancer. She is doing it for quick money to support her habit along with her boyfriend. However, as a person that have been abuse, how do she feels being in an environment that expose her in the most vulnerable way possible. Does she feel alive when dancing or is she numb?…
WORKER ASSESSMENT: Plan of action: Client must participate in a substance & mental health program to address her drug dependency and major depression; client must continue with medication regimen. Client is not a candidate to live independently and her housing goal is unrealistic. Client must be open to a 24 hour SRO with case management on site. CM reviewed Bi-Weekly ILP. Client agreed and signed.…
Have you ever witnessed an addict experiencing the effects of withdrawals from opiate abuse? Having witnessed my 24 year old son go through these, while I was experiencing them right by his side, was an eye opener. Even though Methadone and Suboxone both treat opiate addiction, their use is controversial; however the benefits of their use outweigh the controversy.…
This article talks about how to recognize signs when one is misusing a prescription drug. This article shows how we…
German scientists Max Bockmühl and Gustav Ehrhart first synthesized methadone in 1937. The synthetic opioid analgesic was created while they were searching for a pain reliever that would be safe to use during surgeries and had a low potential for addiction. On September 11, 1941, they filed for a patent for what they called Hoechst 10820 or Polamidon. Eli Lilly and Company brought methadone to the United Stated in 1947. They gave it the trade name Dolophine, which came from the German Dolphium, which came from the Latin "dolor" for pain (Wikipedia).…