Preview

Pda Addiction Case Study Uk

Good Essays
Open Document
Open Document
966 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Pda Addiction Case Study Uk
In this piece of work, I will write case studies, about two clients that have issues with addiction. From my knowledge of local treatment and recovery services, I will describe the treatment pathway I would recommend in each case. I will explain my rationale and I will consider the role of the range of professionals and other workers from statutory, non-statutory and voluntary organisations. I will describe the role and remit of at least one service that I identify.

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.
I would suggest the following pathway for John;
Ongoing G.P appointments for tests on blood pressure and for blood borne viruses – because John has been sharing injecting equipment, there is a possibility that he could have contracted a virus and it is important to Johns health and well being that these are either ruled out or treated appropriately.
Promote the local NHS needle exchange scheme to John – as it will take some time for the addictions services to come into place, I would suggest that John uses clean injecting equipment to minimise any further health issues that could arise from using non sterile equipment.

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.
Once John has moved completely onto the Methadone Programme, I would expect the

You May Also Find These Documents Helpful

  • Better Essays

    Detoxification can be a very brutal way for the user to come off of heroin if using the “cold turkey” method. The medical community has found that if under a physician’s care the user can be given methadone to replace the heroin and gradually reduce the dose over time. Methadone maintenance is a supervised dispersal program that lasts over a long period of time. This type of treatment is helpful for those who stick with the program however; methadone is often times easily found on the streets. Methadone will block the yearning for heroin but is not as affective in blocking out the simple cravings for the drug. Alternative maintenance programs like LAAM are available in a three times a week dosage system and buprenorphine can be prescribed by a physician which does not require to be dispensed at a clinic (Levinthal,…

    • 898 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    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…

    • 292 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Relapse Case Summary

    • 466 Words
    • 2 Pages

    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…

    • 466 Words
    • 2 Pages
    Good Essays
  • Good Essays

    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…

    • 984 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Summary Of Chasing Herion

    • 382 Words
    • 2 Pages

    Heroin is considered one of the most addictive drugs. Up to 60% of addicts relapse in the first year after treatment. In other words treatment is not a magical bullet it is a continuous process that can either help or harm a victim. Some counselors are offering incentives to those of their patients to steer them towards treatment as a Robert DuPont M.D. the National director on Drug…

    • 382 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Freedom from addiction is no different, so each client should consider what must be sacrificed, what compliance must be made, in order to achieve real recovery from addiction. Individual members of the group are encouraged to set personal goals for themselves, as well. This is where in-group motivational interviewing and reflective listening is useful. What do you want? What is important to you and your loved ones? Where will you be in five years? Can you remember when you were really happy? What did you experience that first time you used? What about the last time you used? What problems are you having now? Based on the answers, a client can be led into a self-epiphany about the role that substances play as a perceived solution to his or her chronic fears and problems, and in turn goals can be set to achieve healthy cognitive and behavioral changes. The client can be shown alternative solutions to fears and problems, and taught coping skills to carry out of treatment and develop further in aftercare. Deb is particularly good at working with defensive clients, and claims that meeting anger with tactful persistence…

    • 1154 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Sheriff John Tharp (Lucas County) has taken a distinct avenue when it comes to the heroin epidemic in Lucas County jail system. Tharp’s view is to treat the addicted inmate as opposed to punishing them. Effectively reentry is the goal. This program is one of the first treatment units for heroin addiction inside the jail system in Ohio. Heroin addicts find it problematic to seek out treatment willingly, do to adjusting to life on life’s term; do to a feeling of worthlessness. “Prolonged addiction increases the likelihood addicts will face a variety of emotional, physiological and social problems” (Marion Boss. Marc O’Neill) when an addict is more highly addicted to heroin the ambition to ignoring the drug making the addict briefly feel better…

    • 470 Words
    • 2 Pages
    Good Essays
  • Better Essays

    There are several treatment modalities available for individuals with substance abuse disorder. It’s wonderful that there are so many options to support people with substance abuse issues (SUD). The road to recovery is so long for most people and finding the most suitable treatment program can be greatly beneficial to the client. On the other hand, starting a treatment program that is not the best fit can be very detrimental to the person’s road to recovery. One of the roles of the clinician is to identify with the client which treatment option is best for them. I will highlight what this process looks like and discuss in detail one specific…

    • 1166 Words
    • 5 Pages
    Better Essays
  • Good Essays

    The outcomes of the treatment are evidence that the approach is results oriented (NIDA, 2012). Patients suffering from drug dependency are able to develop coping skills that help them to regain control of their lives. Furthermore, by assessing and identifying the root cause(s) of alcohol and cocaine dependency, the approach helps patients to develop best practices for turning their lives around. They are able to learn the positive outcomes of a drug-free life and pursue…

    • 384 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Opioids Research Paper

    • 2201 Words
    • 9 Pages

    sight and work with addicts through different ways to help understand addiction and learn how to…

    • 2201 Words
    • 9 Pages
    Best Essays
  • Powerful Essays

    World Health Organization (WHO) conducted an in-depth study in 2004 whereby it was found that there was substantial evidence to believe that the needles exchange program has reduced the risk of HIV among drug administers. Similar findings had previously been observed by the American Medical Association in 2000 whereby they found out that the needles exchange program produced better results when combined with addiction counselling. Therefore, the American Medical Association adopted a position supporting the needles exchange program. (Stancliff, et al. 2003; Jarlais, et al.…

    • 2243 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    There are several other beneficial ways to respond to the opioid epidemic rather than using safe injection sites. Sending the patient to rehab or counseling will be a more suitable move to make. At rehab, they will be away from the temptation of consuming drugs into their system. Counseling will be beneficial because the counselors will provide comfort for the addicts, reassuring them that they are not alone in this battle. There will be a more positive outcome if the patient is encouraged to stop consuming drugs, instead of being supplied with the material to keep their addiction alive.…

    • 541 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Methadone Clinics

    • 1145 Words
    • 5 Pages

    There are many people in the world today that are drug addicts and cannot quit by themselves which is where the methadone clinics come into the picture. Methadone reduces the withdrawal symptoms therefore making it easier to quit drugs. Even though methadone is supposedly proven to be safe, it seems to have biases and stigmas associated with it because it is an opioid medication and many people can become addicted to it as well as have serious side effects. For individuals who aren 't willing to quit using drugs, they offer needle exchange programs that reduce the risks of infections and diseases. Needle exchange programs are important in a society like today because a lot of people are practicing unsafe techniques when injecting themselves with drugs. Some individuals may share their needles and get diseases like HIV which can cause further problems and more possibilities of other individuals getting diseases. It can also be seen as the program approving of drug use. I believe both of these methods have positive and negative effects, which I will examine in this paper. Throughout this paper, I will analyze both methadone clinics and needle exchange programs, if they are effective methods, and explore if there should be more of these clinics established.…

    • 1145 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Harm reduction was a “worldwide public health movement”, modeled in Holland based on a “hepatitis A” prevention initiative for heroin injections (Bourgois & Schonberg, p. 106). The outreach program sought out to rehabilitate drug addicts. It was created on the basis of being “pragmatic and reasonable”, and not to be confused with the “ encouragement of drug use” (Bourgois & Schonberg, p. 106). The harm reduction movement “advocated nonjudgmental engagement with active drug users and hoped to lower the cultural and institution barriers to medical services” (Bourgois & Schonberg, p.106). As previously mentioned the moral economy of sharing was crucial to the survival of the homeless drug users living on Edgewater Boulevard. Under this moral economy of sharing laid the common practice of sharing needles amongst the drug users. With that said harm reduction initiatives clearly did not support or encourage needle sharing for it completely went against their purpose and what they stood for. However, the drug users saw this differently, as Frank explains, “if you’re sick, you’re not going to worry about it, when you gotta fix, you gotta fix” (Bourgois & Schonberg, p. 107). Frank goes on to mention that him and fellow users worry about AIDS however when they are sick their main focus is geared towards “getting well” (Bourgois & Schonberg, p.107). It is…

    • 996 Words
    • 4 Pages
    Good Essays
  • Good Essays

    John is in a crisis situation. He is 30 years old and has recently learned that he has contracted HIV because he once was a heroin user and shared a dirty needle. He has now been clean for 1 year and attends a support group for recovering addicts. His fiancé, Jenny, left him after he told her of his diagnosis and he is despondent and feels he has no reason to live. John’s fiancé has not tested positive for HIV. John’s family consists of a mother, a father, and a sister who all live nearby.…

    • 523 Words
    • 3 Pages
    Good Essays