Substance Abuse Assessment and Intervention Plan
Assessment
PRUNTA 1
- Male, 24 years old, born and living in Ibiza (FR)
- Regular user of cannabis and snuff
- Admitted to the unit for cardiac arrhythmia secondary to consumption of toxic disrupting snc (fungi – no dependence or addiction, self tolerance)
- In the context of ociorecreo-fun (social-casual consumer)
- No criminal record or criminal conduct
- Uses other substances (polydrug use) in the above context
- Sporadic pattern of compulsion
- On arrival, (neurological) shows employee and no resistance to the questions
- Apparently oriented and seems to have a good cognitive level: secondary education, administrative assistant
- Lives with his girlfriend of 20 years, who is also consuming toxic for four, a date that coincides with the onset of smoking to other substances, and cannabis and snuff (risk environment)
- About his girlfriend says he prefers not put it in this topic
- Has 5 brothers, their parents work and said having a good relationship with everyone, but since he has admitted it has not received any visits from them. (Possible disruption of family processes)
- Eat regularly since age 16 and hashish snuff (risk behavior at an early age)
- With an average of 15 cigarettes per day and 4 joints a day (dependency and polydrug use)
- Having reached consume up to 20 joints a day (binge drinking)
- From 20 years (four) consumed occasionally coinciding with celebrations or weekend outings, about as often as twice a month, snorted cocaine, LSD, speed, mushrooms and fungi
- According to his speech, it appears that emotional intelligence has a right, but seems to feel invulnerable and can be a problem regarding the self and perception
- Apparently not aware of current health problem, either by denial or lack of knowledge and not presents internalization, which will be to explore and delve into these issues for a more thorough assessment
- Zero insight
- Blame it on a specific toxic (a fungus) of their status and hospital admission
- He sees the drug as something negative, do not think it is a problem or think you need help
- He lives and operates in an environment of risk
- Is unemployed and says he is currently looking for work
QUESTION 2
- Poly with drodependencia … snuff and regular user of cannabis
- Lack of knowledge or skills gap rc drug effects mp verbalization of the patient: Misconceptions – Do not think you need help, do not know what happened,”Unknown cause their real health status, lack of interest in your disease process
- Facilitated risk environment r rc consumption environment, personal relationships and lifestyle risk behaviors mp early-Low perception of risk: the drug is not a bad thing -high presence of no risk factors versus protective (clear decompensation) – place of residence and ready access to
- Altered family processes rc is likely to consumption of toxic Mp lack of visits is a problem that concerns the psychological and selfRc psychological problem substance Disclaimer mp health problem
- Psychological testing
QUESTION 3
– OBJECTIVE: The possible solution would be to change behavior in order to minimize the influence of environment and socio-personal relations:
- ACTIVITIES: Program evaluation , emotional and psychological support, individual cognitive behavioral therapy and / or group
DRUGS
- – OBJECTIVE: The possible solution would be to recognize their problem and seek help
- ACTIVITIES: Health education with information on what is a risk of drug dependence … Explain .. importance of quitting smoking, the diseases it causes short-medium and long term benefits of quitting drinking, risk of COPD respiratory diseases, cancer etc types of aid you qualify (psychological-emocionalfarmacológica), joint programs … explain risk associated with polydrug use and
SURROUNDINGS OR ENVIRONMENT OF RISK
- – OBJECTIVE: The possible solution would be to diminish the influence of environment risk sociopersonal relations
- ACTIVITIES: Explain the importance of his girlfriend, family know their problems with drugs and the importance which has influence on consumption where you live, environment, people that is related (girlfriend?) have and problems. Rate him and which together are the factors that make you consume. Assess whether the bride is a key and influential factor in the consumption of the patient. To acquire a current partner of the patient to make appropriate tt º. And that this may see and recognize the dangers of consumption. Intervention Rate set so both. Inform the patient about the recreational activities available in their surroundings and an alternative involving consumption when leaving party. Find out what you like doing things help to find other hobbies that are not related to substance use. addictive. Encourage healthy activities. Health education on prevention of risk behaviors that may be caused by drug use (eg STDs) Provide information on group therapy and addiction centers phones. Help find employment through SOIB and a social worker. Training workshop on how to get a job.
KNOWLEDGE
- – OBJECTIVE: The possible solution is to increase knowledge to change behavior
- ACTIVITIES: Health education, give information about drugs they consume, the types of drugs, their effects, conditions and consequences associated with them and their consumption, causing signs and withdrawal symptoms, explain the relationship that has been health with the consumption of drugs. Clarify any doubts or misconceptions. Motivate you to modify their habits. Provide information about the possibility – you decide to stop consideration of consumption and wean. Answer questions as they arise. Be evaluating the knowledge of regular and gradual
FAMILY -> conflict – change of processes:
- – OBJECTIVE: The possible solution would be to get an effective coping through appropriate management of the situation to know about the problem and get a good family dynamics
- ACTIVITIES: Evaluation of the real relationship between them.Analyze the possible causes that generate family conflicts. Possible solutions, to promote dialogue and communication. Facilitate closer. Consider the possibility of giving them knowledge of the problem, situation, and they go to hospital and get involved or get involved in the care, to achieve more effective treatment. Encourage expression of feelings by the patient and family, create the right environment. Have family involved in the therapeutic process. List the benefits of having the support of parents and family. Make individual and group intervention.