Treatment Planning in Substance Abuse Rehabilitation

by | Apr 1, 2024 | Psychology

 

As we have learned, treatment planning is a term that may mean different things to different people and can be a complex process. If we are to provide the most effective help for our patients, we must design a program that involves sequential decisions, weigh information concerning patient characteristics, treatment context, relation variables, treatment strategies, and techniques.

Research suggests that due to the pandemic, America has had an increase in overdose and client-relapse. As forestated, treatment planning is not the application of a one-size-fits-all approach to intervention. Rather, it is an activity which, if “done right,” requires serious deliberation and clinical skills on the part of the clinician along with client engagement.

Watch the application video (attached) on the addiction crises facing Joseph Murphy and his family. After watching the video, use a minimum of 4 pages for both Part I and Part II, (Not including a cover page nor reference page), well-organized paragraphs, double-spaced, to address the following: Refer to Ch. 5 in your e-book as well as three additional external sources to support your response. Use the APA format and include a reference page.

PART I

1) Discuss the leading drug that causes opioid addiction and overdose in America.

2) Discuss your perspective on how COVID-19 contributed to the opioid crises in the U.S. Conclude with three recommendations that support restructuring mental healthcare policy for substance abuse agencies and clinicians.

PART II

You are a substance abuse clinician and have been assigned Joseph Murphy as one of your clients. Design a treatment plan that provides the most effective help towards his rehabilitation, including but not limited to the following categories: (Note: The plan must be developed in the format of an actual treatment assessment for the client. Highlight subheadings by using bold type-font to identify the elements of the treatment plan as shown below. (DO NOT LIST NUMERICALLY).
1) Identification and background information on patient
2) Problem Identification
3) Diagnosis
4) Strategic and Tactics
5) Goal and Objectives
6) Flexibility (Note any changes in the case formulation due to lack to responsiveness to existing course of treatment.)
7) Summarize how you as the clinician intend to share this treatment plan with Joseph Murphy

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Sample Answer

Sample Answer

 

Treatment Planning in Substance Abuse Rehabilitation

Treatment planning in substance abuse rehabilitation plays a crucial role in addressing the complexities of addiction and guiding individuals towards recovery effectively. This essay seeks to delve into the opioid addiction crisis in America, particularly focusing on Joseph Murphy’s struggle with addiction. By analyzing the impact of COVID-19 on the opioid crisis, providing recommendations for restructuring mental healthcare policy, and outlining a comprehensive treatment plan for Joseph Murphy, this essay aims to highlight the importance of tailored interventions in combating substance abuse.

PART I

Leading Drug Causing Opioid Addiction and Overdose in America

Opioid addiction has emerged as a significant public health concern in the United States, with one of the leading drugs causing addiction and overdose being fentanyl. Fentanyl is a potent synthetic opioid that is approximately 50 to 100 times more potent than morphine. Its high potency increases the risk of overdose significantly, making it a major contributor to the opioid crisis in America. The illicit production and distribution of fentanyl have led to a surge in overdoses, resulting in devastating consequences for individuals and communities across the country.

Impact of COVID-19 on the Opioid Crisis

The COVID-19 pandemic has exacerbated the challenges associated with the opioid crisis in the U.S. The disruption caused by the pandemic, including social isolation, economic instability, and limited access to healthcare services, has intensified the vulnerability of individuals struggling with substance use disorders. The increased stress, anxiety, and trauma experienced during the pandemic have heightened the risk of relapse among individuals in recovery and hindered access to essential treatment services.

Recommendations for Restructuring Mental Healthcare Policy

1. Enhanced Telehealth Services: Expand access to telehealth services to ensure continuity of care for individuals receiving substance abuse treatment. Telehealth platforms can provide remote counseling, medication management, and support groups, improving accessibility to treatment services during public health emergencies.

2. Integrated Care Models: Implement integrated care models that combine mental health and substance abuse treatment within primary care settings. By integrating services, individuals can receive comprehensive and coordinated care that addresses their complex needs holistically.

3. Community-Based Support Programs: Strengthen community-based support programs that provide outreach, education, and resources for individuals affected by substance use disorders. Collaborate with local organizations to establish peer support groups, harm reduction initiatives, and recovery-focused activities to enhance social support networks.

PART II

Treatment Plan for Joseph Murphy

Identification and Background Information on Patient:
Joseph Murphy is a 30-year-old male who has a history of opioid addiction, specifically fentanyl. He experienced multiple overdoses and legal issues related to substance abuse. Joseph comes from a supportive family but has strained relationships due to his addiction.

Problem Identification:
Joseph struggles with severe opioid addiction, leading to recurrent overdoses, legal troubles, and strained family relationships. His addiction has significantly impacted his physical health, mental well-being, and social functioning.

Diagnosis:
Joseph meets the criteria for severe opioid use disorder as per the DSM-5 criteria. Co-occurring mental health issues such as anxiety and depression may also be present and require further assessment.

Strategic and Tactics:

– Implement a medically assisted treatment (MAT) approach using buprenorphine to manage withdrawal symptoms and cravings.
– Provide individual counseling sessions focusing on cognitive-behavioral techniques to address triggers and develop coping skills.
– Engage Joseph in family therapy sessions to improve communication and rebuild trust within the family system.

Goal and Objectives:

– Goal: Achieve sustained abstinence from opioids and improve overall quality of life.
– Objectives: – Reduce cravings and withdrawal symptoms by 50% within the first month of treatment.
– Attend all scheduled therapy sessions and support group meetings for three consecutive months.
– Rebuild familial relationships through open communication and mutual understanding.

Flexibility:
In case of inadequate response to treatment, consider adjustments such as intensive outpatient programs or referral to residential rehabilitation facilities for more structured care.

Summary of Treatment Plan Discussion with Joseph Murphy:
As the clinician, I will present this treatment plan to Joseph Murphy in a collaborative manner, emphasizing the importance of his active participation in the recovery process. I will discuss the goals, strategies, and expected outcomes of the treatment plan with Joseph, ensuring that he understands the rationale behind each intervention. By fostering a therapeutic alliance built on trust and empathy, I aim to empower Joseph to take ownership of his recovery journey and work towards sustainable sobriety.

In conclusion, effective treatment planning is essential in addressing the multifaceted challenges of substance abuse rehabilitation. By tailoring interventions to meet the individual needs of clients like Joseph Murphy, clinicians can facilitate long-term recovery and promote positive outcomes in the face of addiction crises.

References:

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2. Author Last Name, First Initial. (Year). Title of Source. Publisher.
3. Author Last Name, First Initial. (Year). Title of Source. Publisher.

 

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