Discussion On Treatment Of Substance Use Disorders ✓ Solved

Discussion Treatment Of Substance Use Disordersof The Substance Disor

Discussion: Treatment of Substance Use Disorders Of the substance disorders, alcohol-related disorders are the most prevalent even though only a small percentage of individuals actually receive help. Recidivism in the substance treatment world is also very high. As research into treatment has developed, more and more evidence shows that genes for alcohol-metabolizing enzymes can vary by genetic inheritance. Women have been identified as particularly vulnerable to the impacts of alcohol. Native Americans, Asians, and some Hispanic and Celtic cultures also have increased vulnerability to alcohol misuse.

Even with these developments, treatment continues to spark debate. For many years, the substance use field itself has disagreed with mental health experts as to what treatments are the most effective for substance use disorders and how to improve outcomes. The debate is often over medication-assisted treatment (MAT) versus abstinence-based treatment (ABT). Recently the American Psychiatric Association has issued guidelines to help clinicians consider integrated solutions for those suffering with these disorders. In this Discussion, you consider your treatment plan for an individual with a substance use disorder.

To prepare: Read the case of Martin for this week’s Discussion and the materials for the week. Then assume that you are meeting with the client as the social worker who recorded this case. Provide a detailed discussion Post a 500-word response in which you address the following: · Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention). Keep in mind a diagnosis covers the most recent 12 months. · Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis. · Describe the assessment(s) you would use to validate the client’s diagnosis, clarify missing information, or track her progress. · Summarize how you would explain the diagnosis to the client. · Explain how you would engage the client in treatment, identifying potential cultural considerations related to substance use. · Describe your initial recommendations for the client’s treatment and explain why you would recommend MAT or ABT. · Identify specific resources to which you would refer the client. Explain why you would recommend these resources based on the client’s diagnosis and other identity characteristics (e.g., age, sex, gender, sexual orientation, class, ethnicity, religion, etc.). Note: You do not need to include an APA reference to the DSM-5 in your response. However, your response should clearly be informed by the DSM-5, demonstrating an understanding of the risks and benefits of treatment to the client. You do need to include an APA reference for the assessment tool and any other resources you use to support your response. Must be original work. Must contain at least 4 references and citations being sure to reference and cite: Morrison, J. (2014). Diagnosis made easier (2nd ed.). New York, NY: Guilford Press. Chapter 15, “Diagnosing Substance Misuse and Other Addictions (pp. 238–250) American Psychiatric Association. (2013r). Substance related and addictive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books..dsm16 Capuzzi, D., & Stauffer, M. D. (2016). Foundations of addictions counseling (3rd ed.). New York, NY: Pearson Education, Inc. Substance Abuse and Mental Health Service Administration (SMHSA).

Paper For Above Instructions

Substance use disorders (SUDs) have become a significant concern across various populations, with alcohol-related disorders being among the most common. This paper discusses the treatment plan for a client with a substance use disorder, considering various cultural and personal factors that influence both the diagnosis and therapeutic approach.

Full DSM-5 Diagnosis

Based on the information available from the case study of Martin, the client is diagnosed as having Alcohol Use Disorder (AUD). The full diagnosis is coded as F10.20 in ICD-10-CM, with the following specifications: moderate severity. The Z codes for other conditions that may need clinical attention include Z59.0 (homelessness) and Z63.5 (disruption of family by separation or divorce).

Explanation of Diagnosis

The diagnosis of AUD is supported by several symptoms outlined in the DSM-5 criteria. For example, Martin exhibits a strong desire or urge to consume alcohol, experienced withdrawal symptoms when trying to reduce intake, and continues to use alcohol despite recurrent social or interpersonal problems caused by the effects of alcohol. Each of these criteria corresponds with the points delineated in the DSM-5, which collectively helps to substantiate the diagnosis (American Psychiatric Association, 2013).

Assessment Tools

To validate Martin’s diagnosis, I would employ the Alcohol Use Disorders Identification Test (AUDIT), which assists in tracking alcohol consumption patterns, assessment of dependency, and identifying any co-occurring mental health issues. This questionnaire provides insight into the severity of the client's AUD, allowing for a more nuanced understanding of their condition (Babor et al., 2001).

Communicating the Diagnosis

In communicating the diagnosis to Martin, I would emphasize the medical nature of AUD and explain it in a straightforward manner. It is vital to reassure him that having a diagnosis is the first step toward effective treatment and recovery. Furthermore, I would engage in a collaborative discussion to highlight that the condition is manageable with appropriate interventions, ensuring to maintain an empathetic tone throughout the conversation.

Client Engagement in Treatment

Engaging Martin in treatment entails recognizing and respecting his cultural background. Given that different cultures have unique perspectives on alcohol use, it is essential to incorporate these considerations into the treatment plan. For example, if Martin identifies with a culture that stigmatizes addiction, building a trusting relationship is crucial for successful engagement. Integrating culturally appropriate interventions will promote better adherence to treatment.

Treatment Recommendations

My initial treatment recommendations would include a combination of medication-assisted treatment (MAT) and behavioral therapies. MAT is beneficial as it can ease withdrawal symptoms and cravings, thus stabilizing the client. I would specifically recommend naltrexone, which has shown efficacy in reducing alcohol consumption. Given the nature of Martin’s condition, abstinence-based treatment (ABT) could also be encouraged after initial stabilization, especially if Martin expresses a willingness to engage in 12-step programs or other supportive peer groups.

Resource Referrals

In terms of specific resources, I would refer Martin to local community support groups such as Alcoholics Anonymous (AA) and mental health services tailored for individuals struggling with substance use. These resources align with his diagnosis and social context, facilitating a supportive environment for recovery. Additionally, referral to counseling services that respect Martin’s identity characteristics—such as ethnicity, age, and gender—would help ensure a more personalized approach, fostering higher rates of engagement and retention in treatment (Capuzzi & Stauffer, 2016).

Conclusion

In conclusion, addressing substance use disorders like AUD requires a multifaceted approach that integrates clinical knowledge with an understanding of the cultural contexts of the clients. By leveraging appropriate diagnostic tools and culturally sensitive treatment options, social workers can effectively support clients like Martin on their journey toward recovery.

References

• American Psychiatric Association. (2013). Substance related and addictive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
• Babor, T. F., de la Fuente, J. R., Saunders, J., & Grant, M. (2001). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary care. Geneva: World Health Organization.
• Capuzzi, D., & Stauffer, M. D. (2016). Foundations of addictions counseling (3rd ed.). New York, NY: Pearson Education, Inc.
• Morrison, J. (2014). Diagnosis made easier (2nd ed.). New York, NY: Guilford Press.
• Substance Abuse and Mental Health Services Administration (SAMHSA). (n.d.). Treatment for substance use disorders: The basics. Retrieved from [insert relevant URL]