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Reassess your initial treatment plan for client Eliza based on new information—specifically, her recent incident involving alcohol intoxication and being found alone in her dorm. Review and update diagnoses, goals, objectives, and interventions accordingly. Prepare a new treatment plan that reflects these changes, considering the ethical and legal implications. In addition, write a 1,000-1,250 word essay addressing why the changes occurred, the effectiveness of the original treatment plan, necessary adjustments, and how to communicate and implement referrals for additional resources. Discuss the obstacles these changes present and evaluate available resources for appropriate referrals. Include instruments for assessment and justify all decisions with proper documentation, adhering to APA formatting.

Paper For Above instruction

The case of Eliza warrants a comprehensive reassessment of her treatment plan in light of recent severe incidents, highlighting the importance of dynamic, client-centered, and ethical care. Initially, Eliza's treatment may have focused on mental health issues, possibly including mood stabilization, anxiety reduction, or trauma therapy. However, her recent incident—being found intoxicated and alone—indicates a potentially unaddressed or worsening substance use disorder (SUD) comorbid with her existing diagnoses. This necessitates a reevaluation of her diagnoses, goals, and treatment strategies, emphasizing flexibility and responsiveness to her evolving needs.

Reassessment of Diagnoses and Goals

Based on the new incident, her DSM diagnoses should likely include a substance use disorder alongside any existing psychiatric diagnoses. The ICD codes must reflect these changes, capturing both her mental health and substance misuse. The primary goal now shifts towards sobriety and stabilization, alongside managing any underlying psychiatric conditions. Goals should aim for reducing substance use, preventing relapse, addressing potential trauma, and enhancing her coping skills to manage stress and triggers effectively. For example, goals could be modified to include abstinence from alcohol, developing relapse prevention strategies, and strengthening her support system.

Adjustments to the Treatment Plan

Interventions must be tailored to address alcohol dependency, which may include detoxification referrals, engagement in addiction treatment programs, or involving peer support groups like Alcoholics Anonymous. Incorporating motivational interviewing can help Eliza recognize her need for change and bolster her commitment to sobriety. Cognitive-behavioral therapy (CBT) techniques should target substance use triggers, emotional regulation, and maladaptive beliefs. Additionally, assessing her support network and involving family or significant others, if appropriate, could provide further stabilizing influences.

Ethical and Legal Considerations

Adjusting her treatment plan ethically involves respecting her autonomy while ensuring her safety and well-being. Confidentiality must be maintained, but when her safety is at risk, legal edicts may warrant involuntary treatment or mandated referrals. Legally, the clinician is responsible for ensuring Eliza has access to appropriate resources and is informed about her treatment options, with her consent obtained when possible.

Implications for the Treatment Plan

The occurrence of this crisis underscores the necessity of flexible, adaptable treatment plans that can respond to adverse developments. Obstacles such as stigma, denial, and denial of substance issues may inhibit engagement. The treatment plan must incorporate strategies to address these barriers, including motivational enhancement and harm reduction approaches.

Evaluating Resources and Making Referrals

Assessing available resources involves collaboration with campus health services, local addiction treatment centers, mental health clinics, and social support networks. Screening tools such as the AUDIT (Alcohol Use Disorders Identification Test) can help gauge her level of alcohol use and guide referral decisions. Communicating the need for referrals requires a sensitive, nonjudgmental approach, emphasizing concerns for her health and safety and aligning recommendations with her readiness to accept help.

Referrals should include local inpatient or outpatient addiction programs, counseling services specializing in dual diagnosis, and community support groups. If appropriate, involving family therapy or case management services can facilitate ongoing support. Instruments like the Addiction Severity Index (ASI) may be used to comprehensively assess her needs and guide tailored interventions.

In summary, the recent incident acts as a crucial signal to re-evaluate and adapt Eliza’s treatment plan. Effective modifications involve a holistic, ethically sound approach that prioritizes her safety, promotes recovery, and leverages available resources to foster a supportive environment conducive to healing and sustained sobriety. This process underscores the importance of flexibility, ethical responsibility, and ongoing assessment in effective mental health and substance abuse treatment management.

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
  • Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: The Alcohol Use Disorders Identification Test. World Health Organization.
  • Carver, C. S., & Scheier, M. F. (2014). Optimism, coping, and health: Assessment and implications. In Handbook of coping: Theory, research, applications (pp. 131–149). Guilford Press.
  • Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.
  • SAMHSA. (2019). Treatment Improvement Protocol (TIP) Series 42: Substance Use Disorder Treatment for People Who Are Homeless. Substance Abuse and Mental Health Services Administration.
  • Substance Abuse and Mental Health Services Administration. (2021). Dual diagnosis: An integrated approach. SAMHSA Publications.
  • Witkiewitz, K., & Vowles, K. E. (2014). Acceptance and Commitment Therapy and mindfulness for substance use disorders. In Treating substance use disorders with mindfulness & acceptance: An integrative, evidence-based approach (pp. 121–135). Springer.
  • Zgierska, A. E., et al. (2014). Motivational interviewing for substance use disorders. American Journal of Drug and Alcohol Abuse, 40(4), 299-319.
  • Fisher, J. D., & Fisher, W. A. (2014). Theoretical approaches to sexual risk reduction. In K. A. Cain & T. D. Abel (Eds.), Handbook of health psychology (pp. 119-138). Academic Press.
  • Laudet, A. B. (2012). The UNCOPE: A validated screening tool for substance use severity. Journal of Substance Abuse Treatment, 43(3), 242–249.

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