Reassessing Treatment Plan For Eliza Sin Based On Recent Inc

Reassessing Treatment Plan for Eliza Sin Based on Recent Incident

In Topic 5, I submitted an initial treatment plan for my client Eliza Sin, outlining diagnoses, goals, and objectives aimed at supporting her recovery process. Since then, significant developments have occurred, necessitating a reassessment of her treatment approach. Recent reports indicate that Eliza was found passed out alone in her dormitory, smelling of alcohol, which suggests a relapse or escalation of her substance use issues. This new incident highlights the need to revise her treatment plan to address her current circumstances effectively and ethically.

Review of Initial Treatment Plan and the New Situation

The original treatment plan for Eliza focused on her diagnosis of alcohol dependence with co-occurring anxiety disorder. Its primary goals aimed at reducing alcohol consumption, managing anxiety symptoms, and developing healthier coping strategies. Objectives included engaging in individual therapy, participating in support groups, and establishing a relapse prevention plan. The initial plan assumed a controlled environment and consistent engagement with treatment;

However, her recent episode of being found intoxicated indicates a setback in her recovery or potential deterioration in her mental health and substance use management. It also raises concerns about her environmental factors, motivation levels, and potential triggers that were previously unaccounted for or insufficiently addressed. These circumstances necessitate a comprehensive reevaluation of her diagnosis, treatment goals, and strategic interventions.

Reassessment of Diagnoses, Goals, and Objectives

Diagnosis

Based on new information, the primary diagnosis of alcohol dependence remains valid, but there is a need to reassess her mental health status, considering the possibility of acute intoxication episodes, relapse, or emerging comorbidities such as depression or trauma-related disorders. Additional assessments such as the CRAFFT screening tool or the AUDIT (Alcohol Use Disorders Identification Test) can help determine severity and domain-specific issues.

Goals

• Short-term: Ensure Eliza's safety following her recent incident, including medical evaluation and stabilization.
• Intermediate: Reduce the frequency and severity of alcohol use, addressing triggers and maladaptive coping mechanisms.
• Long-term: Achieve sustained abstinence, improve mental health stability, and develop resilience against environmental triggers.

Objectives

• Implement a crisis intervention plan to respond to similar incidents promptly.
• Engage her in evidence-based therapies such as Cognitive Behavioral Therapy (CBT) tailored for substance use and comorbid conditions.
• Involve her in peer support groups like Alcoholics Anonymous (AA) or other community resources.
• Identify and modify environmental factors contributing to relapse, including campus safety protocols and social influences.
• Regularly evaluate her progress through standardized assessment tools and adjust treatment accordingly.

Adjustments and Justification for the Revised Treatment Plan

The adjustments to Eliza's treatment plan include incorporating crisis response strategies, intensifying therapeutic interventions, and expanding support networks. These changes are justified both ethically and legally. Ethically, she deserves an approach that prioritizes her safety and respects her autonomy while providing necessary protections. Legally, ensuring her well-being aligns with mandatory reporting laws if her safety is compromised and with confidentiality standards as she receives care.

The inclusion of crisis intervention and referral protocols adheres to legal standards that require providers to act when a client is in imminent danger. Furthermore, updating her treatment plan promotes justice by ensuring that she receives comprehensive, culturally sensitive care that addresses her unique needs and circumstances.

Implications of Obstacles and Resource Evaluation

The recent incident introduces obstacles such as potential environmental triggers, lapses in motivation, or untreated mental health issues. These obstacles necessitate a flexible, responsive treatment approach that can adapt to fluctuating circumstances. Understanding and mitigating these obstacles are essential for maintaining engagement and progress.

Evaluating available resources involves assessing campus mental health services, community-based treatment providers, peer support groups, and emergency referral networks. This process includes reviewing the availability, accessibility, and cultural competence of these resources. Collaborations with campus health services enable immediate response and continuous care, while community providers can offer specialized or intensive interventions as needed.

Utilizing assessment instruments such as the AUDIT, the Beck Anxiety Inventory (BAI), or the Substance Abuse Subtle Screening Inventory (SASSI) helps determine her current severity and guides targeted referrals.

Communication and Referral Strategies with the Client

Effective communication with Eliza involves transparency, empathy, and motivational interviewing techniques to foster trust and encourage engagement. Explaining the reasons for referrals emphasizes her safety, recovery goals, and the benefits of comprehensive care. For example, stating, "Based on your recent experience, I believe connecting with additional support services will help you stay safe and achieve your recovery goals," can promote acceptance.

Referrals may include mental health counseling, substance use treatment programs, psychiatric evaluation for medication management, and peer support groups. Where appropriate, family or close significant others might be involved to bolster her support system, respecting her consent and confidentiality.

Suggested instruments for assessment prior to referrals include structured interviews like the Structured Clinical Interview for DSM-5 (SCID) and standardized questionnaires to identify comorbid conditions and tailor interventions accordingly.

Conclusion

The recent incident significantly impacts Eliza's treatment trajectory, requiring urgent re-evaluation and adaptation of her treatment plan. Recognizing the dynamic nature of recovery, the revised plan emphasizes safety, flexibility, and comprehensive care coordination. Ethically and legally, these adaptations aim to promote her well-being and accountability as a healthcare provider. By integrating thorough resource evaluation, clear communication, and appropriate referrals, her continued progress toward recovery can be better supported. Ultimately, ongoing assessment and responsiveness to her evolving needs remain central to her successful treatment and sustained recovery.

References

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