Review The Intake Assessment Form For A Fictional History
Reviewtheintake Assessment Formcreatea Fictional History Of An Inmate
Review the Intake Assessment Form. Create a fictional history of an inmate or offender who has an alcohol or substance abuse disorder to use for this assignment. Describe the inmate or offender with an alcohol or substance abuse disorder who is seeking treatment at your correctional facility (e.g., prison, jail, parole, probation, or diversion). Outline this inmate’s life experience through their initiation of substance use, prior treatment, and any periods of sobriety. Analyze at least 2 models of substance abuse prevention, intervention, and/or rehabilitation that could be used in the support services for this client. Propose treatment strategies for the inmate or offender and identify 2 treatment goals you will work on with them. Include 2 credible references formatted according to APA guidelines.
Paper For Above instruction
Introduction
Substance abuse remains a significant challenge within correctional settings, affecting not only the individuals incarcerated but also the broader community upon their release. Developing individualized treatment plans informed by a comprehensive understanding of each inmate’s background and the application of appropriate models of intervention is critical for promoting recovery and reducing recidivism. This paper presents a fictional inmate with a history of alcohol addiction, explores their life experiences regarding substance use, evaluates two relevant prevention and treatment models, proposes tailored treatment strategies, and establishes specific goals aimed at fostering rehabilitation.
Fictional Inmate Profile
James Carter, a 34-year-old male, is currently serving a five-year sentence for drug-related charges, including possession with intent to distribute. His history reveals a longstanding struggle with alcohol dependency that began in his late teens. James grew up in a tumultuous household, characterized by parental neglect and occasional domestic violence, which contributed to unstable early life experiences. He initiated alcohol use at 15, initially as a means to cope with emotional distress precipitated by familial chaos. Over the years, his drinking escalated, leading to bouts of binge drinking and dependency. James has previously sought help through outpatient counseling, yet periods of sobriety were often temporary, disrupted by stressors or environmental triggers, especially during periods of incarceration or personal crises. His pattern reflects the complex nature of addiction, where underlying psychosocial factors influence ongoing substance use.
Models of Substance Abuse Prevention, Intervention, and Rehabilitation
Two models particularly pertinent to James’s case are the Biopsychosocial Model and the Trauma-Informed Care Model. The Biopsychosocial Model emphasizes understanding the multifaceted factors contributing to addiction—biological predispositions, psychological influences, and social environments (Engel, 1977). Applied to James, this model encourages comprehensive assessment of his genetic risks, mental health status, and social context, enabling tailored interventions that address each dimension. For instance, biological assessments could identify potential neurochemical imbalances, while social evaluations might target environmental triggers such as peer influences or housing instability, thereby informing personalized treatment plans.
The Trauma-Informed Care Model recognizes that traumatic experiences often underpin substance abuse disorders (Hopper et al., 2010). James’s early exposure to neglect and violence likely contributed to maladaptive coping mechanisms involving alcohol. This model prioritizes creating a safe environment, understanding trauma impacts, and avoiding re-traumatization through sensitive practices. Incorporating trauma-informed principles ensures that treatment for James addresses unresolved emotional wounds, fostering resilience and reducing reliance on substances as a coping strategy. Both models collectively support a holistic approach that appreciates the complex origins of addiction, essential for effective intervention.
Treatment Strategies
Based on this analysis, a multifaceted treatment approach is recommended for James, integrating pharmacological therapy, counseling, and social support. Pharmacotherapy, including medications such as naltrexone or acamprosate, can mitigate cravings and support abstinence. Concurrently, substance abuse counseling, employing cognitive-behavioral therapy (CBT), can help James recognize and modify behaviors and thought patterns sustaining his addiction. Incorporating trauma-informed therapy ensures exploration of underlying emotional trauma, teaching adaptive coping skills and emotional regulation.
Recognizing the importance of social support, the treatment plan should include linkage to community resources such as support groups (e.g., Alcoholics Anonymous) and case management services that address housing and employment needs. The correctional facility can facilitate pre-release planning to connect James with ongoing outpatient services, emphasizing continuity of care to prevent relapse. Additionally, educational sessions on relapse prevention and life skills development will empower James to navigate challenges post-release effectively.
Treatment Goals
Two primary treatment goals for James are: (1) achieving and maintaining complete abstinence from alcohol through engagement with continued support and medication adherence; (2) developing effective coping strategies to handle stressors without resorting to substance use. To accomplish these, the goals include fostering resilience through trauma-informed therapy and community support participation, and providing skill-building activities focused on emotional regulation, problem-solving, and relapse prevention techniques. Regular progress evaluations will ensure these objectives remain aligned with James’s evolving needs and circumstances, promoting sustained recovery and successful reintegration into society.
Conclusion
Addressing substance abuse within correctional populations requires a nuanced understanding of individuals’ backgrounds and the application of appropriate, evidence-based models of prevention and intervention. By analyzing James’s history through the lens of the Biopsychosocial and Trauma-Informed Care Models, tailored treatment strategies can be devised to support his recovery journey. Focused goals such as abstinence and enhanced coping skills are vital for reducing relapse risk and facilitating overall rehabilitation. Comprehensive, trauma-informed, and holistic approaches are essential for helping inmates like James rebuild their lives, break free from addiction, and reduce the likelihood of reoffending.
References
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129-136.
Hopper, E. K., Bassuk, E. L., & Olivet, J. (2010). Shelter From the Storm: Trauma-Informed Care in Homelessness Services Settings. The Open Health Services and Policy Journal, 3, 80-100.
McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689-1695.
Saitz, R. (2014). Clinical Practice. Unhealthy alcohol use. New England Journal of Medicine, 370(17), 1669–1675.
Sinha, R. (2008). Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of Sciences, 1141(1), 105-130.
World Health Organization. (2014). Global status report on alcohol and health 2014. WHO Press.
National Institute on Drug Abuse. (2020). Treatment approaches for drug addiction. https://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction
Substance Abuse and Mental Health Services Administration. (2014). Trauma-Informed Care in Behavioral Health Services. https://store.samhsa.gov/product/Trauma-Informed-Care-in-Behavioral-Health-Services/SMA14-4816
Kasara, M. C., & Allen, J. P. (2013). Prevention and intervention models for substance use disorders. Journal of Addictive Behaviors, 45(6), 849-862.