Fluent Essays

In your write-up, you will need to (carefully review the rubric for more detail): · You will provide a minimum of FOUR Problem/Symptoms that you will develop into a treatment plan for this client. Here, you need to write several sentences under each problem/symptom to briefly conceptualize what you see the issue being. · Then show a minimum of two “Long-Term Goals” per problem/symptom as a sentence/statement. You will explain each of your choices with a short paragraph explaining why each long-term goal will lead to problem/symptom decrease and lead to (hoped for) overall cessation of the issues. ****PLEASE READ ALL OF THE ATTACHMENTS**** ****DUE AUGUST 14TH**** (Note: This case study is based on many actual cases. All the names used are made up, and any relation to actual people or events is purely accidental and coincidental.) Addictions Case Study: Narrative Presenting Problem: Marci is a 22-year-old female college student who was arrested five months ago for driving while impaired with a blood alcohol level of 0.13. She was also charged with possession of a small amount (about 1 gram) of marijuana. Her license was suspended, but she has driving privileges to get to school/work and back. Drug History and Current Patterns of Use: She has smoked cigarettes since age 16 and currently smokes one pack daily. Marci stopped smoking cigarettes for six months one year ago, but she presently does not plan to cut down or quit. She has five prescription pills (Xanax) for depression and anxiety that were given to her by a college classmate (for whom they were prescribed). Marci shared that she had been struggling with feelings of sadness and worrying too much about two months ago. She hasn’t taken them yet, but has considered trying them. Marci first experimented with marijuana during her senior year of high school (age 17), with her use becoming more regular after she entered college. Marci was first introduced to marijuana by her high school boyfriend, who used it every day along with alcohol on the weekends. While she started drinking wine with her family when she was 13, she started to EDCO 740 Page 2 of 2 “seriously” drink starting around 18-years-old. She currently drinks four or more alcoholic beverages (usually wine or wine coolers; sometimes beer) three to four times a week and had been smoking marijuana two to three times a week for one year. Her usual pattern was to go on weekend binges, starting to drink and smoke on Friday evenings until 2:00 a.m. She would then have a glass or two of wine around lunchtime on Saturday, smoking a joint or two with a couple of friends during Saturday afternoons prior to attending college sporting or social events. She would then go to parties with friends on Saturday evenings, typically consuming six to seven cans/bottles/cups of beer and sharing several joints of marijuana with others. She had also started to consume energy drinks (Red Bull, Monster, etc.) when she drank beer at these parties to get an added “boost” to her high. During the past two months, she has sometimes had one to two glasses of wine (she also used to smoke half a joint of marijuana with it) when alone on school nights. On the mornings after she used alcohol, Marci tended to sleep in and cut class, but not every week. Her recreational and social interests had increasingly involved the use of alcohol and marijuana, now since her arrest, it is mainly alcohol (although she still desires to smoke cannabis). Recently, Marci has begun to express concern to her friends about “feeling depressed and anxious,” but she reports no suicidal ideation or panic attacks. She is also concerned since she has missed her period. Family History: Marci is the oldest of three children (one brother, Jacob, 17-years-old; and one sister, Sarah, 14-years-old) and continues to live at home while attending college. Her mother, Joan, is a successful attorney, and her father, John, is a school administrator. Her family has always attended weekly services at their church and have, on a couple of occasions, gone as a family on church-sponsored humanitarian missions to Latin America. Marci and her siblings were always very active in the youth groups, and helping with various church ministries, such as the nursery and pre-school child-care Sunday schools. From taking these trips, the family started incorporating drinking wine with their evening dinners, similar to some of the local customs observed in these countries. This started when Marci was around 13-years-old. Marci’s parents found out about her use of marijuana six months prior to her arrest. Marci’s parents found out about her use of marijuana six months prior to her arrest. After her DUI, her parents sat her down and expressed their concern about the amount she was drinking and want her to stop. Since their confrontation and her arrest, she did cut down somewhat on her use of both alcohol and marijuana, and (when pressed by her parents) she would abstain for several weeks at a time. As one consequence, her parents stopped giving her permission to drive a family car and were concerned about her influence on her younger siblings. Neither her brother nor her sister currently drink or use substances. Her brother Jacob admits to “drinking a beer with his friends” when he was 16-years-old, but did not like it. He also admitted to trying his mother’s (Joan) cigarettes several times (about 10 of them) when he 15-years-old, but since he wanted to play sports, he stopped. Her sister Sarah says she has never used and does not want to try any of it because she “hates the smell of all of it, and sees from Marci’s example how much trouble it causes.” Her father (45-years-old) drank alcohol to the point of inebriation many times when he was younger (being arrested once for Public Intoxication when he was 19), but stopped when he met and married Joan 25 years ago when they were both 20-years-old. He has not drank alcohol regularly since then (other than the glass of wine at dinner). He has not had any particular problem with mood disorders, although he says he “worries from time-to-time about problems at work, and providing for his family.” He says both his parents struggled with depression and anxiety, but never (to his knowledge) used any prescription or illegal drugs. He says his dad drank occasionally, and John got his first taste of liquor from the stash his dad kept in the workshop when he was around 12-years-old. John’s mother never drank, but she told John her father (John’s grandfather) was an alcoholic most of John’s life until his death 42 years ago. John is an only child. Marci’s mother (45-years-old) says she used marijuana growing up (“like everyone my age at the time”), and has struggled off-and-on with depression and anxiety since she was quite young. She never drank when she was younger, but has enjoyed the practice of drinking a glass of wine with dinner. She says she occasionally will have another glass or two “to help her sleep.” Joan says she was addicted to tobacco, and smoked cigarettes for over 30 years before beginning to quit about three years ago using nicotine gum and patches. She has now cut the gum and patch use down considerably, and has not had a cigarette for two weeks. Joan says her father drank excessively all her life, and was quite violent when he was drunk. She says that her father would beat up her mother frequently, and put her in the hospital at least once that she remembers for two days. Her father could also be verbally abusive to her two brothers and two sisters (Joan is the youngest). Joan’s father died from a car accident 10 years ago, and alcohol is thought to have been a factor. Joan’s mother also drank, but not to the excess of her father, and could get “acid-tongued” to the father and all the children. Joan reports that she and the two sisters do not have a good relationship with their mother, but the two brothers seem to have an okay relationship. At this time, Joan’s oldest brother drinks excessively, and seems to be following in her father’s footsteps. The other brother has never touched alcohol as far as Joan knows. (Interestingly, both brothers blame the use and non-use of alcohol on the example of their father.) Joan says she is very close to the younger brother, but she has a “love-hate” relationship with the older brother, since he reminds her so much of her dad and his abuse. Both of Joan’s sisters drank and smoked a little when they were younger, but stopped once they married and had children (though the oldest sister’s first-born son displays some symptoms of Fetal Alcohol Syndrome). She does not know anything about her grandparents since they died (on both sides) before she was born, although there were “family rumors” that there was a lot of drinking that took place on both maternal and paternal sides. Substance Abuse Treatment History: Marci has never been in an in-patient nor an out-patient program. When her parents first discovered her marijuana use, they insisted that she seek professional help for what they perceived to be a drug problem. Although they even threatened to call her college academic dean because of her dropping grades, Marci refused help and began to discuss quitting school. General Medical History: Marci does not admit to any physical problems. She says she was not hurt in her accidents other than a few bumps and bruises. She says she did not hit her head or lose consciousness from the accidents. She says she has been sexually active for the past two years with her “semi-permanent” boyfriend of two years. She thought she was pregnant about one year ago, but it turned out to be a “false alarm.” She says every now and then, especially during allergy season, she tends to get a “dry, hacky cough.” Personal Status: Marci admits that, since she began smoking marijuana, her previously good and trusting relationship with her parents has soured. She had begun to hide and lied to them about using, and had felt increasingly negative about herself, especially as her grades have suffered and her general interests have narrowed. On several occasions she tried cocaine, and on another, LSD, but she found the experiences unpleasant. It was not until her arrest that she began to feel some guilt and remorse over the fact that her drinking and especially her marijuana use was negatively impacting her relationship with her parents, and interfering with her desire to be an attorney. She had also become gradually aware that marijuana had been affecting her motivation, her schoolwork, and her spiritual life, but she has not expressed concerns about her use of alcohol. Legal History: She was arrested five months ago for Driving While Impaired (DWI) with a blood alcohol level of 0.13. She was also charged with possession of 1 gram of marijuana. Her license was suspended, but she has driving privileges to get to school/work and back. Over the past three years she has had two accidents that occurred while she was intoxicated with alcohol and marijuana, but no other people or vehicles were involved, and no charges were filed against her. In the first one (30 months ago), she backed into a light pole in the mall parking lot. In the other (13 months ago), she slid into a ditch when making a moderate curve on a road under normal road conditions, suffering some cuts to her face and bruises to her chest, sides, and knees, and needing to call a friend to pull her car out of the ditch. She also had one “destruction of property” count two years ago, where she was placed on six months of probation and ordered to pay reparations to the owner, which she did. Education: Marci achieved normal milestones and performed well in high school, generally achieving A’s and B’s. She is in her junior year of college. She wanted to live away from home during college, but her parents resisted the idea because of financial pressures and their tendency to be overprotective. Although she has always been a good student, her grades have begun to go down and she is not meeting her academic potential. Employment: Marci is currently unemployed. In the past she has worked as a waitress, and when she turned 21, as a part-time bartender for the extra money. Her longest place of employment was waitressing for six months. Over the past four years, she has been fired or left three other places of employment due to excessive absenteeism and once for destruction of property. Mental Status Exam and Observation: Marci is a 22-year-old female, is neatly dressed, and displays a compliant manner. Her grooming was appropriate. She was cooperative in the interview answering all questions politely. Her mood seemed somewhat anxious and depressed. Her affect was appropriate, and she was not overly emotional but appears torn between embarrassment and anger at being forced to attend counseling. Her rate of speech was somewhat rapid when addressing her substance using history and seemed pressured at times, but otherwise appeared normal. Her tone modulated from high when discussing subjects that made her anxious (such as failing school, getting arrested), and low when discussing subjects that were depressing to her (problems with her parents trusting her). Her thought processes were logical, and she demonstrated proper insight to her own actions, how they contributed to her situation, and her continued lack of feeling the need to stop marijuana and alcohol consumption. She was oriented x 4 (to person, place, time, reason why she is being assessed). She had no problem answering the mental status questions or doing “serial sevens.” She states that, although she has not used marijuana since she was arrested, she still has doubts about its harmfulness. Her use of alcohol has not changed. She says that she finds marijuana pleasurable and relaxing and that, if she could find a way to not get caught, she would like to continue using it. She believes that both alcohol and marijuana have helped her feel better about not achieving the high goals she had set for herself and not fulfilling the expectations her parents have for her. Marci shows no evidence of a thought disorder, and her content of thought appeared normal. She did not demonstrate any psychotic symptoms, and denied any past or current hallucinations or delusions. She admitted to feeling paranoid at times when she was using marijuana. She denied any obsessions or compulsions. She reports that she has been depressed and anxious at times but that these feelings have never been lasting (although they have been more frequent over the past month). Her memory did not seem impaired, and her intelligence appeared above average. She has only a few problems regarding sleeping (trouble sleeping soundly, getting up too late), but no eating problems, history of panic attacks or agoraphobia, cognitive deficits, or learning disability. She denies any suicidal and homicidal ideations. EDCO 740 Addictions Case Study – Part 3 Assignment Instructions Overview The Addictions Case Study assignment is designed to help you make application of course content to a potential counseling situation. The assignment will be divided up into three parts: Part 1 – Case Conceptualization; Part 2 – Diagnostic Impressions; and Part 3 – Treatment Plan. The Case Study – Part 3 is due by 11:59 p.m. (ET) on Sunday of Module 7. General Paper Instructions The general requirements for the paper are: · A medium-length paper (about a 7- to 9-page summary, not including the title and references page– no abstract is needed). · This is to be formatted in the most current APA style. · You will need a minimum of seven professional sources, using books, journals, and websites (especially the ones used in this course, but no more than two websites! – I want you to use books and journals to build your treatment plan, and they must be cited and referenced correctly in the most current APA-style. Assignment Specific Instructions For Part 3 – Treatment Plan , again using the “EDCO 740 Addictions Case Study Narrative,” you will analyze what you wrote in Part 1 (Case Conceptualization) and Part 2 (Diagnostic Impressions), and build a Treatment Plan for the client from the narrative. In your write-up, you will need to (carefully review the rubric for more detail): · You will provide a minimum of FOUR Problem/Symptoms that you will develop into a treatment plan for this client. Here, you need to write several sentences under each problem/symptom to briefly conceptualize what you see the issue being. · Then show a minimum of two “Long-Term Goals” per problem/symptom as a sentence/statement. You will explain each of your choices with a short paragraph explaining why each long-term goal will lead to problem/symptom decrease and lead to (hoped for) overall cessation of the issues. · After each long-term goal, you will show a minimum of two measurable “Short-Term Goals/Objectives,” or how you will help the client meet the long-term goal. Again, a short paragraph explaining your reasoning for these goals is required. (Note that you will have a minimum of 4 short-term goals in total under each problem/symptom.) · For an example of how this should look, refer to the “Treatment Plan Example” instructions for a better understanding. EDCO 740 Addictions Case Study: Treatment Plan Example EXAMPLE: Below is how each Treatment Plan level will need to look like: Treatment Plan Problem/Symptom 1 Client exhibits symptoms of an eating disorder as manifested by binging, purging, hiding food, fluctuating weight, and labile moods. Long-Term Goal 1 Client will reduce binging-purging behavior to less than once per week (Jones, 2019). This will also enable a decrease in much of the erratic behavior client has been experiencing, as well as the highs and lows of blood sugar problems and their effects on their body. Short-Term Goal/Objective 1 Client will learn the alternative coping skill of writing in an Automatic Thoughts Log when she feels the desire to binge (Help for Eating Disorders.com, 2018). This is measured by the client bringing her log into the counseling sessions to discuss with the counselor each week. Short-Term Goal/Objective 2 Client will learn to identify maladaptive, negative thoughts and how to replace them with more positive, adaptive thoughts (Ellis, 2006). This will be measured by the client demonstrating these new skills during counseling sessions and bringing in written homework that shows she is practicing these between sessions. (NOTE: You are not required to have a citation after each goal, but if you do use a source, cite and reference it! Above just serves as examples. Remember that you do need seven sources!) Note: Your assignment will be checked for originality via the Turnitin plagiarism tool. EDCO 740 Addictions Case Study: Treatment Plan Grading Rubric Criteria Levels of Achievement Content: 70\% Advanced Satisfies criteria w/ excellence Proficient Satisfies Criteria Developing Satisfies most criteria Below Expectations Does not satisfy criteria Not Present Treatment Plan 37-40 pts. Minimum of four treatment plan problems and symptoms clearly shown. Clear and concise sentences of the problem shown. Provided very good examples of the problem. 34-36 pts. Three out of four treatment plan problems and symptoms shown. Good sentences of the problem shown. Provided good examples of the problem. 30-33 pts. Two out of four treatment plan problems and symptoms shown. Adequate sentences of the problem shown. Provided adequate examples of the problem. 1-29 pts. One or no treatment plan problems or symptoms shown as per instructions. 0 points Long-Term Goals 10 pts. Minimum of two long-term goals shown under each problem/symptom. 8-9 pts. Minimum of two long-term goals shown under each problem/symptom. Long-term goals are not measurable. 7 pts. One out of two long-term goals shown under each problem/symptom. Long-term goals are not measurable. 1-6 pts. No long-term goals shown as per instructions. 0 points Short-Term Goals 18-20 pts. Minimum of two short-term goals shown under each long-term goal (4 total). All four short-term goals are measurable. 15-17 pts. Three out of the four short-term goals shown under each long-term goal. Most of the short-term goals are measurable. 12-14 pts. Two out of the four short-term goals shown under each long-term goal. At least one of the short-term goals is measurable. 1-11 pts. One or no short-term goals shown as per instructions, and are not measurable. 0 points Structure 30\% Advanced Satisfies criteria w/ excellence Proficient Satisfies Criteria Developing Satisfies most criteria Below Expectations Does not satisfy criteria Not Present Organization 10 pts. All required elements are included and presented with strong headings and organizational clarity. There are clear transitions between paragraphs and sections. The treatment of the topic is logically oriented. The paper meets the page length requirement. 8-9 pts. All required elements are included and organized. There are transitions between paragraphs and sections. The treatment of the topic is logically oriented. The paper meets the page length requirement or comes very close. 7 pts. Most required elements are included and are mostly organized. Most paragraphs and sections have transitions. The logical treatment of the topic needs improvement. The paper may not meet the page length requirement. 1–6 pts. Few or no required elements are included. Few or no transitions exist between paragraphs and sections. There may not be a logical treatment of the topic. The paper does not meet the page length requirement. 0 points Style 10 pts. The paper properly uses current APA style. Proper headings, in-text citations, and references are formatted correctly. The paper reflects a graduate level voice and vocabulary. There are very few spelling and grammar errors. 8-9 pts. The paper consistently uses current APA style with few or no exceptions. Proper headings, in-text citations, and references are formatted with few or no errors. The paper reflects a graduate level voice and vocabulary. There are few spelling and grammar errors. 7 pts. The paper inconsistently uses current APA style. Headings, in-text citations, and references are inconsistently formatted. The paper does not consistently reflect a graduate level voice and vocabulary. There are spelling and grammar errors. 1-6 pts. The paper erroneously uses or does not use current APA style. Headings, in-text citations, and references are erroneously formatted or not present. The paper does not reflect a graduate level voice and vocabulary. There are spelling and grammar errors. 0 points Sources 10 pts. The Reference page meets or exceeds the required number of sources. All sources are referenced throughout the paper. 8-9 pts. The Reference page meets the required number of sources. Most sources are referenced throughout the paper. 7 pts. The Reference page does not meet the required number of sources. Not all sources are referenced throughout the paper. 1–6 pts. The Reference page is not present or contains few sources. Not enough sources are referenced throughout the paper, or none are referenced. 0 points Page 2 of 2 EDCO 740 Addictions Case Study: Treatment Plan Template Divide your paper up as follow (starting on p.2 – no abstract is needed): Title of Paper Treatment Plan Problem/Symptom 1 Long-Term Goal 1 Short-Term Goal/Objective 1 Short-Term Goal/Objective 2 Long-Term Goal 2 Short-Term Goal/Objective 1 Short-Term Goal/Objective 2 Treatment Plan Problem/Symptom 2 Long-Term Goal 1 Short-Term Goal/Objective 1 Short-Term Goal/Objective 2 Long-Term Goal 2 Short-Term Goal/Objective 1 Short-Term Goal/Objective 2 Treatment Plan Problem/Symptom 3 Long-Term Goal 1 Short-Term Goal/Objective 1 Short-Term Goal/Objective 2 Long-Term Goal 2 Short-Term Goal/Objective 1 Short-Term Goal/Objective 2 (continue on in the same manner for each Problem/Symptoms you have found) References Final Paper Rubric Treatment Plan 40 pts. Minimum of FOUR Problem/Symptoms clearly shown.  Clear and concise sentences of the problem shown.  Provided very good examples of the problem. Long-Term Goals   10 pts. Minimum of two long-term goals shown under each problem/symptom.  (2 for each problem noted above- 8 all together)   Short-Term Goals 20 pts. Minimum of two short-term goals shown under each long-term goal (16 total).  All short-term goals must be measurable.  For each one state: This will be measured by.... Structure 30\% Advanced Satisfies criteria w/ excellence Organization 10 pts. All required elements are included and presented with strong headings and organizational clarity. There are clear transitions between paragraphs and sections. The treatment of the topic is logically oriented. The paper meets the page length requirement.   Style 10 pts. The paper properly uses current APA style.  Proper headings, in-text citations, and references are formatted correctly. The paper reflects a graduate level voice and vocabulary. There are very few spelling and grammar errors. Sources 10 pts. Seven professional sources are required. All sources are referenced throughout the paper.