Case Study Research paper
| Read Foundations of Addiction Counseling Chapters 7-9 Explore SAMHSA publications.Link is located under Resources in your course syllabus | ||
| Assignment 5 | ||
| For this assignment, you are given a case study. You must support your discussion by providingevidence-based research on the assessment, diagnosis and treatment of substance use and co-occurring disorders in direct and specific context to the case as written.Your case study must include the following:1. Assessment, considering biological, psychological, environmental, cultural and ethical issues (ACA and AAMFT Code of Ethics) 2. Provisional diagnosis of substance related and co-occurring disorders using the DSM-5 criteria 3. Adolescent substance abuse 4. Prenatal substance abuse 5. Treatment plan based on evidence-based research 6. Referrals, coordination of care and case consultation 7. Relapse prevention plan to include community resources, individual and/or family counseling Select a minimum of eight (8) current research articles taken from scholarly journals (online or hard copy) to support your work. You may use the bibliography located in the Resource section of your syllabusThe course text or other course texts, are not considered research. You may use and reference the text occasionally, but please remember that this is a research-based paper. The majority of your supportive citations must come from scholarly, professional research journals based on evidence-based assessment, diagnosis and treatment of substance use and comorbid disorders.All assignments MUST be typed, double-spaced, in APA style, and must be written at graduate level English. You must include any relevant legal, ethical, and cultural considerations in your paperYour paper should be 8-10 pages plus a title and reference pageThis assignment is due in Week 7. The Case of Rosa Rosa is a 32-year-old, divorced, Latino woman being treated for alcohol and cocaine (crack) dependence. She is employed as an administrative assistant at a local human services program. She lives with her 14-year-old daughter, Christina, in an apartment located near her job. Although she makes a relatively low salary, Rosa has managed to support herself and her daughter without financial support from Christina’s father. Rosa was married briefly to Christina’s father when she was 20, but she left him after he became physically and sexually abusive toward her. He also was an alcoholic. She had almost no contact with him for many years. Rosa’s mother, is a strong support for Rosa and Christina. Rosa admits to drinking during her pregnancy with Christina. Christina was diagnosed with Fetal Alcohol Syndrome (FAS) at birth. She expresses guilt and remorse that Christina’s emotional, academic and social difficulties are a result of FAS. Rosa reports that at age 13, her father began molesting her when he was drinking, but that in her family no one was allowed to mention any problems. She reports never telling anyone until now. She is the youngest of three children and the only girl. Her father died in an alcohol related car accident when Rosa was 17. She is not close to her brothers, who she reports have been in and out of jail for substance related crimes. Up until a month ago, Rosa was regularly attending twice-weekly treatment sessions at an outpatient chemical dependency clinic, and she went to AA/NA regularly 3 times a week. She had a sponsor and they kept in touch several times a week, sometimes daily. From the beginning of recovery, Rosa has experienced some mild depression. She describes having little pleasure in life and feeling tired and “dragging” all of the time. Rosa reports that her difficulty in standing up for herself with her boss at work is a constant stressor. She persisted with treatment and AA/NA, but has seen no major improvement in how she feels. After Rosa celebrated her 6-month sobriety anniversary, she reports that she started having a harder time getting herself up each day. Around this same time, she returned to drinking daily. She says that she then started experiencing bouts of feeling worthless, sad, guilty, hopeless, and very anxious. Her sleep problems increased, she began having nightmares, and she lost her appetite. She started her crack use again one night after her boss got very upset with her not finishing something on time. Rosa reports that she began drinking regularly (several times a week) around the age of 13, when her father started molesting her. She recalls having felt depressed around the same time that she began drinking heavily, although she states she has very few clear memories of that time in her life. Rosa’s drinking became progressively worse over the years, although she did not begin to see it as a problem until after she began using crack, at around age 28. She reports feeling depressed over much of her adult life, however her depression got much worse after she began using crack daily. Rosa fears that Christina is using alcohol and drugs to fit in socially with her peer group, and believes she is sexually active. Rosa is certain that Christina is pregnant. She does not believe in abortion, and is concerned that Christina continues to use drugs and alcohol in spite of her pregnancy. She believes this is all her fault that Christina is following in her footsteps with substance use and teenage pregnancy. Now, one week into treatment, Rosa reports feeling numb and tense. She talks only in women’s treatment groups and, then, only when specifically asked a question. She feels hopeless about her ability to put her life together and says that she only sees herself failing again to achieve sobriety. Rosa reflects that she was unable to adequately protect her daughter from repeating her own past with drugs, alcohol and teenage pregnancy. She speculates that maybe she is an unfit mother and should give her mother full custody of Christina. | ||
| Assignment OutcomesExamine ethical and legal issues related to substance use and related disordersIdentify standard screening and assessment instruments for substance use and related disordersDevelop appropriate treatment plans incorporating recovery methods and strategies in collaboration with other professionalsApply a working knowledge of research on prevention, early intervention and treatment of substance use and related disordersRecognize methods and strategies related to working with diverse and marginalized populationsSee Learning Outcomes on page 1 of your course syllabus |
You can use the following articles to perform the task
SUPPLEMENTAL REFERENCES & READINGS:
BIBLIOGRAPHY
You are encouraged to explore these and other outside resources and integrate the information found in resources into your coursework as appropriate.
Brewer, J. A., Elwafi, H. M., & Davis, J. H. (2014). Craving to quit: Psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions. Translational Issues In Psychological Science, 1(S), 70-90. doi:10.1037/2332-2136.1.S.70
Chartier, K. G., Thomas, N. S., & Kendler, K. S. (2017). Interrelationship between family history of alcoholism and generational status in the prediction of alcohol dependence in US hispanics. Psychological Medicine, 47(1), 137-147. doi:10.1017/S0033291716002105
Crane, R. S., Brewer, J., Feldman, C., Kabat-Zinn, J., Santorelli, S., Williams, J. M. G., & Kuyken, W. (2017). What defines mindfulness-based programs? The warp and the weft. Psychological Medicine, 47(6), 990-999. doi:
Karavalaki, M., & Shumaker, D. (2016). An Existential¨CIntegrative (EI) Treatment of Adolescent Substance Abuse. The Humanistic Psychologist, doi:10.1037/hum0000036
Patton, Rikki,PhD., M.F.T. (2017). Substance abuse and the family. Journal of Marital and Family Therapy, 43(1), 174-175. Retrieved from
Worley, J. (2017). Some good news about substance use disorders. Journal of Psychosocial Nursing & Mental Health Services, 55(3), 24-28. doi:
Concurrent Substance Use Disorders and Mental Illness: Bridging the Gap Between Research and Treatment (2017)
Is there room for resilience? A scoping review and critique of substance use literature and its utilization of the concept of resilience (2017)
Adult ADHD and comorbid disorders: clinical implications of a dimensional approach (2017)
Effectiveness of EMDR in patients with substance use disorder and comorbid PTSD: study protocol for a randomized controlled trial (2017)
Addressing Trauma in Substance Abuse Treatment (2017)
A cluster randomised controlled trial protocol of an adapted intervention for alcohol use disorders in people living with HIV and AIDS: impact on alcohol use, general functional ability, quality of life and adherence to HAART (2017)
Post-Traumatic Stress Disorders; Recent Findings from K.G. Bougard and Co-Researchers Yields New Information on Post-Traumatic Stress Disorders (Turning the Tides: Coping with Trauma and Addiction through Residential Adolescent Group Therapy)
SOLUTIONS IN RECOVERY 2017
Central Nervous System Diseases and Conditions – Brain Injuries; Researchers from Dartmouth College Detail Findings in Brain Injuries (The Prevalence of Traumatic Brain Injury Among People With Co-Occurring Mental Health and Substance Use Disorders, 2017)
Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review (2017) Gender differences in characteristics of physical and sexual victimization in patients with dual diagnosis: a cross-sectional study (2017) Relations Between Cognitive Functioning and Alcohol Use, Craving, and Post-Traumatic Stress: An Examination Among Trauma-Exposed Military Veterans With Alcohol Use Disorder (2017)
Intensive Case Management for Addiction to promote engagement with care of people with severe mental and substance use disorders: an observational study (2017)
Personality Disorders; Findings from University of Barcelona Broaden Understanding of Personality Disorders (Comparison of treatment outcomes in severe personality disorder patients with or without substance use disorders, 2016)
Adverse Childhood Experiences and Use of Cigarettes and Smokeless Tobacco Products (2016)
Positive psychology in dual diagnosis: a preliminary investigation (2016) Substance Abuse Programs that Reduce Violence in a Youth Population: A Systematic Review
The Benefits and Risks of Energy Drinks in Young Adults and Military Service Members 2017
Reward-related neural activity and structure predict future substance use in dysregulated youth (2017)
Predictors of smoking lapse during a 48-hour laboratory analogue smoking cessation attempt (2017). Cognitive functioning of adolescent and young adult cannabis users in the Philadelphia Neurodevelopmental Cohort (2017). Increased startle potentiation to unpredictable stressors in alcohol dependence: Possible stress neuroadaptation in humans (2017). Craving and acute effects of alcohol in youths¡¯ daily lives: Associations with alcohol use disorder severity (2017). Emotion dysregulation in comorbid posttraumatic stress disorder and substance use disorders: A narrative review (2017).
Daily stressors as antecedents, correlates, and consequences of alcohol and drug use and cravings in community-based offenders (2017).
Decision-making style and response to parental involvement in brief interventions for adolescent substance use (2017).
Does Change in Self-Perceived Problem Drinker Identity Relate to Change in Alcohol Use? An Examination of Nontreatment Seeking Hazardous Drinkers (2017).
Genetic and environmental influences on emotion regulation: A twin study of cognitive reappraisal and expressive suppression (2017).
Pain-related anxiety as a predictor of early lapse and relapse to cigarette smoking
Exercise attenuates negative effects of abstinence during 72 hours of smoking deprivation
A reinforcement sensitivity model of affective and behavioral dysregulation in marijuana use and associated problems
Motivational interviewing and the clinical science of Carl Rogers
WEB RESOURCES
You are encouraged to explore these and other web resources and integrate the information into your coursework as appropriate.
American Association for Marriage and Family Therapy (AAMFT): http://www.aamft.org
American Counseling Association: http://www.counseling.org
American Psychological Association: Empirically Supported Treatments: http://www.apa.org/divisions/div12/cppi.html
APA Style Guide: http://www.uwsp.edu/psych/apa4b.htm
APA Writing Links: http://www.psych-central.com/APAwrite.htm
Board of Behavioral Sciences: http://www.bbs.ca.gov/
California Association of Marriage and Family Therapists: http://www.camft.org
California Department of Alcohol and Drug Programs: www.adp.state.ca.us/default.asp
Institute for the Study of Therapeutic Change: Outcome Rating Scale and Session Rating Scale: www.talkingcure.com
Mental Health Association in CA: http://www.mhac.org/
Mental Health Infosource: http://www.mhsource.com
Mental Health Net: http://www.mentalhelp.net
Mental Health Resources: http://www.mentalhealth.com
National Associate of Cognitive Behavioral Therapists: http://www.nacbt.org
National Association of Social Workers (NASW): http://www.socialworkers.org
National Institute on Alcohol Abuse and Alcoholism: www.niaaa.nih.gov National Institute on Drug Abuse: http://www.nida.nih.gov/National Online Drug Treatment Locator: http://dasis3.samhsa.gov/prxinput.aspx?detail=1
National Organization for Human Service Education (NOHSE): http://www.nohse.com
Psych Web: http://www.psyweb.com/index.jsp
Psychology Online Resource Central: http://www.psych-central.com/
Psychology Research on the Net: http://psych.hanover.edu/research/exponnet.html
Psychological Statistics: http://www.uwsp.edu/psych/stat/index.htm
Psychology Research on the Net: http://psych.hanover.edu/research/exponnet.html
Psychological Statistics: http://www.uwsp.edu/psych/stat/index.htm
PsychWatch: http://www.psychwatch.com
SAMSHA: http://nmhicstore.samhsa.gov/publications/ordering.aspx SAMHSA Co-Occurring Center for Excellence: http://coce.samhsa.gov Substance Abuse and Mental Health Services Administration: http://www.samhsa.gov/