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PSYC FPX 4300 Assessment 4 And Now the Finale (Goals and Action Plan)

Name

Capella University

PSYC FPX 4300 Introduction to Addiction Treatment

Prof. Name

Date

And Now the Finale (Goals and Action Plan)

Client Name: Rosie

Assessment Date: July 26, 2023

Substance Use History:

Rosie has a history of substance use, beginning eight years ago when he started taking oxycodone for pain management following back surgery. Currently, he smokes marijuana daily to manage his addiction to oxycodone.

Medical History: 

Eight years ago, Rosie underwent back surgery, which led to chronic pain and the subsequent use of oxycodone for pain relief.

Past Treatment History: 

Rosie’s doctor prescribed oxycodone post-surgery to manage his pain.

Family History: 

Rosie’s family has a history of mental health and substance use issues. His mother and sister have struggled with depression, while his brother is a regular marijuana user.

Legal History: 

Rosie previously worked in construction but has been unable to work due to the lethargy caused by his pain medication, leading to dependency on his wife.

Social Situation (Current Friends and Family): 

Rosie lives with his wife and son but has become estranged from his siblings and parents.

Financial Situation (Employment Status and Finances): 

Before his surgery, Rosie was financially stable. However, he now depends on his wife for financial support.

Other Considerations (Education, etc.): 

Rosie’s family, except for his son, lacks formal education.

Motivation (What Is Their Motivation to Change): 

Rosie recognized that his oxycodone addiction was detrimental to his roles as a husband and father, prompting him to quit oxycodone and use marijuana to manage his pain instead.

Diagnosis:

 Rosie’s condition is diagnosed as opioid abuse and dependence, uncomplicated, based on the DSM-5 Diagnostic Codes (ICD-10-CM).

Support for Diagnosis: 

Evidence from Rosie’s case suggests he needs behavioral treatment (psychosocial health treatment) to address his addiction. Both long-term and short-term treatments are recommended for his recovery (Samples et al., 2022).

Description of the Client Case: 

Rosie, a 56-year-old former construction worker, underwent back surgery ten years ago, resulting in persistent pain that prevented him from working. His doctor prescribed oxycodone for pain management, but due to addiction concerns, suggested substance abuse therapy. Rosie quit oxycodone but now uses marijuana daily to cope with pain. His family includes his wife and son, but he feels guilty for not being able to work due to his pain and addiction.

Client Diagnosis: 

Rosie’s opioid abuse and dependence diagnosis is supported by:

  • Frequent use of opioids in larger quantities or for extended periods than prescribed.
  • Unsuccessful attempts to reduce or control opioid use.
  • Significant time spent obtaining, using, or recovering from opioids.
  • Intense cravings for opioids.
  • Interference with important responsibilities due to opioid use.
  • Continuation of opioid use despite social or interpersonal problems.
  • Abandonment of social, professional, or recreational activities.
  • Health risks caused by opioid use.
  • Continued use despite awareness of physical or mental health issues.

Treatment Recommendation:

Detox Treatment:

 A monitored detox process is advised to manage withdrawal symptoms and ensure Rosie’s safety, possibly in an inpatient setting with medications to reduce cravings and discomfort during detox (Koehl et al., 2019).

Motivational Enhancement Therapy (MET): 

This therapy helps individuals change their thoughts and behaviors through four tailored treatment sessions focused on reviewing assessment data, setting future goals, and maintaining sobriety (Herscher et al., 2020).

Psychiatric Help: 

Non-addictive, non-pharmacological pain management methods provided by psychologists can help prevent and treat opiate misuse. Group discussion therapy is also recommended to encourage open communication and peer support (Brennan et al., 2022).

Music and Art Therapy: 

These therapies are suggested to reduce Rosie’s loneliness, depression, and marijuana use. They can provide mental relaxation and improve mental health (Carter et al., 2023).

Cognitive Behavioral Therapy (CBT): 

CBT can help Rosie change his perceptions and management of pain, reducing stress and improving coping mechanisms. CBT is effective for chronic pain management (Lee & Cho, 2021).

Importance of Therapies: 

Therapies play a crucial role in guiding patients towards healthier behaviors and improving overall well-being. Group discussion therapy, music therapy, art therapy, and CBT are essential in modifying behaviors, fostering awareness, and providing positive health outcomes (Amini et al., 2022).

Ethical Concerns: 

Treating drug addiction involves several ethical issues such as confidentiality, equal access to resources, respect for decision-making capacity, addressing disability, non-discriminatory practices, and fair resource distribution (Brezel et al., 2019).

Short- and Long-Term Goals:

Short-Term Goals:
  • Leading a healthy lifestyle.
  • Building improved relationships with supportive individuals.
  • Experimenting with new activities.
  • Seeking therapy for mental health.
Long-Term Goals:
  • Resisting temptation.
  • Developing healthy friendships and relationships.
  • Setting future goals with his wife for a substance-free life (Krause et al., 2019).
Action Plan: 

The recommended action plan includes:

  • Implementing stringent policies to control marijuana availability.
  • Forming monitoring committees.
  • Imposing penalties on suppliers and users.
  • Promoting counseling and rehabilitation centers.
  • Involving families and peers in the treatment process to reduce marijuana smoking in the community (O’Donnell et al., 2022).

Conclusion: 

Rosie’s case underscores the risks and complications associated with opioid use and the importance of effective treatment approaches. Addressing opioid abuse requires comprehensive treatment plans, ethical considerations, and the integration of various therapies to guide patients towards positive health outcomes and a drug-free life.

References

Amini, L., Silbert, S. K., Maude, S. L., Nastoupil, L. J., Ramos, C. A., Brentjens, R. J., Sauter, C. S., Shah, N. N., & Abou-el-Enein, M. (2022). Preparing for CAR T cell therapy: patient selection, bridging therapies and lymphodepletion. Nature Reviews Clinical Oncology, 19(5), 342–355. https://doi.org/10.1038/s41571-022-00607-3

Athy, A. E., Milojev, P., Gray, N. H., Osborne, D., Sibley, C. G., & Milfont, T. L. (2022). Clarifying longitudinal relations between individuals’ support for human rights and climate change beliefs. Journal of Environmental Psychology, 101875. https://doi.org/10.1016/j.jenvp.2022.101875

Brennan, L., Sheill, G., O’Neill, L., O’Connor, L., Smyth, E., & Guinan, E. (2022). Physical therapists in oncology settings: experiences in delivering cancer rehabilitation services, barriers to care, and service development needs. Physical Therapy. https://doi.org/10.1093/ptj/pzab287

Brezel, E. R., Powell, T., & Fox, A. D. (2019). An ethical analysis of medication treatment for opioid use disorder (MOUD) for persons who are incarcerated. Substance Abuse, 41(2), 1–5. https://doi.org/10.1080/08897077.2019.1695706

Carter, A. M., Dioso, E. R., Romero, B., Clinker, C. E., & Lucke-Wold, B. (2023). Complementary medicine and expressive arts therapy: adjuvant for recovery following neurosurgical procedures. OBM Integrative and Complementary Medicine, 8(1), 1–14. https://doi.org/10.21926/obm.icm.2301007

Darnall, B. D., Mackey, S. C., Lorig, K., Kao, M.-C., Mardian, A., Stieg, R., Porter, J., debruyne, K., Murphy, J., Perez, L., Okvat, H., Tian, L., Flood, P., mcgovern, M., Colloca, L., King, H., Van Dorsten, B., Pun, T., & Cheung, M. (2019). Comparative Effectiveness of cognitive behavioral therapy for chronic pain and chronic pain self-management within the context of voluntary patient-centered prescription opioid tapering: The empower study protocol. Pain Medicine. https://doi.org/10.1093/pm/pnz285

Harris, R. A., Kranzler, H. R., Chang, K.-M., Doubeni, C. A., & Gross, R. (2019). Long-term use of hydrocodone vs. oxycodone in primary care. Drug and Alcohol Dependence, 205, 107524. https://doi.org/10.1016/j.drugalcdep.2019.06.026

Herscher, M., Fine, M., Navalurkar, R., Hirt, L., & Wang, L. (2020). Diagnosis and management of opioid use disorder in hospitalized patients. Medical Clinics of North America, 104(4), 695–708. https://doi.org/10.1016/j.mcna.2020.03.003

Koehl, J. L., Zimmerman, D. E., & Bridgeman, P. J. (2019). Medications for management of opioid use disorder. American Journal of Health-System Pharmacy, 76(15), 1097–1103. https://

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Krause, J. S., Dismuke-Greer, C. E., Reed, K. S., & Li, C. (2019). Employment status, hours working, and gainful earnings after spinal cord injury: relationship with pain, prescription medications for pain, and nonprescription opioid use. Spinal Cord. https://doi.org/10.1038/s41393-019-0374-1

Lee, S.-H., & Cho, S. J. (2021). Cognitive behavioral therapy and mindfulness-based cognitive therapy for depressive disorders. Major Depressive Disorder, 295–310. https://doi.org/10.1007/978-981-33-6044-0_16

PSYC FPX 4300 Assessment 4 And Now the Finale (Goals and Action Plan)

O’Donnell, C., Demler, T. L., & Dzierba, C. (2022). Perceptions and barriers of adverse drug reaction reporting within inpatient state psychiatric facilities. Mental Health Clinician, 12(4), 247–253. https://doi.org/10.9740/mhc.2022.08.247

Poulsen, M. N., Asdell, P. B., Berrettini, W., McBryan, K., & Rahm, A. K. (2022). Application of the COM-B model to patient barriers and facilitators of retention in medication treatment for opioid use disorder in rural Northeastern United States: A qualitative study. SSM – Mental Health, 2, 100151. https://doi.org/10.1016/j.ssmmh.2022.100151

Samples, H., Williams, A. R., Crystal, S., & Olfson, M. (2022). Psychosocial and behavioral therapy in conjunction with medication for opioid use disorder: Patterns, predictors, and association with buprenorphine treatment outcomes. Journal of Substance Abuse Treatment, 108774. https://doi.org/10.1016/j.jsat.2022.108774

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PSYC FPX 4300 Assessment 4 And Now the Finale (Goals and Action Plan)

Zapata, J., Lesser, J., Recto, P., Moreno-Vasquez, A., & Idar, A. Z. (2022). Perceptions of community health workers during two concurrent national health crises: Opioid use disorder and COVID-19. Issues in Mental Health Nursing, 1–9. https://doi.org/10.1080/01612840.2021.2011508

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