Case Vignette One:
Tony is a 20-year-old male who is brought by his wife to the emergency room for evaluation. According to the wife, Tony had been very agitated for the past
few hours. She suspects he is using drugs and reports that he has spent all of their savings. She also states that his behavior has changed over the last four
months; he is frequently absent from home and has been taking money from her wallet. Tony’s vital signs show mild blood pressure elevation (150/95) and a
slight fever (100.3F). On examination, Tony is quite anxious, has a gross tremor, is pacing the floor and sweating, and complains of severe muscle pain. His
pupils are enlarged (mydriasis), and he has rhinorrhea (runny nose). HE is anxious to leave and keeps saying, “I’ll be O.K. Just let me out of here.” He denies
regular substance use, but states that he has tried marijuana, cocaine, and heroine. The physical exam reveals recent needle marks on both arms. Toxic
screen is positive for opiates.
Case Vignette Two:
Shilo is a 23-year-old single white male and a recent college graduate. He states that he almost did not graduate from college due to low grades and that he
has been unable to find a job. He currently lives with his parents. He was referred for an assessment by his probation officer after being repeatedly arrested
for public drunkenness and being combative with police on his last arrest. He states that he is usually very friendly, but that he didn’t feel fairly treated by the
officer. Upon further questioning you find that he really has very little memory of the entire evening. His self-proclaimed substance use history includes use of
amphetamines which he took to study for exams and occasional use of cocaine and hallucinogens on the weekend for recreation. Information provided by
his parents indicates that he has not looked for a job for six months and that he spends his time in his room or with a few friends “down the street.” They
have bailed him out of jail several times, but now realize that he may have some type of problem. Toxicology report indicates the presence of cocaine,
marijuana, and PCP.
Refer to the following (attached as a file to this order):
a. Exhibit 4.1, “Treatment Plan Form”
b. Exhibit 4.2, “Treatment Plan for an Alcohol User”
2. Choose one of the case vignettes provided above.
3. In a two-page paper, create an assessment and treatment plan for your hypothetical client. Please follow the format below:
a. History – A brief history of the client including the history of his/her substance use.
b. Mental Status – Appearance, behavior, attitude.
c. Official Diagnosis and Severity Rating – Which disorder or disorders would you diagnose your client with and how would you rate their severity from 1–10?
d. List client’s psychosocial stressors and strengths.
e. Suggest at least two long term and two short term goals for your client.
f. Suggest two biblical strategies you could incorporate into your client’s treatment plan
4. Your paper should:
a. Be at least 500 words.
b. Follow APA formatting.
c. Use 12-point font.
d. Have correct use of citations and references is required.