Background
The client is a Hispanic young woman Emilia Sanchez who suffers from crack cocaine addiction. She used to be a good daughter; however, high pressure from relatives and numerous duties resulted in drug use. She also became pregnant and gave birth to Joey. Her second pregnancy was terminated. It stipulated a severe deterioration of relations with her family as its members were not able to accept this choice and lifestyle.
At the moment, Emilia still suffers from drug addiction and isolation as the family disregards her. Additionally, she is not socialized and does not have skills needed to work and support her child. For this reason, any intervention should consider the following peculiarities: efficient drug rehabilitation; Emilias Hispanic culture which introduces specific behavioral patterns; her need for socialization; her desire to improve relations with family members.
Regarding these aspects, three interventions could be suggested. The first one is a long-term inpatient rehabilitation (12 months or longer) that offers cognitive behavioral therapy. It is focused on the critical alteration of the patients mentality along with the gradual increase of abstinent periods. The second one is a short-term inpatient rehabilitation (from 30 to 90 days) that offers a 12 step program with the focus on the gradual decrease of dependence and socialization. Finally, the third one is an intensive outpatient therapy with medication management and family therapy to introduce pharmacological treatment and improve family relations.
Critical Appraisal
Long-term inpatient rehabilitation is considered one of the most efficient and high-quality methods used to help patients suffering from addictions. It will help Emilia to sustain abstinence and reclaim her healthy life after the program is finished. In includes monitored detox and cognitive-behavioral therapy (CBT) to attain needed changes in the patients conscience (Miller, n.d.c). Regarding the case, the rehabilitation will consider particular Emilias needs as the program includes socialization and an after-treatment plan to help the patient to preserve abstinence and gradually improve her relations with family.
The primary objectives of the given method remain clear for the patient as she will be explained the main peculiarities of CBT which are to alter her addicted behavior. Therefore, the majority of drug rehabilitation centers have the needed facilities to suggest this treatment because of its high efficiency. Another crucial aspect of the approach is the patients desire to engage in the program. It means that Emilia will be able to acquire some self-management practices to monitor her state. Finally, the programs outcomes could be evaluated by comparing the patients state at its beginning and its end.
Short-term inpatient rehabilitation (30 to 90 days) that includes a 12 step program is another possible intervention. It offers an individual and group-therapy session along with the communication with other drug-addicted people who struggle against the problem (Miller, n.d.a). In such a way, Emilia will feel less isolated which is one of her primary needs. The 12-step program helps to preserve sobriety and alter behavioral patterns.
In general, it is a high-quality intervention the efficiency of which is proven by numerous investigations and positive outcomes (Miller, n.d.a). It is appropriate for Emilias current needs as it helps to stop using drugs and start making the right decisions. This treatment could be suggested by numerous agencies because of its increased popularity. Therefore, the cost of the given program is lower than that of the long-term one, which means Emilia might use it to avoid extra spending.
Finally, intensive outpatient therapy (5 days a week) with medication management and family therapy could be applied to the case. The program allows the patient to live and home and visit a rehabilitation center only for treatment (Miller, n.d.b). In such a way they could continue working or attending educational institutions. This approach demonstrates high-quality results; however, it is crucial for the patient to preserve sobriety on her own and realize the high importance of her desire to rehabilitate (Miller, n.d.b).
Therefore, the method includes the use of medications to help the patient to reduce addiction level and avoid anxiety. Regarding the case, it could be considered an appropriate approach as it leaves time for Emilia to care about her child. However, it might be challenging because of the high relapse risk due to the unstable home environment and the necessity to resist drugs without constant monitoring (Miller, n.d.b). At the same time, the reduced cost could be considered the factor that will stipulate this choice.
Conclusion
Altogether, the three above-mentioned interventions could be used to assist Emilia in her rehabilitation and recovery. All these are high-quality methods the efficiency of which is proven by positive outcomes. Regarding her specific needs for socialization, improved family relations, and cost, the following ranking could be suggested.
- Long-term inpatient rehabilitation – provides a sober environment that helps the patient to avoid using drugs and rehabilitate. Moreover, CBT alters addicted behaviors and helps a patient to recover and acquire skills needed for socialization.
- Short-term inpatient rehabilitation – also provides a sober environment. However, the terms are shorter, and there is no CBT which means that a potential impact might be weaker.
- Intensive outpatient therapy – there is a certain lack of constant care and easier access to substances.
References
Miller, L. (n.d.a) Choosing a 30-day addiction rehab program. Web.
Miller, L. (n.d.b). Choosing inpatient or outpatient addiction rehab. Web.
Miller, L. (n.d.c). Long-term rehab programs. Web.