Case Study Analysis
The case study involves James, a 28-year-old Native American whose record includes substance abuse assessments from the courts. He was arrested for the manufacturing and sale of methamphetamine and has awaited a jail sentence. James works as a laborer at the Native American-owned casino but resides outside, away from the reservation. He displays characteristics such as a lack of cooperation and suspicion. James says he rinks but does not use meth, and reports were a “set up by some rednecks who hate Indians.” His court records indicate two arrests for drinking and driving and three investigations but no domestic violence convictions. James lives with a woman and her two young children. He also has three kids of his own, ages 5, 8, and 10, from two women he rarely sees, although he claims to care for them. This paper focuses on the case study analysis concerning James’ substance use and the encompassing assessment, intervention, and treatment based on the personality theories.
The Initial Diagnostic Impression in the Case
The initial diagnostic impression in the case entails an alcohol disorder assessment. The progression will encompass AUDIT screening to gauge the patient’s alcohol use level and the specific harmful consequences. The screening process involves a brief intervention that helps identify the real cause of addiction and the preventive measures (Jordans et al., 2019). James’s case is the best in the brief intervention due to its effectiveness, cost-friendly, and easy administration. In practice, the first step would be working with James on the assessment plan to learn about his drinking progression and the dependence level. This practice will guide the health care practitioner on the preventive measures stipulation, including the explanations of excessive drinking impacts and the need for reduction. The eventual progression will lead to a complex treatment level.
Risk Factors and Behaviors Present in the Case Study
James’s case involves several risk behaviors that can result in life-threatening consequences. Involvement in the manufacturing of selling meth is an illegal act that entails a serious criminal offense. The pending court case could result in sentencing affecting his everyday life and the young family’s living conditions while in prison. Another risk behavior involves the drinking and driving aspects (Dodge et al., 2017). The actions endanger his health and other people’s lives in cases of accidents due to the acts. Moreover, James’ drinking progression results in the creation of unstable family life. The implication of having children from different women indicates the irresponsibility of sexual behavior. This situation can affect the children’s psychological development which is a key to normal progression and socialization.
Individual and Family Interventions Considered in the Case Study
There are various intervention progressions depending on the issues at hand. The classical intervention where the initial stage involves planning without the addicted person will be employed. In this case, the family members, including the woman staying with James and the other two women, participate in the initial stage of counseling and education. The session is essential as it enables the family members to discuss and suggest better measures to aid in the preventive progression before the official intervention (Jordans et al., 2019). During the preparation period, the participants will be guided on how to handle the situation depending on the outcomes based on the victims’ character.
James displays suspicions and uncooperative behaviors that could likely affect the intervention activities. After all the planning, James will be invited to the session a few days before the sitting. The session would involve confronting the situation and highlighting the consequences emanating from alcohol dependency to the victim and the children, such as being raised by both parents. The intervention program seeks to help the family and James in overcoming addiction and its encompassing effects.
Type of Treatment Settings and Strategies in the Case Study
The case calls for medication and behavioral therapies to ensure control. The behavioral treatment would involve James and the family in advocating for a drinking behavior change. The therapy’s recovery strategies would help James build resistance skills to alcohol use while focusing on rewarding constructive activities at work (Jordans et al., 2019). The medication for alcohol involves three drugs, including naltrexone, acamprosate, and disulfiram. Naltrexone works by blocking alcohol cravings and is effective in reducing relapse among heavy drinkers (Hallgren et al., 2017). On the other hand, acamprosate effectively reduces alcohol dependence symptoms such as anxiety, insomnia, and general sadness. Lastly, disulfiram interferes with alcohol breakdown resulting in unpleasant effects (Hallgren et al., 2017). Drug compliance will help James in the journey of quitting alcohol.
The Special Population Factors May Play a Role in James’ Treatment Planning
Being a Native American, James depicts cultural and ethnic factors playing a significant role in alcohol dependence. The historical depiction of Native Americans involves substance use at an early age, and those in manufacturing positions tend to abuse drugs. The Native Americans’ cultural portrayal indicates that alcohol-dependent individuals in the particular population are more likely to encompass other developmental diseases (Aschenbrener & Johnson, 2017). This situation requires ore assessment of James’ case to determine the probable instances of life-threatening illnesses. Some of the conditions associated with substance abuse include vision problems, tuberculosis, liver and head injuries.
Furthermore, the historical-cultural stipulation of the Native Americans in use of alcoholic drinks for rituals other than enjoyment. The situation always resulted in esteem issues concerning entertainment or ritual progression in drug use, with the population’s high dependence levels on alcohol (Aschenbrener & Johnson, 2017). Focusing on the cultural and ethnic factors, James will be asked about cultural stipulations concerning alcoholism to draw a better treatment plan that aligns with the ethnic values. The focus will be on appropriate preventive strategies that emphasize cultural beliefs. This progression will ensure the promotion of spiritual harmony and societal cohesion as James takes the treatment plan. Through proper communication and compliance, accounting for the patient’s cultural factors enhances the healing process.
Substance-Use Disorder, and Challenges to Address to Maintain Recovery without Relapse
Assuming James has a substance-use disorder, there are several challenges to address in maintaining recovery while avoiding relapse. The problems include anxiety, cravings, relationship establishment, stress, trauma and shame, and boredom. These challenges are significant threats, and without addressing them properly, they can result in relapse (Hallgren et al., 2017). Regarding cravings, stress, and anxiety, James needs to establish coping skills to manage the threats. The skill entails adopting a new lifestyle that accommodates a non-drinking environment. To avoid relapse, James should work with the therapist to identify harmful behaviors and learn about the modification requirements to ensure a healthy progression. Many individuals use drugs to avoid trauma and shame, and this progression affects the recovery process requiring one to face challenges without seeking drugs. The therapist must allow many opportunities for the patient to display bravery under guidance until he records growth in the recovery plan.
The recovery plan affects the patient’s relationship establishment as he adapts to life without alcohol dependence. The challenging factor in the issue involves creating new friends while avoiding the old ones who are probably still drinking. Without experiencing happiness and enjoyment among the new friends, the victim is likely to relapse (Hallgren et al., 2017). The healthcare practitioner has the duty of ensuring that the client is comfortable by embracing change. Lastly, the boredom aspect emanates from the structured framework concerning activities and medication without the drinking habit in passing the time. The challenge of countering relations establishment involves the client’s guidance on productive moments in spending free time, including volunteer work, meditating, sports playing and reading.
Healthcare Providers, Businesses, Schools, and Organization’s Roles’ in the Case Study
Healthcare practitioners play essential roles pertaining to the assessment, intervention, and treatment of alcohol dependence such as in the case of James. These roles include substance use screening, providing prevention intervention to alcoholism and related health issues, early diagnosis to prevent problem escalation, and treatment engagement (Hallgren et al., 2017). They also coordinate healthcare services across various disciplines, such as the criminal justice system. Additionally, the healthcare practitioners ensure James’s link to the recovery support service and a follow-up program to monitor progress. The businesses such as beverage companies contribute to the case intervention and treatment through policy stipulation by providing regulatory frameworks on a legislative basis concerning alcohol marketing by content and volume regulation. Additionally, they ensure market surveillance concerning alcohol products and establish deterrence systems that enhance alcohol marketing restrictions.
The schools play an important role in alcohol prevention and recovery by providing referrals for treatment for substance-use students. They ensure recovery by allowing connections with the treatment facilities and giving various therapies to substance abuse adolescents (Komro et al., 2017). Lastly, the organizations such as World Health significantly contribute to alcohol-dependent individuals’ assessment, intervention, and treatment. They respond to the situation by strengthening the existing or establishing national and subnational policies that reduce harmful alcohol use. They also appoint institutions that harmonize issues and coordinate with the health sector concerning alcohol strategies. The organizations ensure sufficient awareness and education to the public regarding substance-use consequences and preventive measures. The negative impacts include harming others, especially the vulnerable groups. They also create awareness of the effects of discrimination and stigmatization of the affected groups while advocating for alcohol dependence treatment and preventive measures.
The Current Legal Issues Related to This Case Study
This case study encompasses several legal issues, such as drinking and driving. It is a severe problem in the US, entailing legal impact and life-threatening progression that endangers the victim and other individuals. Substance abuse is harmful as it results in destructive and irresponsible behaviors (Dodge et al., 2017). James records two arrests that emanate from intoxication consequences. Other legal issues involve illegal drug sale that calls for sentencing in a court of law. James’ manufacturing and selling of meth attract negative legal impacts resulting in their awaiting sentencing.
In conclusion, James’s case study on alcohol dependence requires a brief intervention at the first stage of treatment. The case encompasses risky behaviors such as driving under intoxication and sexual irresponsibility. This situation requires individual and family intervention to ensure the patient’s recovery. Additionally, several treatments, including therapy and medication, contribute to the gradual good health realization. The special population factors such as ethnicity affect James in the treatment based on the fact that he is an Indian. Historical information depicts Native Americans with a high level of alcohol dependence. There are various institutions that help in the substance recovery process, including healthcare providers, businesses schools, and organizations. This treatment process involves such challenging factors as relationship establishment, anxiety, boredom, shame, and trauma that need to be addressed to avoid relapse. Basing the current law, driving under intoxication and selling meth attracts legal issues.
References
Aschenbrener, C., & Johnson, S. (2017). Educationally-based, culturally-sensitive, theory-driven mentorship intervention with at-risk Native American youth in South Dakota: A narrative review.Journal of Child and Family Studies, 26(1), 14–27.
Dodge, T., Clarke, P., & Dwan, R. (2017). The relationship between physical activity and alcohol use among adults in the United States: A systematic review of the literature.American Journal of Health Promotion, 31(2), 97–108.
Hallgren, M., Vancampfort, D., Giesen, E. S., Lundin, A., & Stubbs, B. (2017). Exercise as a treatment for alcohol use disorders: Systematic review and meta-analysis. British Journal of Sports Medicine, 51(14), 1058–1064.
Jordans, M. J., Luitel, N. P., Garman, E., Kohrt, B. A., Rathod, S. D., Shrestha, P., Komproe, I. H., Crick, L., & Patel, V. (2019). Effectiveness of psychological treatments for depression and alcohol use disorder delivered by community-based counselors: Two pragmatic randomized controlled trials within primary healthcare in Nepal.The British Journal of Psychiatry, 215(2), 485–493.
Komro, K. A., Livingston, M. D., Wagenaar, A. C., Kominsky, T. K., Pettigrew, D. W., Garrett, B. A., & Cherokee Nation Prevention Trial Team. (2017). Multilevel prevention trial of alcohol use among American Indian and White high school students in the Cherokee Nation.American Journal of Public Health, 107(3), 453–459.