D-Met With The Womens Group Summary

Xavier then reported, the applicant recovery is up and down and the reason the patient was transferred and admitted to the Norwich location was due to an altercation as the Hartford Dispensary has zero tolerance for physical violence. Since May of of this year, the applicant's UDS results are negative. Last positive result was in April for cocaine, according to the counselor. Please note, during the applicant intake, he was asked about other illicit drugs and only confirmed for use of heroin and THC, not the cocaine. The applicant's current dose at the Hartford Dispensary is 105mgs as he is being detoxed daily. His highest dose was at 145 mgs before his detoxification. The physical altercation was the applicant's first behavioral incident at the clinic. He was also on a 90 Probation for his illicit use and it would have expired in August, but due to the recent incident, he was removed from the clinic, not discharged, but transferred as mentioned before. Counselor Xavier only concern of the applicant is maintaining his

2. The patient was provided with weekly sessions, random UDS testing, group sessions if needed, and any other case management the patient needed. The patient came to the clinic in need of treatment for his opioid dependence and was compliant with his treatment.

ICM met with Mr. Hurley at New Start one located at 3653 N. 15th street t to assess Mr. Hurley’s needs and to complete paperwork for his activation. Mr. Hurley is a 41 year old Caucasian male who self- reports using Heroin since the age of 25. Mr. Hurley denied a history of other substance use; however, his referral noted a history of Cocaine and Marijuana use. Mr. Hurley is currently residing at New Start 1 and has been there for approximately two weeks. He stepped down from a level 3B care at Miracles in Progress. Mr. Hurley shared with ICM that his longest period of abstinence was for 8 years, but he could not recall details of his sobriety. During, this encounter Mr. Hurley was very talkative and engaged well with ICM. Mr. Hurley stated that he was hospitalized in the past on multiple occasions

will schedule an appointment to discuss and create a budget plan. Patient is currently free from all illicit drugs, which has helped her Adderall medication to be more beneficial. Primary Counselor will encourage Pt. to follow through with all mental health appointments. Counselor will prompt Pt. to develop a positive self-image. Pt. has denied having any auditory or visual hallucinations during the last quarter as evidenced by group and individual session notes. Pt. has had some setback in achieving her goals of decreasing her family conflicts and resolving intimate relationship issues. Counselor will encourage Pt. to attend the AMS parenting group and share her expectations regarding having a more functional family unit. During the next quarter therapy sessions, Counselor will utilize role-playing, role reversal, modeling, and behavioral rehearsal to assist Pt. in order to develop positive ways to resolve conflict with ex-husband. Pt.’s current treatment plan goals focus on opiate use disorder, financial, mental health services and parent-child relational problems. During the upcoming quarter, current goals will continue to be

D-According to the patient, he went to Blue Hills because first, he needed a place to stay during the cold weather as to why he bgan to drink. The patient then says he was also going through some depression dealing with the lost of his mother. When asked about much alcohol he consumed before his admission to Blue Hills, his response was, " I had 2 nips to drink." Since the patient had left the program, he admits to relapsing and using heroin by smoking, " It was a lace by a cigarette." The patient is aware about the need to go to Wheeler Clinic to address the need to seek mental health services, at which he plan to do so today. Furthermore, this writer addressed the criteria needed for the patient to be reinstated into the program. This writer

D-The patient arrived on time for her appointment. Reported stable on her new current dose. Deny craving and withdrawals. According to the patient, her weekend was good and again, happy to have her take home bottles. Then the patient reported, she continues to keep all appointments with her mental health provider and its going very well. This writer then discussed with the patient about the next step to her recovery. The patient reported, she wants to continue with her methadone until she's ready to start tapering off on the methadone. The patient has some fears to tapering off on her methadone because she does not want to experience any craving and have a relapse.

D-The patient reports nothing has changed since his last encounter with this writer. The patient reports he is stable on his current dose, completed his Methadone Stabilization today, and looking forward to his take home bottle, at which is pending for determination by the clinic's TEAM. During the course of the session, this writer discussed topics that was addressed in group and what he have learned.

D-The patient arrived on time for her appointment. Reports stable on her dose and denies the need for a dose increase when offered by this writer. This writer commends the patient complying with daily dosing; however, this writer addressed the patient UDS result patterns of positive and negative. The patient last two urines were positive for cocaine. According to the patient, a lot has been going on in her life. The patient's father has had a heart attack this past month. Also, the patient has an estranged relationship with her mother and her 17 year old daughter. During the course of the session, the patient discussed her drug history and her dysfunctional family. Alternatives and suggestions were discussed as well.

Objectives/Progress: Pt. developed and shared personal plans to avoid triggers, to break the cycle of procrastination and stay on his successful path of recovery. Pt. has made excellent progress on maintaining his commitment to abstinence as indicated by his clean UDS results since his admission and always attending scheduled AMS therapy groups. Pt. indicated that he is responding as expected to his prescribed 8 mg of subutex medication.

During the last seven months whilst working at a men’s shelter (Cornerstone Community Association, in the heart of Oshawa, which some may say is the drug capital of the Durham Region) many of the shelter guests (men who stay in the shelter) have disclosed being on the methadone maintenance program, stating as a result of being addicted to opioid drugs. I have chosen to write about this psychoactive drug because I want to explore, become more knowledgeable and more confident when talking about this complex drug.

D-The patient reports he is not stable at his current dose to the point he want to taper off. He expressed the need to want to get off on methadone. This writer listened to the patient vent about issues in his personal life and problematic issues with his transportation to ensure he dose daily. This writer then proceeded to discuss with the patient as to why he had entered treatment, his aspiration for his recovery process, and addressing alternatives to his barriers. The patient then reports he hasn't used any illicit drugs for three days, at which this writer commended the patient. When asked about what strategies to used to refrain from illicit drugs, he reports keeping himself busy and continue to care for his parents. The patient was

A psychiatrist in a methadone clinic in Northeast Washington, D.C. works with patients who are addicted to drugs. Some of her patients suffering from addiction

As we entered the dim living room we immediately noticed my uncle. He sat there on the ugly floral sofa looking lifeless. Today was his twenty-fourth birthday and we had come over to celebrate. My mother and I brought over cupcakes and streamers. Today was supposed to be a celebration of his life but he was so much closer to death. My mom could tell how alone and scared he was without him even speaking. I looked up at her and could see all the anger in her eyes. She wasn’t mad at her only brother, instead she was mad at heroin. That’s what brought him to this state after all. My uncle is not the only person that’s been brought to this state. Its an epidemic and the only way to win the battle against drugs and addiction is to support the government in finding a solution.

PO was on time, completed the handout, and actively participated in the group discussion. Group discussion included how anger and other emotions were expressed in the family while growing up, what role you took in the family, and the connection between past learned and current addictive behavior. PO had positive interaction and shared appropriately in group, stated that his family expressed sadness and frustration “in many different ways. It depends how stressful the situation is”. PO indicated that he is living with his parents and they are supportive of his recovery. PO appears to be in the preparation stage of change AEB his participation and engagement in the group process.

During the interview she explained to me her culture and what the Hijab meant to her. She also explained some of the challenges she still faces in our society. She says that when people see her and how she dresses, they tend to put a wall up and stay away from her. One of the hardest challenges she faces in our society is making friends. She explained to me that she is a normal person with a different culture than the rest of her peers. Just because she 's different doesn 't mean she 's dangerous. She likes to go shopping, watch movies, and go to school events just like everyone else. I asked her if she’s ever had a crush on a male peer. She reminded me that she is human, meaning just like many other women around the world she may find a man other than her husband attractive.