JOSEPHS CASE STUDY
Joseph is a 32-year-old businessman who was involved in acar accident on his way home after having a couple of drinks at the local bar.He was referred for evaluation and treatment because at the time of theaccident, his blood alcohol test showed .09, which was above the legal limit.He injured his arm and was prescribed Percocet 5mg 1 tablet every 4-6 hours forpain. Joseph continually uses his painmedication in combination with alcohol. He has been taking the pain medicationmore often than prescribed and went to the doctor to get another script.
Joseph grew up in the neighborhood where he and his wife nowlive. They have two children, ages 6 and 4 years. Joseph has several childhoodfriends who come to the bar, almost every day during the week, to have drinksand socialize. Joseph and his friends are also part of a bowling league, anevent that allows for team building but they also drink heavily while theybowl. His father is also a frequent visitor to the bar, and has been for thepast 40 years. Joseph’s father drinks 4 to 5 drinks when he is at the bar, buthe does not seem to have any significant problems related to drinking, exceptfor his hypertension. Joseph drinks 3 to 5 beers at the bar and has recentlystarted to take pain killers if theyre available, but he does not feel that hehas any drinking problems or drug problem because he does not drink at homeexcept for wine with his evening meal.
Joseph is a prideful father and vowed to never become hisfather. Josephs wife has brought up his excessive drinking but every time shetries to discuss it Joseph becomes frustrated and refuses to admit he has anyproblems with drinking. She has noticed that Joseph gets easily agitated withher and the kids. He also shook her by the shoulders in a fit of rage and shehad to call the cops, however, he was not arrested. Joseph agreed to see a counselor but onlywent to one appointment and never returned.
1. 1. Identify the substance abuse issue(s) with thiscase. Please explain if there is a co-occurring disorder associated with thiscase. (Write out your answer, I.E.- the substance abuse issue is/ as evidencedby___).
2. 2.Pleasewrite out three protective factors and three risk factors and explain why youthink those factors serve as either protective or risk factors.
3. 3.What are some of the dangers associated withJoseph combining alcohol and Percocets? Please explain the risks associatedwith this combination and why this can occur? (i.e. the person can OD and why)(I will not accept just the outcome; I am looking for an explanation as to whythe outcome is what it is).
4. 4.How would you apply harm reduction techniques toJosephs case? Give a couple of suggestions and why you think it will benefithim.
5. 5.Please identify the treatment options that youwould suggest for Joseph in order to address his issues. Please do this inorder of level of care and write out your suggestions for treatment. Would you suggest a detox? Why and or why not?)
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