JOSEPHS’ CASE STUDY
Joseph is a 32-year-old businessman who was involved in a
car 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 the
accident, 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 for
pain. Joseph continually uses his pain
medication in combination with alcohol. He has been taking the pain medication
more often than prescribed and went to the doctor to get another script.
Joseph grew up in the neighborhood where he and his wife now
live. They have two children, ages 6 and 4 years. Joseph has several childhood
friends who come to the bar, almost every day during the week, to have drinks
and socialize. Joseph and his friends are also part of a bowling league, an
event that allows for team building but they also drink heavily while they
bowl. His father is also a frequent visitor to the bar, and has been for the
past 40 years. Joseph’s father drinks 4 to 5 drinks when he is at the bar, but
he does not seem to have any significant problems related to drinking, except
for his hypertension. Joseph drinks 3 to 5 beers at the bar and has recently
started to take pain killers if they’re available, but he does not feel that he
has any drinking problems or drug problem because he does not drink at home
except for wine with his evening meal.
Joseph is a prideful father and vowed to never become his
father. Joseph’s wife has brought up his excessive drinking but every time she
tries to discuss it Joseph becomes frustrated and refuses to admit he has any
problems with drinking. She has noticed that Joseph gets easily agitated with
her and the kids. He also shook her by the shoulders in a fit of rage and she
had to call the cops, however, he was not arrested. Joseph agreed to see a counselor but only
went to one appointment and never returned.
1. 1. Identify the substance abuse issue(s) with this
case. Please explain if there is a co-occurring disorder associated with this
case. (Write out your answer, I.E.- the substance abuse issue is/ as evidenced
by___).
2.
2.Please
write out three protective factors and three risk factors and explain why you
think those factors serve as either protective or risk factors.
3. 3.What are some of the dangers associated with
Joseph combining alcohol and Percocet’s? Please explain the risks associated
with 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 why
the outcome is what it is).
4. 4.How would you apply harm reduction techniques to
Josephs’ case? Give a couple of suggestions and why you think it will benefit
him.
5. 5.Please identify the treatment options that you
would suggest for Joseph in order to address his issues. Please do this in
order 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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