Tommy is a 45-year old Caucasian male who ruptured a disc in his back while at work over five years ago. After failing to recover through physical rehabilitation, Tommy received a spinal fusion surgery which joined two of his vertebrae together. After Tommy’s injury, he received a prescription for acetaminophen/hydrocodone at 300 mg/5 mg. However. Tommy indicated that his pain levels continued to increase. His prescription increased to 300 mg/7.5 mg after 6 months. Post-surgery, Tommy still complains of escalating pain and his prescription increased to 300mg/10mg.
At one year post-surgery, Tommy continued to request increases in his prescription and his physician determined that Tommy had developed an opioid dependence. The physician refused to increase the prescription and referred Tommy to a substance abuse provider. Instead of seeking other ways to recover, Tommy began to look for ways to supplement his prescription. He discovered that he was able to purchase heroin and that the injections provided him with pain relief. Tommy began with 300 mcg dosages of heroin injected into his body but quickly increased the dosages and his dependence upon the drug.
Eventually, Tommy became homeless and was arrested for breaking and entering. He has been referred to you for a mandated substance abuse assessment from the courts. Tommy has been living in a shelter. He reported using heroin three times per day and that his last injection was 12 hours ago.
Relapse prevention plan- Questions
- What would be your initial diagnostic impression of this case?
- Risk factors and behaviors are present in this case?
- Individual and family interventions that might need to be considered?
- Type(s) of treatment settings and strategies that may be needed?
- What cultural, ethnic, or special population factors may play a role in treatment planning?
- Assuming Tommy has a substance-use disorder, what specific challenges should you address to maintain his recovery to avoid relapse?
- Are there any particular roles that healthcare providers, businesses, schools, and organizations could or should play in Tommy’s assessment, intervention, and treatment study?
- What specific client advocacy, current public policy discussions, or ethical or legal issues may be related to this case study?
Research the following for the addictive disorder represented in your case: Diagnostic criteria Symptomology. Physical and social effects. Treatment options. Recovery and relapse prevention strategies. Challenges faced with recovery and relapse prevention. Write a 1,100- to 1,750-word client conceptualization, as well as a recovery and relapse prevention plan.
Include the following: -Apply a specific theory related to substance abuse and addiction to the client in the case study. -Identify any biological and social factors that may have contributed to this addiction. -Describe the physical and social effects the client has reported and may experience as a result of their addiction. -Analyze treatment modalities and options for the client. -Create a client recovery and relapse prevention plan that includes specific recovery and relapse-prevention strategies to address different challenges they may face during the recovery and relapse-prevention process. Include a minimum of 5 peer-reviewed sources. Format your paper according to APA guidelines.