Scenario/Cases

Overview

Properly assess and determine the treatment for your clients with substance use disorders and addiction, this relies on use of a holistic, multidimensional approach. The American Society of Addiction Medicine (ASAM) which uses six dimensions of criteria for determining treatment and care for individuals with addiction. In this assignment, you will fill in the ASAM six dimensions using the case study scenario. 

the  ASAM website: https://www.asam.org/asam-criteria/about-the-asam-criteria

Specifically, address the following  critical elements:

· Severity: Indicate the level of severity for each dimension on the chart.

· Reasons: Note reasons for the rating you have given for each dimension.

· Reflection: Reflect on how this assessment tool might help inform your treatment plan for your case study client.

ASAM Form

Notes/Reasons:

Dimension One: Acute intoxication and/or withdrawal potential

Dimension Two: Biomedical conditions and complications

Dimension Three: Emotional, behavioral, and cognitive conditions and complications

Dimension Four: Readiness to change

Dimension Five: Relapse, continued use, or continued problem potential

Dimension Six: Recovery/living environment

Reflection:

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Case Study Client – Brenda

Brenda was born in New Jersey. She is the middle child in a family of four, born to an African American father and Hispanic mother. Her father owned his own limousine business while her mother stayed at home with the children. The children were supported and encouraged to explore their talents. For Brenda, this was dancing. At a young age, she enrolled in ballet and quickly found success. In middle school, she became involved with a hip-hop dance group. She immediately became lead, and her group became nationally awarded. In high school, she continued with the hip-hop dance group and joined the cheerleading squad. During this time in her life, she received many awards and was scouted by internationally acclaimed institutions including Juilliard, which had always been her dream school. She was accepted early in her senior year and committed herself to working even harder to make a great impression when she began school. Unfortunately, toward the end of senior year, Brenda injured herself during a dance competition, dislocating her knee. The experience was extremely painful and came with a projected recovery time lasting into her first several months of college. Her doctor prescribed Vicodin to help with the pain. She was initially provided with 60 pills to take no more than twice daily over the first month. At first, she only took one per day. However, after one particularly bad day, she took three in a night. Brenda loved the way she felt. It also helped her begin to dance some again. Because she could not renew her prescription within a month, she decided to take two pills every night, which gave her a bit of a buzz and continued to help her knee feel better than it did when she took just one. After the first month, she convinced her doctor to refill her prescription. Again, she was given 60 pills to last the month. After a week of continuing to take two pills per night, she then progressed to taking three. A week later, she took four. Having done this on a daily basis, she ran out of medication early. She requested an appointment with her doctor. They met early. After Brenda explained that she finished the pills early, her physician became worried and refused to refill the prescription. Frustrated and worried about her future with dancing, Brenda sought another doctor who would prescribe her painkillers. This time, she found one who prescribed 30 OxyContin pills for the month. Again, she ran out early, and the physician refused to renew her prescription. After trying to shop for more doctors, she could not find anyone who would prescribe her anything as strong as OxyContin. She did, however, find two different doctors who each prescribed her a three-month supply of hydrocodone. This time, the six-month total supply of pills ran out in a month. Brenda was at the point of taking 10 to 15 pills per day. She was sleeping in late, missing class, withdrawing from family, barely eating, and feeling apathetic toward her life’s dream of graduating from Juilliard. Growing increasingly concerned, Brenda’s mother recommended that Brenda see someone.