This is the class:
(2017FA1-CHS-253484-01) Interventions for Addiction Disorders
M3 Discussion B: Case Management
This discussion is based on the three case studies provided in this module in the document titled M3 Case Studies.
First, read all three (3) M3 Case Studies and select one using the M3 Case Study Selection choice activity.
Important Note about selecting your case study: All cases need to be addressed reasonably equally, so in a class of 18 to 20 students, at
least 5-6 main posts should address Case Study 1 (Janice), at least 5-6 main posts will need to address Case Study 2 (John), and same for
Case Study 3 (Jeff). Survey the responses already posted before selecting your case. This is a first-come, first-serve discussion. If you
select a case that has already been posted on, I will ask that you resubmit your discussion on another.
Once you have selected a case, write the title in the Subject Line of your discussion post to indicate which case you have chosen, i.e.
Case Study 1: Janice, Case Study 2: John, or Case Study 3: Jeff.
In your primary post, address each of the following:
What are the primary needs of this client?
What other services might you coordinate for this client?
What further questions would you have to ensure that her needs are being met?
What specific services would you refer this client to and monitor for follow through?
And I need to know who you will choose ASAP. In the papar has to be addressed all, but you have to choose one for the main.
M3 Discussion B: Case Management
This discussion is based on the three case studies provided in this module in the document titled M3 Case Studies.
First, read all three (3) M3 Case Studies and select one using the M3 Case Study Selection choice activity.
Important Note about selecting your case study: All cases need to be addressed reasonably equally, so in a class of 18 to 20 students, at
least 5-6 main posts should address Case Study 1 (Janice), at least 5-6 main posts will need to address Case Study 2 (John), and same for
Case Study 3 (Jeff). Survey the responses already posted before selecting your case. This is a first-come, first-serve discussion. If you
select a case that has already been posted on, I will ask that you resubmit your discussion on another.
Once you have selected a case, write the title in the Subject Line of your discussion post to indicate which case you have chosen, i.e.
Case Study 1: Janice, Case Study 2: John, or Case Study 3: Jeff.
In your primary post, address each of the following:
What are the primary needs of this client?
What other services might you coordinate for this client?
What further questions would you have to ensure that her needs are being met?
What specific services would you refer this client to and monitor for follow through?
M3 Case Studies
The following three case studies are for M3 Discussion B: Case Management. Please review each, and select one to use for the discussion.
Indicate your selection in the M3 Case Study Selection choice activity.
Case Study 1: Janice
Janice is a 54-year old woman who has been referred to outpatient services after relapsing. She had previously been abstinent from crack
cocaine and alcohol for 20 years; however, after the death of her mother and partner, she began to drink again. Initially, she was able to
manage her alcohol use but it quickly escalated from “a drink or two” after work to a bottle of vodka every two days and a drink in the
morning to “calm her nerves” before work. She has not returned to the use of crack but is still drinking daily and there is alcohol on her
breath during this initial visit.
She is no longer able to visit her grandson because of her alcohol use and is in danger of losing her home because of missed mortgage
payments. She states that she is incredibly depressed and grief stricken over the loss of her mother and partner and was mandated to OP by
her employer. Further, she recently suffered a broken wrist during aa alcohol related blackout (period of amnesia), which she never sought
medical treatment for and awoke one morning to see that her car had been damaged but has no memory of getting in an accident. She now
smokes about a half of a pack of cigarettes a day, which she started using again after 10 years of tobacco abstinence.
Case Study 2: John
John, a 42-year-old was recently referred to an outpatient clinic after becoming dependent on pain medications prescribed after a hip
replacement, which was performed 18 months ago. His pain was managed by his orthopedist, originally with oxycodone and more recently with
ibuprofen, however, he insists that the ibuprofen is not sufficient to manage his pain and has begun to “doctor shop”. Recent extensive
reevaluation of his hip pain was negative.
He requested that his orthopedist prescribe something stronger like “oxys” for his pain, as the ibuprofen was ineffective. He was told to
discuss his pain management with his primary care physician. He’s been on disability since his hip surgery and lives with his wife and two
children. He denies current or past alcohol, tobacco, or drug use. While he does not admit it, his mood appears low, his facial expression
seems flat, and he has a history of mild to moderate anxiety.
Currently, he’s on ibuprofen 800 mg three times per day. He walks with a limp and uses a cane. His vitals are normal. He’s 6 feet tall and
weighs 230 pounds. He has a large, well-healed scar over the left lateral thigh and hip area with no tenderness or warmth over the hip. He
has full range of motion. He doesn’t want to return to his orthopedist, because “he doesn’t believe that I’m still in pain.
Case Study 3: Jeff
Jeff is a 30-year-old man who is being admitted to inpatient services due to his addiction to crack cocaine, methamphetamine and alcohol.
He was sent to you from the hospital, where he spent several weeks recovering from a brain injury; he had gone out to buy crack when he was
assaulted and left badly injured in an alley. He has strong family support; however, he has also been diagnosed with HIV and Hepatitis C,
which he thinks he contracted by “hooking up” with men at crystal meth parties. He is healing well from the surgery but has trouble keeping
his balance when standing and is unable to recall many of the events from the night of the attack. He has not been compliant with his HIV
medications and denies that his drug use is a problem. During his hospital stay, he had a friend sneak powdered methamphetamine and alcohol
into his room on several occasions.
Although Jeff had been drinking heavily for several years, his crack cocaine and methamphetamine use began five years ago after the suicide
of “the love of his life”. He woke up one morning to find that his girlfriend had hung herself in the guest bedroom and is convinced that
she gave him a Xanax the night prior to “knock him out” so he could not interfere with her plans. He has talked to his parents about the
incident but refuses to attend therapy.
Than you have to choose which will be the main and let me know befor the paper will be done, so I can selected ASAP. Thank you.
M3 Case Study Selection
Please read the Case Studies, and select one to focus on in M3 Discussion B: Case Management. All cases need to be addressed reasonably
equally, so in a class of 18 to 20 students, at least 5-6 main posts should address Case Study 1 (Janice), at least 5-6 main posts will
need to address Case Study 2 (John), and same for Case Study 3 (Jeff). Survey the responses already posted before selecting your case. This
is a first-come, first-serve discussion. If you select a case that has already been posted on, I will ask that you resubmit your discussion
on another.
Case Study 1 (Janice)
Case Study 2 (John)
Case Study 3 (Jeff)
