CASE

PRESENTATION
BY: JILLIAN M. ELLIOT

CONCEPTUAL FRAMEWORK
I will be using the ecosystems framework and I will be using the
agencies Clinical/Diagnostic Assessment form to obtain needed
information
Client has one child who has been removed from her custody because
the child's biological father does not believe she is fit to be his guardian
Client states that she was not abusing substances when the custody
change took place
It has bee over 2 years now and the client states she has been abusing
substances because she has trouble dealing with not having her son
Her sons biological father will not let her see him and returns to her any
gifts she buys for him for birthdays and Christmas; he is almost 3 now
Client does not have any positive family support and all of her friends
abuse substances as well
Client has a learning disability and receive monthly disability checks
Client has a payee over her income and lives in public housing

BIASES
I believed that a client does not really want their child or children
back if they continue to have issues with substance abuse
I believed that if a child is in with a biological parent or simply in
a safe home the other unfit parent should not bother with
interfering

VALUE DIFFERENCES
Client has a family history of substance abuse so
thinks it not a serious issue
Client does not value making plans was taught if you
make plans then you set yourself up for failure
Client does not respect her body (Prostitution)
Client does not value education

LIFE EVENTS
Clients mother has six children in total and has been in prison for some
time during clients teen/young adult year
Client has knowledge of her mother using her body to get things she
wants and needs and has learned such behavior
Client has a learning disability and never finished school
Client has multiple family members who have used and abused drugs for
as long as she can remember
Clients child was taken from her when he was less than one years old
Client has been receiving disability since she was a child which enables
her to want to work

STAFF RECOMMENDATIONS
Staff has diagnosed client with cocaine use disorder (CUD)
Staff has recommended client engage in Substance Abuse
Comprehensive Outpatient Treatment (SACOT) until she is able to
stop using
If SACOT is not effective after 6 months to 9 months client will be
moved to Substance Abuse Intensive Outpatient Treatment (SAIOT)
if that is not effective inpatient treatment will be recommended
Staff has recommended client receive one on one therapy twice per
week

DIAGNOSIS/PROBLEM/TREATMENT
Cocaine use often increase over time due to the users tolerance to the drug and
the short term effects of the drug
The high from cocaine often last 10-20 minutes often resulting in many users to
binge, binge use is using the drug repeatedly in a short period of time
Cocaine abuse can result in nose bleeds, loss of sense of smell, strokes, heart
attacks, risky sexual behavior, malnourishment etc.
Cocaine users often experience paranoia when high
Cocaine use causes changes in the brain which results I the body craving the
drug
Cocaine user often have strong urges to use; sometimes even years after they
have quit
In patient treatment is often needed for long time abusers
It is important for individuals with such an addiction to change their
environment and their surroundings in order to change themselves
Staff has began the process of helping client receive visitation to see her child
but client has not be doing her part

REFERENCES
https://www.drugabuse.gov/publications/drugfacts/co
caine