The Case Vignettes

[Date of Submission]

Introduction3

Discussion3

Case Vignette I3

The Presenting Problem of the Case3

The Bio-Psycho-Social Factors of Patient4

The Family History of Patient4

The Other Related Information about the Patient5

Case Vignette II5

The Presenting Problem, Bio-Psycho-Social Factors, Family History, and Other Demographic Information Relevant To the Case5

The Motivational Interviewing, Techniques, and Outcomes7

The Motivational Interviewing for Addiction Treatment8

The ASAM Criteria10

The Importance of Recovery Model11

Conclusion12

The Case Vignettes

Introduction

In this paper, two Vignette cases are being discussed. The demographic information, family history of the patient, bio-psycho-social factors and the presenting problem of the case study are highlighted. Along with that, the motivational interviewing with its outcomes and techniques are mentioned briefly. Furthermore, based on the analysis of the cases, a level of treatment, the self-help group, relapse prevention strategies and after care plans are recommended. The diversity and strengths factors in the case formulations, the importance of the recovery model, and the factors related to addressing the needs of special populations and women are also addressed. In the end, based on the case analysis, a treatment center along with its services is recommended for the patient.

Discussion

Case Vignette I

The Presenting Problem of the Case

In this case, the patient recently relapsed after being abstinent for three years, but for two years, any twelve step meetings were not made by the reports. The patient is a forty year old African-American male, who is self-employed and spends the majority of his time alone. He also states that his primary care physician is concerned with his issues related to respiratory and weight gain. The patient is regular alcohol drinker, at the age of twelve; he started use of alcohol consumption and drank continually up until the time he got sober.

He states that he drinks beer occasionally but a pint of vodka daily. He experimented with various other drugs too and also used to smoked crack occasionally. The patient reports couch surfing for most of his adult life. The patient is a chain cigarette smoker with a two pack a day habit, he stated that he is forty pounds overweight, and in his active addiction, he also acquired several scars from scuffles and accidents. The patient is not on any medication and has never been diagnosed with clinical depression. He reports crying spells, apathy, poor appetite, insomnia, helpless feelings and several depressive episodes.

The Bio-Psycho-Social Factors of Patient

The only interaction, the patient has been with his customers so that he can gain sufficient amount of money in order to live up to his expenses. He reports that he was deeply in love with nature, and therefore, spent summers planting gardens and mowing lawns. He used to spend hours focusing on the trees and plants and remembers going to the park. It gave him the desire to be self-employed in his construction business, despite all his setbacks. The patient reports that he was in a relationship with a woman for six years, who later became his fiancé, but died of heart failure from smoking crack.

He also reports that he shies away from strong relationships as he ...