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PSYC FPX 2300 Assessment 2 Whats Wrong a Short Assessment

Student Name

Capella University

PSYC FPX 2300 Introduction to Addiction Theories

Prof. Name:

Date

What’s Wrong, A Short Assessment

Assessment Case Studies

Directions: Select one of the individuals described in the case studies from Chapter 6 of your textbook: Ann (page 61), Daniel (page 65), Sam (page 67), or Dean (page 72). Based on the information provided in the textbook, complete the following form.

Client Name: Ann
Assessment Date: 06/07/2022

Substance Use History

DrugFirst Use: Yes or NoPattern of use over time?Frequency of use in past month?Date/amount of most recent use?
AlcoholYesOccasional weekend evening drinking escalated to daily evening drinks, which transitioned to day drinking on the weekends.DailyDaily alcohol consumption

Sociocultural Factors

  • Educational level: The case study does not specify whether Ann has any higher education.
  • Employment status: Ann is employed, but the case study does not detail her job or whether she works full-time.
  • Current living situation: Ann resides in a small two-bedroom apartment with her husband, two young children, and a parent from another part of the country.
  • Current or past legal problems: The case study does not indicate any current or past legal issues.
  • Describe family history of substance use: There is no reported history of substance abuse in Ann’s extended family.
  • Describe client’s social support system: Ann has the full support of her husband.

Diagnostic Criteria Checklist

CriteriaYesNoCriteriaYesNo
Was the substance taken in larger amounts or over a longer period of time than intended?Yes Were important social, occupational, or recreational activities given up or reduced because of substance use?Yes 
Is there a persistent desire or unsuccessful efforts to cut down or control substance use?No Has the substance been used recurrently in physically hazardous situations?No 
Was a great deal of time spent in activities necessary to obtain or use the substance, or recover from the substance?Yes Has use continued despite knowing of having a persistent or recurrent physical or psychological problem that is caused or exacerbated by substance use?No 
Have they continued to use the substance despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the substance use?Yes Has recurrent use of the substance resulted in a failure to fulfill major role obligations at work, school, or home?Yes 
Is tolerance present?Yes Is withdrawal present?No 
Is there a craving or strong desire or urge to use the substance?No 

PSYC FPX 2300 Assessment 2 Whats Wrong a Short Assessment

DSM-5 Diagnosis: 303.90
Alcohol Use Disorder – Severe
DSM-5 Diagnostic Code:

Basis of Diagnosis (A 2–4 sentence explanation of why you chose this diagnosis.)

Ann exhibits 6 out of the 11 symptoms associated with Alcohol Use Disorder. Given that she meets more than five criteria, her diagnosis is classified as a severe substance use disorder (Fetting, 2015). However, her willingness and commitment to addressing her symptoms significantly mitigate the severity of her diagnosis (Fetting, 2015).

Applicable Addictions Perspective (A 2–4 sentence description of a theoretical perspective that would explain this client’s substance use history.)

Ann’s substance use history is relatively limited. Although it may appear that she has a severe drinking disorder, her behavior reflects problematic drinking during a challenging period in her life. The Dislocation Theory can be applied to explain her alcohol use, as it posits that everyday frustrations can disrupt an individual’s sense of control, leading them to seek comfort in alcohol during stressful times (Fetting, 2015).

Ethical Considerations

(Based on NAADAC code of ethics, describe how you will store and protect assessment information. Cite the NAADAC code of ethics.)

According to the NAADAC code of ethics, all records and documentation, regardless of the format, must be securely maintained and stored in compliance with HIPAA and 42 CFR Part 2. Access to these records should be limited to authorized individuals who require them to provide care for clients (NAADAC, 2021). To ensure the security of patient records, I will store all digital copies on a secure shared drive accessible only to authorized personnel. Computers with access to this shared drive will be password-protected, and any external networks will be restricted from company-provided computers. All paper documentation will include a HIPAA cover sheet and will be stored behind at least two locks.

References

Fetting, M. A. (2015). Perspectives on substance use, disorders, and addiction: With clinical cases. SAGE Publications, Incorporated.

NAADAC, the Association for Addiction Professionals. (2021). NAADAC/NCC AP Code of Ethics. Alexandria, VA: NAADAC.

 

 

 

 

 

 

 

 

 

 

 


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