...Miranda is a 36yo, G6 P5005, who was seen on self-referral for prenatal care. The patient does have AMA and was seen by our genetic counselor, Kristin Frazer and this will be discussed further below. A separate cover letter will also follow. She also has a history of IV drug abuse taking Suboxone off the street currently. She recently has been seen and is now being followed by Recovery Strategies and is on 8 mg b.i.d. She does have 5 previous term vaginal deliveries and is grand multiparous. The infants weighed between 6 and 7 lb. In addition, she has irregular cycles with her LMP she believes was in June but has had late onset PNC. Currently at this time she does have positive fetal movement. By ultrasound the measurements are symmetrical...
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...Presenting Problem: Pt was diagnosed with Disruptive Mood Dysregulation Disorder, Conduct Disorder, R/O Opiate Use Disorder and R/O Benzodiazepine Use Disorder. Pt has been admitted to NNBHC acute on x2 IP within the last three months. Pt was recently admitted due to failure of lower level of care, he has been demonstrating an increase in aggression towards his mother and stepfather. Mother also communicated of discovering pills, which seem to be a trigger that causes the aggression towards her from the patient. His drug screen was positive for benzodiazepine and opiates and at the Riverside Doctors Hospital. Pt is denied any drug use initially but when confronted with the lab results he admitted to taking Tylenol No. 3 Family composition/...
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...It has been researched that 47% of the inmate population for federal prisons are serving for an offense done during a period of time in which the individual was abusing illicit substances (“Consequences of addiction effects of substance abuse”, 2017). Substance abuse is the over consumption of illicit drugs for example heroin, methamphetamine, alcohol, etc. This consumption causes a neurocognitive deficit in individuals to the point they act out (Hiller, 2012). Examples of offenses committed while abusing drugs that impacted the community are: property damages, theft, homicide, and fatal car crashes. These events impact our community and we assume the person who committed the crime goes to prison for the actions they have done, but it’s what...
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...The state of Massachusetts in not known as a state with many places that are known for its wilderness and outdoors environment. That said, the small residential community of Gardner, Massachusetts (MA) in known mostly for its parks (Dunn State Park and Gardner Heritage State Park) and the popular Lake Wampanoag Wildlife Sanctuary. What is most surprising is that a simple community like this still has a number of drug abuse issues with which it has to deal. Statistics Related to Drug Use and Abuse in Massachusetts While information related to specific drug issues in Gardner is not readily available, one can get a sense of the landscape by looking at the statistics provided for the state. For the most part, drug related fatalities at 11 people for every 100,000 residents is on par if not favorable when compared with the rest of the country. The state even scores well in its prevention efforts with a score of 9 out of 10 on the annual New Policy Report Card. Despite these convenient facts, Massachusetts (MA) still has enough of a problem to warrant providing its residents with information about the value of detox and drug and alcohol rehab addiction treatment services in the area....
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.... PERSONAL INFORMATION/REASON FOR REFERRAL Ms. Wilkie is thirty-four years old. Ms. Wilkie was born in Cumming, Georgia and lived there for thirteen years. Ms. Wilkie then moved to Cherokee, Georgia. She stated that she has lived in Cherokee, Georgia for approximately twenty-one years. Ms. Wilkie reported that she has live in Georgia all of her life. Ms. Wilkie reported that she is single. Ms. Wilkie stated that she has five children. Ms. Wilkie has been required to complete a substance abuse evaluation as a result of a possession of an illegal drug related offense. The evaluation is to determine whether Ms. Wilkie is suffering from a Substance Related Disorder and to recommend a course of treatment, if appropriate. The interview was conducted directly and entirely in English, Ms. Wilkie’s native language. II. EMPLOYMENT/EDUCATION HISTORY Ms. Wilkie reported that she is a stay at home mother for more than five years. Ms. Wilkie reported...
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...vulnerable group to work with. Substance abusers as a sub-group are a bit more intensified simply because they are typically mentally ill as well as struggling to manage their addiction. The state of Massachusetts, in particular, there is a growing epidemic of opioid addiction and overdose deaths; consequently, this crisis requires taking action in each of the following four key areas: Prevention, Intervention, Treatment, and Recovery Support (Executive Office of Health and Human Services, 2015). Drug addiction is a complex illness characterized by intense and, at times, uncontrollable drug craving, along with compulsive drug seeking and use that persist even in the face of devastating consequences ( National Institute on Drug Abuse, 2015). There are so many advantages to providing care to this specific population. For instance, imagine the broken relationships that are often associated with someone who is suffering from a substance abuse illness. There is also potential for financial deficits related to the inability to obtain and or retain a job. There is an incredible risks of contracting infectious diseases while under the influence as well. The most effective plan of care for this population is prevention. Prevention to never using drugs starts with teaching children as young as junior high to say no to drugs. It has been reported children as young as 12 years old are experiencing with alcohol, tobacco such as cigarettes & or...
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...(F313.89) Reactive disorder is when a child who encounters neglect, abuse, or detachment amid the crucial phases of development of the initial three years of life is in danger of building up an attachment disorder. Additionally, this is why Sam is daughter not to associate with anybody aside from his daughter, with whom he is close. The second trigger was the loss of his wife. The second trigger was 9/11 which set off with the returned of flooding depressive episodes to his mind. He has (F32.3) major depression with-congruent psychotic features, and he has a past filled with hypertension and headaches. The third trigger was the point at which his daughter moved out it expedited ((F.93.0) separation anxiety disorder. The distress related to the separation is unusual for a person's formative level is slow and extreme...
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...Parental Substance Misuse: An Exploration of the Impact of Substance Abuse on Children 1.0 Introduction 1.1 Background and Problem Definition It is beyond debаte thаt the use or misuse of substаnce hаs severe impаct on the well being of children. The term substаnce refers to both the illicit аnd non illicit forms of drugs. The use of substаnce by а pаrent becomes misuse when the pаrent in question uses it to the level where the usаge becomes hаzаrdous for both the behаviour аnd heаlth of the pаrent аs well аs the life of the children involved. The hаrmful behаviour in the pаrent hinders the pаrent’s аbility to tаke good cаre of their children which is the children’s fundаmentаl right (Forrester 2011, p. 4). The pаrentаl substаnce misuse hаs physicаl, behаviourаl, sociаl аnd emotionаl or mentаl consequences for the children. Parental substance Misuse is a major issue that has captured the attention of social worker and professional as well as policy makers with regard to wellbeing and needs of a child (Murphy & Harbin, 2003, p.354). The National Treatment Agency (2012, p.3) notes that over 50% of the total adults undergoing drug treatment in 2012 were parents of which a third (66,193) were living with children under the age of 18. Out of these, those who live with their children are 40,852 while those who live with children who are not theirs are 25,341. While not all parents with substance misuse problems harm their children, past research evidence has indicated...
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... I have chosen to examine the following two suppositions: trauma as a major cause of addiction and the War on Drugs as an abject failure. I decided to discuss these suppositions because I have worked with several clients diagnosed with substance use disorders that report extensive histories of primary and secondary trauma. Many of the clients had similar stories to that of some of the Edgewater homeless that they grew up in environments where drugs, alcohol, and sex work were present on a daily basis. I decided to discuss the War on Drugs an an abject failure because as an African American, I see how the War on Drugs has disproportionately impacted the African American population in such a negative way. I am also eager to gain...
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...The Corporate War on Drug Abuse Presented to Wendy Keller Concordia University John Molson School of Business Comm 212 Section E Prepared by Bilal Sirhan Human Resource Specialist 6355099 November 24th, 2014 MEMORANDUM To: Human resources manager From: Bilal Sirhan, Human resource specialist Subject: Analysis of different policies for alcohol and drug abuse in the workplace Date: November 24th 2014 Here is the report, which was to be completed by November 24th 2014, concerning leading companies’ exemplary policies on substance abuse within the workplace. The study involved analyzing the different substances used by workers and evaluating different approaches that companies across North America take to help these individuals. Although the results presented show that a small percentage of people are actually considered as substance abusers in the workforce, there is evidence that the corporations succumbing to employees abusing drugs and alcohol suffer heavy losses. This even directly affects the economy as a whole in significant numbers. Therefore, we must establish a strong policy and different programs to help these workers overcome this issue. It is my hope that this report will allow our company to have the necessary information to establish the right strategies and support groups to anyone suffering from substance abuse. Please let me know if there are any further questions...
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...Subject: Caribbean Studies Territory: Jamaica Year: 2011-2012 Submitted in partial fulfillment of the CAPE Caribbean Studies Syllabus Problem Statement An investigation into the effects of substance abuse as a cultural habit on the health of students at Manchester High School within the age group 14- 20. Research Questions * What are the types of substances mainly abused? * How has substance abuse become a cultural habit? * What are the most devastating health effects of substance abuse? * What are the possible solutions to reduce the number of students who indulge in substance abuse? Rationale Substance abuse is a growing trend amongst teenagers including those at Manchester High and being within that age group, the researcher’s interest was generated to uncover how substance abuse as a cultural habit affects one’s health. The researcher’s aim is to educate the readers about these habits and highlight the reasons youths are involved thus identifying ways to solve the problems. The researcher also aims to fulfill the outlined requirements of the CAPE Caribbean Studies course. Delimitations The research is delimited to the effects of substances abuse from the perspectives of fourth to sixth form students at Manchester High School, located at 4 Perth Road, Mandeville Manchester. The sample size chosen was twenty (20) participants between the ages of 14-20 of both genders, which are essentially fourth to sixth form students...
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...Substance Abuse Theresa Hicks HCA/ 250 February 3,2012 Susan Hudson Substance Abuse There has been a number of studies done to understand why individuals turn to substance abuse but there has not any success in the studies. There are some studies that say that it is a personality issue that leads to substance abuse which has not been proven. Personality research continues to be a factor in the study of alcoholics and drug abusers. The results suggest that such use is more common among adolescents who show pre-drug use signs of one or more of the following: rebelliousness, other adjustment problems, depression, sensation seeking (Kandel& Yamaguchi, 1985;Stein et al., 1987; Shelder & Block, 1990). None of these factors have been proven to account for the abuse of drugs and alcohol. Studies have had the evidence to show that pre-drinking personality traits are in those that have had a drinking problem since an early age. Evidence also suggest that such people have a genetically determined brain disorder involving the prefrontal lobes (Tarter et al., 1988). These disturbances lead to deficit disorders, pre-alcoholic essential tremor, emotional instability, and aggressiveness not excluding others. When dealing with substance abuse in the workplace individuals do not leave these problems at home. Of the 17.2 million illicit drug users aged 18 or older in 2005, 12.9 million (74.8 percent) were employed either full or part time (OSHA). There has been many who have had...
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...Christine Wilson Psy1462 March 21, 2014 The Impact of Childhood Maltreatment on Young Adults’ Substance Abuse: A Reaction. This article contains information regarding a study carried out between 1976 and 1987 about individuals who were subject to different types of abuse between the ages of 10 and 17. The research seemed eager to show what the correlation was between type of abuse the child suffered through and what type of addiction, if any, that the victims acquired over the years. The study followed 842 participants through four years of initial interviews and 7 waves of re-interviewing for the purpose of seeking out addiction information. The final wave of testing, done in 1987, was when the youngest participants reached the maximum age of 24. The final total of 762 individuals whom answered every question and completed every interview was used to create the final graph regarding demographic versus addiction type. The study was split up by race, sex, age, and socio-economic background (welfare, etc.). The mediating effects of depression in later substance abuse were also discussed. Though interesting, this particular study lacks in depth. According to the results, sexual abuse plays very little role in substance abuse and I find this to be highly unlikely. I do agree that alcoholism is likely to be more prevalent in physical abuse cases. Quite often there seems to be a connection between alcohol and violence that it would seem likely would carry on into the...
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...understood, but further studies in methadone maintenance with opioid dependence will prove that methadone maintenance prevents cravings and withdrawal symptoms and helps an addict to maintain their sobriety while trying to overcome their addiction. In this paper the author will discuss the scientific method and several studies that have been conducted on the use of methadone in the treatment of substance abuse. The scientific method is a set of principles and procedures that researchers use to develop questions, collect data and reach conclusions. (Cherry, 2013). In Psychology the goals of the scientific method is to seek and describe behaviors and explain why the behaviors occur. (Cherry, 2013). Researchers also strive to create research that can be used to predict and change human behavior. (Cherry, 2013). The four steps of the scientific method are, (1) forming a testable hypothesis, (2) devising a study and collecting data, (3) examining the data and reaching conclusions and (4) reporting the findings of the study. (Cherry, 2013). All the research articles discussed in this paper used the empirical research method. This type of research is based on experimentation or actual observation; it is conducted to test a hypothesis. The researchers observed and measured the behaviors of the participants using a quantitative research method by collecting data and reporting the data using numbers. (Frankfort-Nachimas, C. & Nachimas, D. 2008). The first study,...
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...Young and Middle Adulthood Case Studies Alicia Steele BSHS 325 May 26, 2014 Jeni Maijala Young and Middle Adulthood Case Studies Case studies will be an important part of the profession of human services. Not only is it important to keep notes on each client but also for future reference on a client, a case study will come in handy. This paper will illustrate an example of a case study and examine the following, family, social, and intimate relationships of the person in the case study, identify any role changes that may have occurred, and the immediate and future effect of healthy and unhealthy habits practiced by the person. My case study is on Jackson. A 25 year old male with a substance abuse problem. Upon graduating high school, Jackson attended college the following fall to obtain a degree in Chemistry. During his freshman year of college, Jackson suffered a head injury after a car crash and resulted in the loss of cognitive and analytical functioning skills. Thus began drinking alcohol and abuse of painkillers. Jackson has left college and now lives with his mother while he attends a substance abuse program in Chicago, Illinois. According to his mother, Jackson currently isolates himself in his room and refuses employment opportunities. Growing up in a single parent household with no father figure involvement, Jackson has trouble maintaining any type of relationship. Although he had relationships in high school that he considered serious, he became distant with...
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