Discussion:
Substance Abuse Assessment and Intervention Plan
Develop a Substance Abuse Assessment and Intervention Plan based on the case study Lisa. The plan must explain the choices that was made in plan be supported with scholarly references from the professional literature (e.g., Addictive Behaviors, Drug and Alcohol Review, Journal of Child & Adolescent Substance Abuse, Journal of Substance Abuse Treatment, Substance Abuse). APA format.
The plan should include all of the following sections:
1. Substances abused and implications of abuse
2. Biological predispositions
3. Family considerations
4. Cultural considerations
5. Therapy model
6. Assessment and diagnosis
7. Treatment plan and intervention strategies
8. Ethical and legal considerations
Case Summary
Lisa's case has forensic underpinnings, she is facing the possibility of losing custody of her twin boys (8 years old) because of a violent attack she launched against her live-in boyfriend where she pulled a knife on him and tried to kill him after an alcohol and methamphetamine abuse-fuelled night.
While she left the house frustrated because she was unable to harm him as he managed to lock himself inside a bedroom - she was arrested for DUI by the police whom her boyfriend called to report her attempt at his life. This events and the uncovering of her history of substance abuse has more than likely led to the welfare and human services agency to question her ability to look after her children.
Upon interview, she shares that when she feels rage, she blacks out sometimes for minutes, at times for hours. In these episodes, she hears the voice of her deceased father who was a drug addict and who was abusive to her mother and their entire family. Her father raised her to be 'tough' and bet on her and her cousins when they were 'trained' in the backyard - Lisa would be pitted to fight against her brothers & cousins to 'toughen' her up so that she can, in her father's mind, learn to survive. Growing up in poverty on the west side of San Antonio, she was exposed early to drugs and (marijuana, cocaine, heroin) alcohol from as early as 12. She is unable to correlate her poverty, rage-blackouts and dangerous behavior to her substance abuse. She is seeking counselling help due to the advice of her lawyer to help her out in her child-custody case.