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Legal History of AUD: Jay received a DUI after his 16thbirthday for totaling his car while beingintoxicated. Health History of AUD: Two of Jay’s grand parents were alcoholics, while his mother considers his father a “functional alcoholic.” Jay and his parents all underwent Alcoholics Anonymous, after Jay received a DUI and his parents becoming overly concerned about his future. Spiritual History of AUD: No evidence of having spiritual DIAGNOSTIC IMPRESSION: It has become evident to me that Jay does suffer from alcohol use disorder. In his case, his symptoms are extreme, and on the edge of complete alcohol dependency (Doweiko, 2009). The severity of Jay’s involvement with alcohol, creates a world, in which, nothing else seems to matter. He has no ability to account for his finances, he has lost someone who he cares for dearly, and is placing blame onto others in order to exclude his potential addictive personality. Jay’s acceptance to seek council is a step in the right direction, I’m afraid it may be futile. If Jay doesn’t seek help for himself, than whatever help he does receive will only be brief, and could increase his disorder even farther. Jay’s friends, who appearto close to him, attribute to his decline by attributing to his behaviors. This negative reinforcement, may lead Jay to more dangerous substances or an increase in alcohol 7
CLINICAL ASSESSMENT OF JAY W. consumption, in the relative future. It should also be noted that based off of the American Psychiatric Association, Jay is experiencing or is practicing in combination of 3 or more differentcriteria of an SUD (Doweiko, 2009). Recommendations: Based off of the overall assessment, a family intervention or a Johnson Model form of intervention may be a good first step. This will give Jay a first hand look at how his current alcohol use is harming those he loves, which may lead him to see how his use is harming himself now, and his future (Doweiko, 2009). A second form of treatment may be in theform of motivational interviewing (Doweiko, 2009). This methodology will allow Jay to speak freely to a person, while the person listens to him and give advice to Jay on how to accomplish goals, while showing them how their behavior may be affecting said goals, in an empathetic way (Doweiko, 2009). Lastly, a voucher based reinforcement form of treatment may also aid in Jay’s recovery (Doweiko, 2009). In this form, Jay will be given rewards for maintain his positive behavior, but may lose those rewards if he fails a toxicology test (Doweiko, 2009). 8
CLINICAL ASSESSMENT OF JAY W. ReferencesDoweiko, H. E. (2009). Concepts of Chemical Dependency, Eight Edition.20 Davis Drive, Belmont, CA 94002. Brooks/Cole Publishing. 9