Legal history of aud jay received a dui after his 16

Legal History of AUD: Jay received a DUI after his 16
th
birthday for totaling his car while being
intoxicated.
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 appear
to 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 different
criteria 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 the
form 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.
References
Doweiko, H. E. (2009). Concepts of Chemical Dependency, Eight Edition. 20 Davis Drive,
Belmont, CA 94002. Brooks/Cole Publishing.
9

CLINICAL ASSESSMENT OF JAY W. 10