Assessing the possibility of the sister’s death traumatizing Kalinda is also important. To
do this, Kenna and Bolton (2013) suggest that the 17-item Life Event Checklist (LEC) is helpful.
Early detection and management of the resulting trauma help in the enhancement of the victim’s
productivity.
Interventions to Manage the Conditions
With the collective usage of codeine-based analgesics (as a back-pain remedy) and
excessive alcohol intake following the traumatic events that occurred, Kalinda is absolutely at
risk of health issues. Alcohol inhibits the metabolism of the codeine to unleash its therapeutic
effects. This statement supports the work of Enos (2016).
Following the known adverse effects of excessive alcohol intake, other secondary effects
such as stress can occur. For this reason, therefore, different approaches intended to either
supplement or boost the treatment programs are helpful. In line with In Ritter, In King and In
Hamilton (2017), prescribing the pharmacotherapy such as the naltrexone to block the opioid
receptors would help in controlling Kalinda’s craving for alcohol. Combined with behavioral
treatment, methadone is more effective in blocking the effects of the codeine-based analgesics

SCREENING AND ASSESSMENT
4
(Milgrom and Gemmill, 2015). For example, additional counselling session would help in fast
recovery from substance abuse.
To help control the prevalence of drug abuse, as a primary health provider, considering
the ARISE intervention applies both the indirect and direct intervention models. This method
focuses on the responsibilities of the entire family group, including all people around the victim’s
circle, in solving the addiction issues. Invitational intervention is the first step used by the
Intervention Network to mobilize the affected to consider the treatment program. Upon a
successful enrolment, a formal ARISE intervention involving the Intervention Network setting
strict limits and the consequences of the treatment plan proceeds in a loving and supportive
manner. An ARISE Continuing Care is conducted 6 months into the treatment plan. That is, the
Intervention Network organize meetings on a weekly basis then biweekly in order to boost the
recovery process (Milgrom and Gemmill, 2015).
Harm minimization interventions such as substitution of the codeine-based analgesics as
a back-pain remedy reduces the drug-related infections that Kalinda is exposed to. This is
according to In Healey (2013). Controlled drinking is the first strategy in quitting drug abuse.
The therapists should help their clients to be able to control their drug uptake.
Case 2: Massino (Marijuana Smoker)
Massimo, 56, is referred to counseling after his discharge from a local hospital following
his fall down stairs. The social workers believe that the incidence was because of his use of
marijuana and other possible substance uses by Massino.
Screen Model to Assess the Severity of the Condition
Having admitted that he uses marijuana, considering the NIDAMED, a comprehensive
tool of the Physicians’ Outreach Initiative to screen individuals with histories of using tobacco,

SCREENING AND ASSESSMENT
5
non-medical prescription among other illicit drugs. Milgrom and Gemmill (2015) indicate that


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- Fall '19
- Milgrom, Kalinda