D-Met with the patient upon his arrival. This writer addressed with the patient about TEAM's decision of not reinstating him for treatment due to his non-compliance of his multiple AWOLs and following through with Hartford Dispensary with regards to making his payment to the clinic. According to the patient, he did everything on his end with the Hartford Dispensary, but the clinic wants him to be taper off on his methadone. This writer questioned the patient if he had obtained a letter from his prescriber stipulating that he cannot get off on his benzos script and no response to this question. When the patient was questioned as to whether or not he did indeed paid the Hartford Dispensary, he says, " I did, but if I have to do it again, I will."…
Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his new treatment plan update objectives and interventions. Pt. agreed to sign the AMS Record of Services sheet. Counselor helped Pt.…
D: PO is a 40 yrs. old white American, showed up for scheduled assessment appointment on time. PO appeared to be calm and relaxed, and was engaged throughout the session. PO reports no current use of substance(s), Methamphetamine and cannabis as his drug of choice with the last use date of 06-06-2014. No signs or symptoms of intoxication or withdrawal was reported/observed.…
Jessica is a 21yo, G1 P0, who was seen for an ultrasound evaluation and consultation for FTS. The patient has a history of opiate use disorder involving heroin addiction. She has used this off/on with the father of the baby and has actually used it recently. She states that she recently entered your Subutex program and is now on 8 mg Subutex b.i.d. and believes that she is doing better.…
Reported using of heroin and methamphetamine on 10/11/15, 10/26/15, and 11/02/15. PO has been unable to maintain sobriety while in community treatment.…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
ntake/status alert/R.O.I/ CalOMS The client came to us from DBH for a 30 to 90 day treatment episode. Client was cooperative during his intake process, and completed the necessary paperwork to be admitted into the program. Client reported during his intake that Methamphetamine was his primary drug of choice and that he has been abusing it for period of 3- years. Client reported that he was 21 years of age when he first started using Meth Client was asked how many days has he used Meth in the past 30 days ? Client reported that he has used Meth 1 day out full 30 days before coming to treatment.…
I am seeing ML at Anka Behavioral Health Incorporation. This organization has multiple sites. I am seeing ML at the Hope Concord site, which is the federal probation location. The clients that are seen are on parole and probation. They may be on pre-trial supervision or post-sentencing.…
The client reported having all of his documents ready for his next housing appointment as requested by Laurie Garza. The client reported his plan to walk to his next appointment with LAMP and to reserve lunch for that day. Substance abuse: Client reported abstaining from using illicit substances. Client reported his intention to remain sober while in the program. Mental Health: Client denied having any PTSD symptoms at this time.…
On Sunday, July 24, 2016 at 1519 hours I, your affiant Patrolman Joshua J. Pastucka and Patrolman David Stamets was dispatched to a domestic at 408 Furnace St., County advised that half the party has since left. I spoke with the caller John Mazack via telephone, John said his wife Roberta Mazack is at it again. John stated Roberta left the home and he is at the neighbors at the moment. He requested to speak with me in person. Stamets and I went to John's residence, upon arriving on scene I first observed his wife's vehicle in front of the home and then her outside of the house.…
Therapist and client created treatment goals and review them. At the end of the session Robin states that she has drug court on 7/20/2016 and requested a letter stating that she sought…
Problem # 5: illicit opiate use Goal(s): to become drug free Status: active Objectives/Progress: Pt. has been able to maintain her commitment to abstinence from all illicit substances as indicated by submitting 10 negative UDS results and she reported no relapse in over 3 years. Pt. maintained her Phase 7 privileges over the last quarter. Pt. demonstrated good use of tx skills by balancing work and treatment obligations. Pt. reports that she is taking her subutex medication as prescribed by AMS Doctor and she maintained stability.…
Counselor met with Pt. for his scheduled individual session. Counselor encouraged Pt. to discuss his recovery progress, his current mental health status and analyzed his tx plan interventions. Pt. denied having any suicidal ideations.…
As of now, the client has met the criteria for severe substance use disorder, with behaviors that have put the client at risk of serious physical harm and has presented with signs of withdrawal. The breaking of addiction is seriously taxing work, and the client will need all of their strength and resources dedicated to this task…
In the behavioral approach to therapy the root cause of psychopathology is learning maladaptive behaviors (because we are learning how to adapt from our surroundings) and that these problems persist because of reinforcement and punishment. In the case of Cindy, she has had a lifetime of modeling and learning the negative body relationships her sister, mother, and father seem to have as well as those of the sorority sisters she spent so much time with in college. In regards to rewards and punishment, Cindy was merely avoiding criticisms from her critical parents about her weight when she remained very thin which was reinforcing enough. When she weighed 140 pounds after college graduation, her mother began tracking her weight and her father made hurtful comments, which sent a very clear signal that she…