PSYCH 505 Case Study Core Functions

Running head: CASE STUDY 1
PSYCH 505 Case Study: Core Functions
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CASE STUDY 2
PSYCH 505 Case Study: Core Functions
Using the provided case study below this paper will illustrate a personal working
knowledge of the core functions of the alcohol and other drug abuse counselor. The 12 core
functions are using to facilitate the development of an effective treatment that is individual to the
client that you are assessing. Using the core functions as guide one begins to see the continuum
of addiction issues as well as the array of psychological, social, and physiological issues that
one’s client faces when they consult a counselor for treatment.
Case Study
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David is a twenty-three-year-old, single, white male. He is unemployed except for a few
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odd jobs. He lives with his elderly parents. He reported that he has a history of abuse of alcohol,
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with six to eight beers or a pint of whiskey, with daily use. He reported abuse of marijuana, with
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daily use of up to four joints. He also reported that he uses three to four valium, ten mg’s,
monthly. He reported his last use of alcohol and marijuana was two days ago. He stated that he
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began sipping his father’s beers at age seven and that he liked the way it made him feel. He
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reported that he began drinking heavily while in high school and later dropped out. He reported
that he was also using marijuana at that time.

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He stated that he did get a GED and went to college for a while, earning thirteen credits. He
states that his parents give him money for helping them around the house, with yard work,
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driving them for medical appointments and various other shopping chores.
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Client stated that he has a first DUI conviction and has been unable to pay his fines. He has no
current valid driver license. He reports that his parents are willing to help him with finances to
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regain his driver license.
CASE STUDY 3
Client reported that he has few friends. He states that he enjoys martial arts and has a workout
area in the basement of his parent’s home. He states that he often sits around in the basement
drinking and smoking pot. He reports he has no plans for his future.
Client reported a history of sexual abuse at age six by an older boy. He stated at age fourteen he
sexually abused an eight-year-old girl. He reports that he has problems with female relationships.
Client presented with a sad affect. He appears to be mentally and physically stable. He reports no
history of suicidal ideations or homicidal ideations. He reports that he has never been involved
with mental health or substance abuse treatment. He reported a history of having two episodes
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with stomach problems. He is not prescribed any medications.
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Screening
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In using the appropriate diagnostic criteria, the screening function is used in make the
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evaluation concerning whether an individual is appropriate and eligible for a given intervention
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or program, and if so, what type of intervention or program is most appropriate. The intervention
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or program can be inpatient residential, inpatient medical, outpatient, intensive group or only
individual therapy, or with the additional of family therapy, detoxification, etc. In screening a
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client, one must take into account client’s physical and psychological needs, what types of
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resources are available in the area and the guiding approach of the treatment agency. With most
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agencies, the screen is completed using a formatted list of criteria questions such In many cases,
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screening is facilitated by easily ascertained criteria such as age, location of residence, gender,
veteran status, income level, legal issues, and the source of the referral [ CITATION Her \l
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1033 ].
In the case study, David is self-reporting pattern of alcohol and other drug that stands to
confirm a pattern addictive behaviors. In addition, David demonstrates a tendency to use alone
CASE STUDY 4
and in private. This is behavior demonstrates isolating behavior that when coupled with lack of
close friendships and a distance, strained relationship with his parents, and difficulties with
romantic relationships. David reports a history of drug and alcohol use since his childhood, into
his teenage years, that has seriously affected his success as a student and his able to be employed.
He also shares that he has current legal issues in the form of a DUI with the loss of his driver
license. David reports a history of child sexual abuse as well as his on predatory sexual abuse
behavior toward an eight-year-old female. David’s screening assessment illustrates a consistent
pattern with addiction focused behaviors.
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David meets the criteria alcohol use disorder per the Diagnostic and Statistical Manual of
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Mental Disorders (DSM-5). He is appropriate for admission into a 30 day, all-male residential,
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medically assisted, alcohol/drug rehabilitation program with a cognitive behavioral component to
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assist with possible comorbid psychological disorders such as general anxiety disorder and
address the potential for paraphilic disorder as well as a family therapy component. He is eligible
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for admission into a county-operated rehabilitation center supported with local, state and federal
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funds.
During the screening David complained of stomach pains that may be related to his
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excessive use of alcohol on a daily basis which will require a referral to a physician for
evaluation. A physician can also evaluate David for other health conditions and evaluate whether
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David is a candidate to receive Antabuse.

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Intake
The intake process is the administrative and initial assessment procedures for admission
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to a program. The first step is to complete the required documents for admission to the program.
During the intake process, documents are completed, and information is written down. This
CASE STUDY 5
refers to the administrative documentation necessary for admission such as consent for treatment,
demographic information, income, confidentiality disclosure, breakdown of costs, etc.
Intake will include any release of information forms required by funding agencies as well
as any institutional release forms. These documents will include the screening and assessment
forms, practitioner recommendations as well as the forms required to secure funding assistance
for admission into the treatment program and obtaining appropriately signed consents when
soliciting information from, or providing information to, outside sources to protect David’s
confidentiality, privacy, and rights. With David’s consent, local law enforcement authorities
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should also be notified concerning the client’s status and advised of his intent to resolve his
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outstanding fines.
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Orientation
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Orientation will provide an overview to the client by describing program goals, any rules
and the objectives for client care such as program goals of achieving a sobriety will be explained
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to David and the objectives for his care during his inpatient stay. David will also be advised of
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the rules that govern the program and facility such as attendance, no drugs or weapons permitted,
and specific client obligations such as fees, expectations of punctuality and participation, and
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client rights this will include respect, confidentiality, and the process for grievances.
At this point David will be assured that although his admission is entirely voluntary and
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he can withdraw at any time, it will be in his best interests to actively participate in the program
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consistent with the terms of the mutually agreed upon treatment plan. David will be provided
with a description of the day-to-day program activities, group sessions, medications used, and
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other aspects of the program that will facilitate his treatment and success [ CITATION Her \l
1033 ].
CASE STUDY 6
Assessment
Assessment is a process that continues throughout David’s treatment and is the
foundation of the treatment plan. It is defined as “the procedure used by a counselor to identify
and evaluate a client’s strengths, weaknesses, issues, and needs for the purpose of creating a
treatment plan”[ CITATION Her \l 1033 ]. David will need to be a leading, active participant in
the process. Formal introductions should begin any assessment interview, in which the counselor
and David become acquainted and then begin gathering relevant history from David, including
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but not limited to, alcohol and other drug abuse and psycho-social history, using a format that
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mimic general conversation [ CITATION Her \l 1033 ].
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In the assessment a complete alcohol and drug history will be completed which would
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include the current pattern of use and the amount used. David demonstrates a maladaptive
pattern of substance in which he has failed to stop, despite the negative consequence that his
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alcohol use brings to his life. He continues use despite knowledge of experiencing physical
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(stomach pain), legal (DUI/fines), financial (no employment/dependent on parents), vocational,
social, and relationship issues. Next, additional information should be obtained in the above
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areas by interviewing David’s parents.
Using the DSM-5 diagnostic criteria to objectively assess and record David’s alcohol use
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disorder, in which David exhibits more that 2 of the criteria over a 12-month period of use. This
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indicates that David is experience a moderate alcohol use disorder. Motivational interviewing
can be used to explore and resolve ambivalence associated with David’s commitment to change
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his behaviors. The results of the interview would set a foundation for future sessions to continue
assessing motivation change.
CASE STUDY 7
In assessing David’s strengths, they include a sufficient educational background to
complete a training or degree, an interest in a hobby that promotes physical fitness and mental
clarity. Also, David has the support of his parents that have expressed an interest in his success
and have offer to invest in that success. David’s weaknesses include a lack of motivation for
change, an active alcohol use disorder, established incidence of impulse control, costly legal
obligations, and a lack of employable skills.
As stated, before the information gathered in the assessment will be used to create
David’s treatment plan but it will also be time when a formal diagnosis of alcohol use disorder
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will be given using the criteria in the DSM-5.
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Treatment Plan
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The treatment plan will identify and rank issues needing resolution within David’s life, it
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will establish agreed upon short-term and long-term goals, it will create a mutually accepted
treatment process and the resources to be utilized. An honest interpretation of the assessment will
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be shared with David in this step.

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The results of the assessment should be explained to David and how the treatment will
assist in facilitate change. David would identify his short- and long-term goals in addressing
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problematic behaviors associated with drinking and changing aspects of his life that he finds
unsatisfactory. In the 30-day, residential rehabilitation program that David has agreed to, a
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cognitive behavioral approach will be utilized in both the groups setting and individualized
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session to assist David in changing problem behaviors and thinking. A family therapy component
will be added to David’s treatment to explore and heal the effects of David’s disorder on his
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parents also how David’s parents can continue to support him.
CASE STUDY 8
References
Herdman, J. W. (2018). Global Criteria The 12 Core Functions of the Substance Abuse
Counselor. Holmes Beach, FL: Learning Publications.
McLellan, A., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G., . . . Argeriou, M.
(1992). Addiction Severity Index, 5th Edition. Journal of Substance Abuse Treatment,
9(3), 199–213.
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Running head: CASE STUDY 1

PSYCH 505 Case Study: Core Functions

PSYCH 505 Case Study: Core Functions

one’s client faces when they consult a counselor for treatment.

that he was also using marijuana at that time.

regain his driver license.

behavior toward an eight-year-old female. David’s screening assessment illustrates a consistent

pattern with addiction focused behaviors.

David is a candidate to receive Antabuse.

demographic information, income, confidentiality disclosure, breakdown of costs, etc.

Assessment is a process that continues throughout David’s treatment and is the

(stomach pain), legal (DUI/fines), financial (no employment/dependent on parents), vocational,

areas by interviewing David’s parents.

assessing motivation change.

In assessing David’s strengths, they include a sufficient educational background to

obligations, and a lack of employable skills.

be shared with David in this step.

parents also how David’s parents can continue to support him.

Counselor. Holmes Beach, FL: Learning Publications.

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