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Counseling 621

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This case study describes 21-year-old Blake, a university student struggling with academic issues, drug and alcohol abuse, ADHD, and depression. An intake assessment and SASSI-3 test were administered, with the SASSI-3 indicating Blake has a high likelihood of substance dependence. The treatment plan involves monitoring his usage, challenging negative thinking, and referring him to counseling as the facility only meets with him for a short time.

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Case Study
 Blake  21 year old male  University of Mississippi Student  Junior year  Academic Issues  Drug and alcohol abuse  Diagnosed with ADHD and depression
Intake Assessment  Client demographics  Reason for coming  Stages of change SASSI-3  Assess drug usage  Assess alcohol usage  Determine likely hood of dependence
 Intake Assessment  Substance Abuse Subtle Screening Inventory (SASSI-3)
Intake Assessment  First Meeting  Series of Questions via Paperwork  Prochaska and DiClemente stages of change SASSI-3  Series of 86 questions  Two face-valid scales  4-point Lickert type scale
 Has been diagnosed with ADHD since 10th grade  Diagnosed with Depression since freshman year in college  Started abusing drugs freshman year  Started abusing alcohol and drugs together sophomore year.  Mother is an pharmacist and self medicates him.
 He reported no family psychiatric history.  Father and grandfather were alcoholic  Has an uncle who is currently on drugs
 Student has an 2.0 overall gpa  Freshman year student had 3.0 gpa  Sophomore year student had an 2.2 gpa  Freshman year student was caught with drug paraphernalia in his dorm room sent to BASIC course.  Junior year student received an DUI 1st offense and was sent to JADE course.
 Parents are divorce and he is an only child  Student has an apartment off campus  Student is apart of a fraternity  Drinks at least five beers every night  Eats mushrooms and takes oxycotton, ecstasy, and snorts cocaine recreationally  Enjoys the party atmosphere of college.
Intake assessment  Student is very close to mother.  Wants to stay in college  Is in action stage of changing SASSI-3  Student Face Valid for alcohol is 22  Student Face Valid for drugs is 24  Student knows he is dependent on alcohol and drugs.  Student wants help with learning ways to cope with his depression other then alcohol an drugs.
Intake assessment  General assessment given to all students that have to take JADE/BASIC SASSI-3  The SASSI-3 has been empirically tested and can identify substance dependence disorder with an overall accuracy of 94%.  The SASSI is shown to have good reliability in terms of internal consistency as well as stability over time.  The SASSI has been measured countless times and the “Coefficient alpha” results .93 out of an 0-1.00 scale.
Treatment Plan  Monitor his alcohol and drug usage  Challenge his negative thinking  Refer over to the counseling center Recommendations: Encourage client to seek counseling outside of our facility because we only meet for such a short amount of time.

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Counseling 621

  • 2. Blake  21 year old male  University of Mississippi Student  Junior year  Academic Issues  Drug and alcohol abuse  Diagnosed with ADHD and depression
  • 3. Intake Assessment  Client demographics  Reason for coming  Stages of change SASSI-3  Assess drug usage  Assess alcohol usage  Determine likely hood of dependence
  • 4. Intake Assessment  Substance Abuse Subtle Screening Inventory (SASSI-3)
  • 5. Intake Assessment  First Meeting  Series of Questions via Paperwork  Prochaska and DiClemente stages of change SASSI-3  Series of 86 questions  Two face-valid scales  4-point Lickert type scale
  • 6. Has been diagnosed with ADHD since 10th grade  Diagnosed with Depression since freshman year in college  Started abusing drugs freshman year  Started abusing alcohol and drugs together sophomore year.  Mother is an pharmacist and self medicates him.
  • 7. He reported no family psychiatric history.  Father and grandfather were alcoholic  Has an uncle who is currently on drugs
  • 8. Student has an 2.0 overall gpa  Freshman year student had 3.0 gpa  Sophomore year student had an 2.2 gpa  Freshman year student was caught with drug paraphernalia in his dorm room sent to BASIC course.  Junior year student received an DUI 1st offense and was sent to JADE course.
  • 9. Parents are divorce and he is an only child  Student has an apartment off campus  Student is apart of a fraternity  Drinks at least five beers every night  Eats mushrooms and takes oxycotton, ecstasy, and snorts cocaine recreationally  Enjoys the party atmosphere of college.
  • 10. Intake assessment  Student is very close to mother.  Wants to stay in college  Is in action stage of changing SASSI-3  Student Face Valid for alcohol is 22  Student Face Valid for drugs is 24  Student knows he is dependent on alcohol and drugs.  Student wants help with learning ways to cope with his depression other then alcohol an drugs.
  • 11. Intake assessment  General assessment given to all students that have to take JADE/BASIC SASSI-3  The SASSI-3 has been empirically tested and can identify substance dependence disorder with an overall accuracy of 94%.  The SASSI is shown to have good reliability in terms of internal consistency as well as stability over time.  The SASSI has been measured countless times and the “Coefficient alpha” results .93 out of an 0-1.00 scale.
  • 12. Treatment Plan  Monitor his alcohol and drug usage  Challenge his negative thinking  Refer over to the counseling center Recommendations: Encourage client to seek counseling outside of our facility because we only meet for such a short amount of time.