American Psychiatric Association

Please no plagiarism and make sure you are able to access all resource on your own before you bid. Main references come from Van Wormer, K., & Davis, D. R. (2018) and/or American Psychiatric Association. (2013). You need to have scholarly support for any claim of fact or recommendation regarding treatment. I have also attached my discussion rubric so you can see how to make full points. Please respond to all 3 of my classmates separately with separate references for each response. You need to have scholarly support for any claim of fact or recommendation like peer-reviewed, professional scholarly journals. If you draw from the internet, I encourage you to use websites from the major mental health professional associations (American Counseling Association, American Psychological Association, etc.) or federal agencies (Substance Abuse and Mental Health Services Administration (SAMSHA), National Institute of Mental Health (NIMH), National Institutes of Health (NIH), etc.). I need this completed by 04/19/19 at 7pm.

Expectation:

Responses to peers. Note that this is measured by both the quantity and quality of your posts. Does your post contribute to continuing the discussion? Are your ideas supported with citations from the learning resources and other scholarly sources? Note that citations are expected for both your main post and your response posts. Note also, that, although it is often helpful and important to provide one or two sentence responses thanking somebody or supporting them or commiserating with them, those types of responses do not always further the discussion as much as they check in with the author. Such responses are appropriate and encouraged; however, they should be considered supplemental to more substantive responses, not sufficient by themselves.

Read a your colleagues’ postings. Respond to your colleagues’ postings.

Respond in one or more of the following ways:

· Ask a probing question.

· Share an insight gained from having read your colleague’s posting.

· Offer and support an opinion.

· Validate an idea with your own experience.

· Make a suggestion.

· Expand on your colleague’s posting.

1. Classmate (N. Pra)

Strengths

One major strength with an integrated treatment approach is that a client may receive services at one location. Typically it is much more difficult to treat a client who struggles with a co-occurring disorder, whether that is because they do not attend treatment regularly, relapse, or another perceived obstacle. Having a treatment facility that tackles all areas does make it significantly easier for a client to maintain their mental health and sobriety. A second strength is that this approach is not only holistic in nature, but it strengthens the continuity of care between the treatment team and client. Being all-encompassing, a client can work with their therapist in individual counseling, attend a recovery group with another, and/or see a psychiatrist for their medications (Van Wormer & Davis, 2018).

Weaknesses

One weakness of the integrated treatment approach (and counseling those with dual-diagnoses), is that many have a high probability of being homeless, and unemployed. Without a steady flow of finances, and reliable transportation, showing up to scheduled appointment times can become nearly impossible. Case-management services could be used to link the client up with local and federal resources, but sometimes these will fall short, especially if the client suffers from a severe mental illness, such as schizophrenia (Moore, Young, Barrett, & Ochshorn, 2009). A second weakness is how difficult it is to utilize an integrated approach with untrained staff. Many therapists and psychiatrists are untrained with co-occurring disorders, and provide inadequate treatment. It can be very costly, and time-consuming to train, and get every staff member on board, and many organizations simply do not have these finances or resources (Van Wormer & Davis, 2018).

Conceptualize

My client’s name is Pete, a thirty year old, white male. He has been struggling with depression since he was fourteen, and after his parent’s divorce at sixteen, he began abusing prescription pills. By the time he was twenty, he had graduated to heroin, and cocaine. At twenty-three he overdosed on a speedball, and after recovering at the hospital, he entered a rehabilitation clinic. Over the next five years, Pete has been in and out of the rehab. He has relapsed four times, but continues to seek a clean life. He has not used in the last eight months, and as his year mark creeps up, he feels that he will fail again. Lately his depression has worsened, and he has gotten into the habit of self-harming (burning or pinching himself) when he becomes triggered.
In this case, Pete has been struggling with his mental illness and substance abuse for a long time. Using techniques to curb his severe depression, and self-harm like Cognitive-Behavioral Therapy (CBT) will do wonders on his self-esteem, and identity. Tackling his substance abuse with weekly group meetings, and other positive, and supportive outlets will help him keep on the track to sobriety. Having trained staff, like a psychiatrist, or nurse practitioner can also help Pete, but this avenue will have to be monitored closely, if not avoided due to his past (McKee, Harris, & Cormier, 2013).

References

McKee, S., Harris, G., & Cormier, C. (2013). Implementing Residential Integrated Treatment for Co-occurring Disorders. Journal of Dual Diagnosis, 9(3), 249–259. https://doi-org.ezp.waldenulibrary.org/10.1080/15504263.2013.807073

Moore, K., Young, M. S., Barrett, B., & Ochshorn, E. (2009). A 12-Month Follow-Up Evaluation of Integrated Treatment for Homeless Individuals With Co-Occurring Disorders. Journal of Social Service Research, 35(4), 322–335. https://doi-org.ezp.waldenulibrary.org/10.1080/01488370903110829

Van Wormer, K., & Davis, D. R. (2018). Addiction treatment: A strengths perspective (4th ed.). Boston, MA: Cengage.