Sanjin Brugma
Identified Barriers
Internal
Continuing misuse of Cannabis
Still in pre-contemplation with medication
External
Transportation needs
Funds for medication
Identified Strengths
Internal
Client is self aware of misuse of Cannabis
Does not want to rely on medication
External
Wanting to go to school – (helping others)
Willing to go to group
Client Notes
Work with Sanjin one on one to come up with a treatment plan to be sober from cannabis
Support group for cannabis
Social Skills training
Family Therapy
Set up with a Social Worker
Psychoeducation surrounding proper medication
Set up with psychiatrist for diagnosis of type of schizophrenia or other mental illness’s
GAIN SS
Before
Pre-contemplation with her use of Cannabis
Assessment
IDScr
Feeling very trapped, lonely, sad, blue, depressed, or hopeless about the future?
Sleeping, such as bad dreams, sleeping restlessly or
falling asleep during the day?
Feeling very anxious, nervous, tense, fearful, scared, panicked or like something bad was going to happen?
EDScr
Lied or conned to get things you wanted or to avoid having to do something?
Had a hard time paying attention at school, work or home?
Had a hard time listening to instructions at school, work or home?
SDScr
Use alcohol or drugs weekly
Spent a lot of time either getting alcohol or drugs, using alcohol or drugs, or feeling the effects of alcohol or drugs (high, sick)?
Kept using alcohol or drugs even though it was causing social problems, leading to fights, or getting into trouble with other people
Use of alcohol or drugs caused you to give up, reduce or have problems at important activities at work, school, home or social events?
Had withdrawal problems from alcohol or drugs like shaking hands, throwing up, having trouble sitting still or sleeping, or that you used any alcohol or drugs to stop being sick or avoid withdrawal problems?
After
Pre-contemplation when it comes to medication
Contemplation with her use of Cannabis
Preparation – willing to make some changes and goals overall
CVScr
Sold, distributed or helped to make illegal drugs?
Goals
Addressing Substance Use
Treatment plans should assess the severity of the substance use disorder as well as any COD in order to place the offender in an appropriate treatment setting.
SMART Goals
CBT- Cognitive Behaviour Therapy
Addressing Mental Health
Links to Community Treatment
Focus on Personal Strengths
Marijuana Addiction Treatment
Biopsychosocial +
Treatment plans should incorporate a strengths-based approach.
Treatment plans should address motivation and readiness for change.
Client Centered
Treatment Plan
Include their strengths, interest, and talents in their treatment plan
When developing a treatment plan have client involved
Made sure to include each aspect of clients life in plan
Allow client to make their own choices
Included goals in treatment plan
Have their family involved
Objectives to meet client-centred goals
Psychoeducation
Family intervention
Social Skills Training
Individual counselling
Mental Health Treatment
Cognitive Behaviour Therapy
Assertive Community Treatment
First line medication. Antipsychotic, risperidone (drug recommended as initial drug due to fewer side effects then other medication options)
Resources Can Be Utilized
NA Anonymous (Recovery Support Group)
Psychoeducation through one-on-one counselling
Referrals
Must Be Made
Mental Health Clinic (Lanark Leeds and Grenville Mental Health and Addictions)
Psychiatrist
Social Worker
Possible Recourses
Outpatient program
Group counselling