Adult ASAM Assessment

Carrie 1. Reading the presenting case up to page 60, answer the following questions:
a. Are there any questions you might ask regarding her weight?
b. What other co-morbid disorders might you worry about? What are the indicators of this? Continue reading the rest of the vignette…….
2. What are your thoughts about the 90 meetings in 90 days? a. What would you say if this client came to you and indicated she is going to stop attending 12-step meetings?
b. Would you suggest alternatives? Explain.
3. What are some family issues that you may be concerned about in this case?
a. If so, what are they and how would you handle them?
4. Do an admitting ASAM level of care for this client based on her level of admitting care. .
5. Complete a diagnosis for Carries using the DSM 5.
6. What would be a list of treatment issues and concerns you would need to address in Carries ongoing care?
a. Are there issues you would want to address right away?
14 b. Are there issues you would wait for aftercare? Explain.
7. What are some of the potential ethical issues in this case?
8. Did you sense that there would have been any counter-transference if you would have to work with this client? Explain.
Frank
1. What are your thoughts about working with “involuntary” clients?
2. How would you handle a client who is chronically late for sessions?
a. What are some strategies you would use to address this issue?
3. What are some of Franks’ strengths and what are some of his weaknesses?
a. How would you address these in a session?
4. What is the significance of his family history?
5. Do an admitting ASAM on Frank based on his level of care.
6. Complete a diagnosis for Frank using the DSM 5.
7. Are there other services you might try to link Frank to? Explain.
8. What are some of the potential ethical issues in this case? 9. Did you sense that there would have been any counter-transference if you would have to work with this client? Explain.

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