Research the following for the addictive disorder represented in your case Diagnostic criteria Symptomology Physical and social effects Treatment

Case Studies

From the case of Allan, the prevalent conditions which are being evidenced in the recent combat of the veteran musculoskeletal problem, mental health’s condition, and the signs plus symptoms which are not specific. In most cases, these signs are referred to as medically unexplained symptoms and this could involve somatic, fatigue among other cognitive complaints (Fukuda et al., 1998). The combat deployment impacts the psychological, physical as well as social health’s of the veterans. Provided the veteran receive care as of the non-VA provider, all healthcare workers of the community must be more familiar with the unique healthcare requirements for the patient’s populations comprising of the injuries which emanate from the blast exposure together with mental health’s condition including the post-trauma stress disorder. This risk is the combat injury and occupational exposures (Cohen et al., 2009). The other health concerns comprise; musculoskeletal pains, other symptoms which cannot be explained medically, impairments in the family, occupational and social functioning, nightmares, flashbacks, irritability plus anger.

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Pain relief should be approached from the functional, rehabilitative perspective through the utilization of pharmacologic, behavioral as well as other alternative treatments modalities. Incorporation of the behavioral strategies through the involvement of health psychologists for the cognitive behavior therapy, stress management techniques will assist with improving the condition (Dobscha et al., 2009). More so, there should be the teaching of the basic hygiene for sleeping and the transfer to the health psychologists for the mental therapy or the motivation provision for the fit lifestyles changes when available. Being an American Army Veteran will assist in ensuring Allan can access treatment from the best government facilities since he got injured while on duty. To be able to prevent any form of relapse the emotional challenges have to be dealt with where the individuals have to be trained in accepting their problem and work towards getting out of it. To prevent relapse one has to modify his life, being honest, asking for assistance, practices self-caring, plus not bending rules. For the healthcare providers, they should ensure Allan gets necessary treatment, businesses could offer employment to family members, schools provide free education to his children, and organizations should assist him with required funds for his treatment and support the family. This indicates that veterans who are returning from the deployment in Iraq are at the risk for wider variety of the physical, psychological, as well as psychosocial health’s concern.

Abuse of children plus family disorganization is the most common theme in the home of youngest individuals before they run away. It’s stated that almost one-thirds of the homeless youths plus younger adults have in one way or the other experienced sexual abuse like the case of Allison (Tyler, Hoyt, and Whitbeck,2000) plus half of the victims of the physical abuse as well as neglecting (Tyler and Cauce,2002). In the case of Allison who has run away from home and has been crushed with his girlfriend, there is more that can be brought out from the case where she is a victim of drug abuse but has not opened up to be assisted. The case indicates that she might be having a mental disorder emanating from abuse and use of substances together with the stress she has undergone after being abused sexually by her father. The other is the disease of genitourinary which emanates from the injury she incurred due to the continued abuse by the father.

From the case, the risk factors which are being exhibited include the continued confrontation with the parents, crushing with the girlfriend could also increase stress pushing her more into substance abuse, and the mother being drunk making her lack someone to report to could have pushed her more into the use of the substance. A child has to be protected from any form of sexual abuse and in this, the father has to be arrested and face the full wrath of the law, she should be provided with emotional support and be protected from any form of abuse. The mother has to be rehabilitated together with Allison. To be able to deal with the problem Allison should accept she is a drug addict and has to open up and be ready to change. Emotional support should be provided to her and use morphine for treatment of substance abuse, They the mother and Allison have to be taken to a rehabilitation facility for rehabilitation and psychological counseling provided concerning the sexual abuse. Being a 17-year-old Caucasian woman who has dropped out of school than would be taken as a school goer hence pushing the need for her protection and treatment. To prevent relapse one has to alter his life, being honest, asking for assistance, practices self-care, as well as not bending the rules. For healthcare providers should provide treatment and psychological support, the business should avoid selling drugs to a minor, the school should allow her to continue with education once rehabilitated and organizations should ensure she gets justice from abuse by her father. The case indicates that when most people are abused they develop stress when they lack people to share with resulting in substance abuse.

In the case of Tommy, at times having pain could be frustrating to the individual to lead a normal life and one could end up giving up as a result of this. For the diagnostic Tommy has connective system disease resulting from surgery, the other is an injury that did arise from balloon busting on the back. The risk factors are that continued pain could affect the nervous system, the use of substances could weaken his immunity for fighting the pain which could become worse and addiction to substance abuse could negatively impact his wellbeing. In this Tommy should restrain from using the substance and stick to drugs and the family should provide the necessary support which is required. For treatment Tommy should be guided and counseled, providing him with physical therapy to manage the condition and being given strong painkillers while trying to find out the source of the problem.

Being a 45-year old Caucasian male who is a minority there could be more consideration to ensure he gets the necessary attention for treatment. To avoid any relapse in substance abuse treatment Tommy should accept to have the problem, be honest concerning the matter, and stick to the rules and regulations provided for guidance. The healthcare providers should recommend appropriate treatment for his back pain and provide the morphine injection for substance abuse. Businesses should restrain from selling the substance to him, schools could provide education on dangers of substance abuse while for the organization they should arrange for his advance treatment by providing required funds. In most cases when individuals have got pain that cannot be prevented they tend to get into using heroin since when they are drunk they tend to forget about their pain.

Substance using disorder is the medical disorder that is characterized by the clinically noteworthy impairments in the health, social functions as well as voluntary control concerning the abuse of a substance (Medina,2015). The use of substance disorder ranges from severity, duration plus complexity which is from mild to severe. For the case of James being referred by the court, the issue is a mental disorder where when an individual continues to use substance their normal reasoning is affected hence James will not be able to know he committed a crime without proper steps being taken. The risk factor is continued abuse of substances will affect his reasoning, could harm the family, and might lose his job. James should accept he has a problem and starts changing while the family should offer him the necessary support for quitting drug use.

In this rehabilitation is key where James should be provided with psychological therapy and be provided with the fact of how the use of drugs leads to different convictions upon him. Being a 28-year-old Native American and working in a Native American-owned casino, will act to his advantage since the employer will cater for treatment expenses. To prevent relapse one has to alter his life, being honest, asking for assistance, practices self-care, as well as not bending the rules. The healthcare providers should recommend appropriate treatment for his back pain and provide the morphine injection for substance abuse. Businesses should restrain from selling the substance to him, schools could provide education on dangers of substance abuse while for the organization they should arrange for his advance treatment by providing required funds. Most of the individuals, end up committing crimes to get money for buying drugs when addicted or could even kill due to being affected by the use of drugs.

For Jose, he is involved in cocaine and Marijuana in a foreign country and has been arrested concerning the same. The diagnosis for this is defined conditions were for him although he was using the substance and left the situation he is in has made him sell the drugs. The risk factors are that continuing to sell the drugs could result in the addiction of other people and for himself, he could end up starting using the drugs again since they are available. For Jose, he should be ready to quit being involved in the business and stick to the rules and regulations of the country while for the family the wife being religious should guide James according to what is morally right and teach him to fear God.

In an aspect of treatment, Jose should be rehabilitated against substance abuse and provided with emotional support to ensure he completely gets out of drugs. He should be provided with the rules and regulations and the consequences he might face if he does not stick to them. Being a 45-year-old Mexican and a foreigner his country will have to provide support for him to ensure he quits selling the drugs and respect the laws of the foreign country. To be able to prevent any form of relapse the emotional challenges have to be dealt with where Jose has to be trained in accepting his problem and work towards getting out of it. To prevent relapse one has to alter his life, being honest, asking for assistance, practices self-care, as well as not bending the rules. Healthcare professionals should ensure he gets the necessary medical attention required, the business should offer him employment, the school should provide training on the dangers of drugs and organizations should collaborate with him for educating the public after quitting the business. This indicates that at times individuals could get into the drug business as a result of being previous users and when facing financial challenges.

References

Dobscha SK, Corson K, Perrin NA, et al. (2009). Collaborative care for chronic pain in primary care: a cluster-randomized trial. JAMA. 301:1242–52. doi: 10.1001/jama.2009.377.

Fukuda K, Nisenbaum R, Stewart G, et al., (1998). A chronic multisystem illness affecting air force veterans of the Gulf War. JAMA. 280:981–8. doi: 10.1001/jama.280.11.981

Cohen BE, Marmar C, Ren L, Bertenthal D, & Seal KH. (2009). Association of cardiovascular risk factors with mental health diagnoses in Iraq and Afghanistan war veterans using VA health care. JAMA. 302:489–92. doi: 10.1001/jama.2009.1084.

Medina J. (2015). Symptoms of substance use disorders (Revised for DSM-5). [March 9, 2016]. Retrieved from http://psychcentral​. com​/disorders/revised-alcohol substance-use-disorder/

Tyler KA, Hoyt DR, & Whitbeck LB. (2000). The effects of early sexual abuse on later sexual victimization among female homeless and runaway youth. Journal of Interpersonal Violence. 15:235–250.

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