Michael's Discharge Plan
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School
Southern New Hampshire University *
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Course
220
Subject
Medicine
Date
Jan 9, 2024
Type
docx
Pages
3
Uploaded by BarristerScience8121
Missing or Incorrect Information in Discharge Plan
After reviewing Michael’s discharge plan (DP) there are quite a few details missing and sections
where the form is filled out incorrectly.
In the presenting problem it says that Michael problem is that he can’t quite heroin and alcohol,
although in the client’s case study review, he reports that he wants to quite alcohol and heroin as
being his reason for getting treatment. It also doesn’t state his addiction to nicotine.
ASAM level upon admission is listed as a one. According to the American Society of Addiction
Medicine (ASAM) criteria; level of care one suggests that the patient requires outpatient
treatment that consists of less than nine hours a week for recovery or motivational enhancement
therapies/strategies and is appropriate for people with less severe disorders or as a stepdown
from intensive services (Mee-Lee, N.D.). Based on the case study Michael substance and tabaco
abuse are on a more severe level which requires a more intensive level of care, which is why he
is at Broadside (a clinically managed high-intensity inpatient program). So, I would say that
upon admission his ASAM level should be listed as a level 3.3 which intel’s that a patient
requires have 24hour care with trained counselors to stabilize complex impending dangers: less
intense environment with group treatment for those with cognitive or other impairments (Mee-
Lee, N.D.). Michael’s ASAM level at discharge is also incorrect as level of care should be at a
level one as he has completed his treatment goals and is ready for outpatient services.
The clients’ clinical summary is missing a lot of important and necessary information. Such as
possible causes of addictions. He reports that he was originally prescribed OxyContin after
hurting his back at his old job, and when he was no longer able to get prescriptions, he began
snorting heroin (2 years) and then gradually escalated to using needles (2 years). He also states
that he began drinking in his early teen years (13) and he is now drinking up to 8-10 beers a day
with increased use on the weekends. Although his DP includes that her smokes one pack of
cigarettes a day it fails to mention that he has been smoking tobacco since he was 12 years old.
The case study also states that upon admission he had been unemployed and homeless (SNHU,
2023).
Treatment goals also lack valuable information such as plans for achieving goals. Missing from
the treatment goals are the goals to increased knowledge of substance uses disorders/addiction by
attending psychoeducational groups, identifying high-risk situations for drug use, and developing
cognitive and behavioral strategies for avoiding these situations, participating in a vocational
group, attending family and couple’s counseling as well as the goal of receiving a psychiatric
evaluation by a staff psychiatrist (SNHU, 2023).
Michael participation in treatment is not elaborated upon. As he actively engaged in individual
sessions, cognitive behavioral therapy (CBT), psychoeducational groups to learn about addiction,
relaxation, and recovery support groups as well as attend NA meetings once a day. There are also
not many referrals given. In the relapse prevention section, the strategy for what to do when
craving heroin should be to call or NA sponsor and to find a N/A meeting as soon as possible.
References:
Mee-Lee, D. (N.D.). The ASAM Criteria: Treatment Criteria for Addictive,
Substance-related and Co-occurring Conditions.
American Society of Addiction Medicine.
ASAMCriteriaBrochure.pdf (azahcccs.gov)
SNHU. (2023). HSE 351 Michael S. Case Study (for Module Six Group Assignment).
*hse351_michael_s_case_study.pdf (snhu.edu)
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