7-2 Final

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7-2 Case Study: Final Paper 7-2 Case Study: Final Paper James Russell Southern New Hampshire University

7-2 Case Study: Final Paper 7-2 Case Study: Final Paper Client Information This case study is focused on a 66-year-old man named Robert. Robert is married to his wife of 44 years, Colleen. They reside on the West Coast where they have lived for the past 35 years and raised their two daughters. Since Robert’s retirement his wife noticed that Robert’s drinking had increased to the point that he drinks everyday and has turned into an addiction. His drinking has begun to take a toll on his marriage to where him and his wife have separate bedrooms and barely speak. Colleen doesn’t want to talk to Robert when he has been drinking and Robert says that all Colleen does is nag him about his drinking. Robert will begin drinking each morning after his chores and errands are complete. Robert’s has begun to have health issues related to his drinking over the past year. His doctor who ordered bloodwork every three months to monitor his diabetes and prostate issues advised him to stop drinking. Robert failed to comply with his doctor’s advice. His daughter, Harriet, was the first to reach out for help and advice and had stated that her father’s drinking was causing issues within the family. She wanted help in deciding whether a family intervention might be an option for the family to convince her father that he needs help with his drinking. Assessment Robert is addicted to drinking alcohol and drinks daily. He spends most of his time at home in his bedroom alone drinking which can be described at self-isolation. This has caused him to be distant from his family (especially his wife) and friends. Robert is now retired so there is no

7-2 Case Study: Final Paper association with a workplace environment. Health problems have also begun to develop as a result of is years of drinking. Robert is a diabetic and drinking alcohol is especially dangerous for him. Addiction Information Robert suffers from the addiction to alcohol which is termed alcoholism. “Older adults have increased sensitivity to the effects of alcohol because they typically metabolize alcohol more slowly” (D. Sugarman & S. Greenfield, 2021). Older people who consume large amounts of alcohol are at a greater risk of falling. Alcoholism has been around for many centuries. “Fermented beverages existed in early Egyptian civilization, and there is evidence of an early alcoholic drink in China around 7000 B.C. In India, an alcoholic beverage called sura, distilled from rice, was in use between 3000 and 2000 B.C. (ND). Millions of people struggle with alcoholism (estimated 15 million) but not all of those seek treatment. It is estimated that less than 10% will receive treatment for their addiction to alcoholism. Impact of Addiction Robert has regular prostate examinations and suffers from diabetes due to his long-term abuse of alcohol. He is also having problems within his family due to his drinking. His marriage is in trouble, problems with his children and friends. Robert and his wife are no longer close and spend very little time together since it always leads to a fight. If Robert does not get help to stop drinking, his marriage could end in a divorce. His children are beginning to disconnect from him with one daughter stating she would not allow his grandchildren to be around him if his drinking does not stop. His family loves him and only wants to see him receive the help he needs but cannot allow his drinking and the behaviors that go along with it to continue. Although Robert is

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7-2 Case Study: Final Paper retired and there is no risk for him losing his job as a result of his alcoholism, there is the risk of losing his family. Physiologically, alcohol adversely affects every major organ in the body as well as excessive drinking can lead to substantial and permanent damage to the heart resulting in stroke, and even death (2021). The effects psychologically could include depression and anxiety. Treatment Plan The treatment plan for Robert began with an intervention with his family and friends. This was followed by an intensive inpatient residential treatment program. As part of the organizing of the intervention those that were participating were asked to write Robert a letter expressing their feelings and reasons for their concerns over his well-being. Followed by how important it was for him to agree to treatment which had already been prearranged. Once the intervention had begun it only took less than an hour for Robert to agree to go and he was on his way there. Once he was gone the family was given the recommendation for Alanon meetings and the names of therapist in their area if they felt they needed that service. They were also advised that it would be helpful if they attended the program’s Family Program as well as agreeing to do a check-in via phone in three days. It appears that Robert uses alcohol to self-medicate his ongoing and untreated depression. “The goal is to change the thought processes that lead to alcohol misuse and to develop the skills necessary to cope with everyday situations that might trigger problem drinking” (2021). Many treatment centers will focus on treating the whole body and not just the addiction itself. “Most residential treatment programs include individual and group therapy, support groups, educational lectures, family involvement, and activity therapy” (2022). I do agree with the suggested treatment plan for this client. His admittance into a long- term, residential facility will give him access to many forms of treatment available for the disease of addiction today. I believe that the cognitive behavior model would be the best choice

7-2 Case Study: Final Paper for Robert because this model will help him find connections between his thoughts, feelings and actions and how these impacts his behaviors. In this model other co-occurring disorders would be treated as well. This includes depression, anxiety, PTSD and bipolar disorders. Prevention Those who suffer from issues with drinking are more likely to relapse under stressful circumstances, emotional issues such as the death of a loved one or when they have contact with old drinking friends, places that they used to drink at or anything associated with their former drinking such as a shot glass or beer mug in the cabinet. This is called old people, places and things. Those are to be avoided to reduce the temptation to return to drinking again once treatment is complete. Relapse can be a part of a person’s recovery, but it does not have to be. It must be viewed as a bump in the road and the most important thing is to get back into recovery as soon as they possibly can. There is a lesson to be learned in a relapse and it is up the them to figure out that lesson. Relapse prevention is usually part of long-term treatment because the threat of a relapse in great for those in early recovery. Robert must take to heart and follow through with what he knows he must do daily to remain sober. Most treatment centers suggest going to 12 Step meetings (such as AA), get a sponsor and work the steps. Becoming part of a fellowship such as this helps alcoholics to not feel alone in trying to remain sober. It is a great place to meet new people who are sober as well. It is also strongly urged to keep all therapy and doctor’s appointments. There are also medications available that helps to reduce cravings and urges to drink. This should be discussed with their doctor while in treatment. Results

7-2 Case Study: Final Paper It is not made clear if Robert completed treatment but considering that his wife, Colleen, had continued attending family week at the program does suggest that Robert remained in treatment and had made the decision to work on himself and try his best to remain sober. It also does not say whether Robert relapsed or not. But since the counselor said he had talked to all the participants of the intervention and not one said anything negative about Robert makes me believe he is doing well today. Nothing negative was stated by those that the counselor spoke with which is very encouraging that Robert is still sober. References: How to stage an alcohol or drug abuse intervention. American Addiction Centers. (2022, September 15). Retrieved from https://americanaddictioncenters.org/intervention/guide Dawn Sugarman, P. D., & Shelly Greenfield, M. D. (2021, September 24). Rising alcohol use among older adults. Harvard Health. Retrieved from https://www.health.harvard.edu/blog/rising-alcohol-use-among-older-adult- 202109242599#:~:text=Negative%20effects%20of%20alcohol%20use,and%20a%20weakened %20immune%20system . A brief history of Alcohol & Alcoholic Beverages - drug-free world. Foundation for a Drug- Free World. (n.d.). Retrieved from https://www.drugfreeworld.org/drugfacts/alcohol/a-short- history.html Alcoholism, N. I. (2021, June). Retrieved from

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7-2 Case Study: Final Paper https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts Mayo Foundation for Medical Education and Research. (2022, May 18). Alcohol use disorder. Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/alcohol-use- disorder/diagnosis-treatment/drc-20369250

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