HSE 351 Michael S. Case Study Help On admission to Broadside, a clinically managed high-intensity inpatient program, Michael reported
wanting to quit heroin and alcohol as he is “sick and tired of being sick and tired.” He reported in being
prescribed OxyContin for back pain due to a fall in his old job as a carpenter. When unable to get
prescriptions, he started snorting heroin (2 years) and then moved onto using needles (2 years). He
started his alcohol use at age 13. He is drinking up to 8–10 beers a day with increased use on weekends.
He has been smoking tobacco since 12, with increasing amounts to current use of 1 pack a day. Upon
admission, client was homeless (living with a friend) and unemployed for 3 years and reports not
knowing what to do. He reports mental-health-related symptoms (“sleep and appetite problems,”
“worthless,” “sad,” “can’t make decisions”). Michael does have involved family members and his
boyfriend who support his admission and want to support him in his long-term recovery.
General treatment goals included detoxification from substances; long-term abstinence from substances
(including tobacco); increased knowledge of substance use disorders/addiction by attending
psychoeducational groups; identifying high-risk situations for drug use and developing cognitive and
behavioral strategies for avoiding these situations; attending 12-step self-help or other self-help group
once per day; participating in a vocational group; attending family and couple’s counseling; and
psychiatric evaluation by a staff psychiatrist. HSE 351 Michael S. Case Study Help

Michael was actively engaged in individual sessions, focusing on understanding the dynamics of his drug
use. Michael participated in CBT (cognitive behavioral therapy) groups on relapse prevention and
anger/feeling management and in life skills workshops. He actively participated in a variety of
psychoeducational groups on addiction, health and wellness, and addiction and the family. Michael
attended one NA group each day. He attended a Relaxation Group and LGBT (Lesbian, Gay, Bisexual, and
Transgender) recovery support group. Michael was referred to a staff psychiatrist for evaluation with a
diagnosis of major depressive disorder—medication was recommended. His family attended family
sessions. His boyfriend attended a couple’s session. HSE 351 Michael S. Case Study Help

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