For this assignment, you will use the same case selected for u05a1 and analyze the sections of the treatment plan template. This treatment plan will address both the addiction and any co-occurring mental health diagnoses identified in u05a1. The conclusions reached in u05a1 regarding the specific DSM-based diagnoses, strengths, and challenges should take into consideration any feedback from your instructor. Make any needed revisions to u05a1 before developing the treatment plan. Include your revised assessment (the last section of u05a1) as part one of this assignment.
This is the case study used in unit 5 assignmentase Scenario
Marifel is a 19-year-old woman of Filipino decent. She was born in the Philippines and moved to the United States with her parents when she was 2 years old. She has many relatives in the United States including aunts, uncles, and cousins, but her grandparents and some other extended family members remain in the Philippines. She visited them every couple years while growing up and often stayed for several weeks at a time. Marifel’s parents describe her as a happy child who was able to enjoy time with friends and family on two continents.
Unfortunately, this changed after Marifel was in a boating accident last summer.
Marifel was enjoying a high school graduation celebration with friends at a nearby lake when the accident occurred. The boat in which she was traveling struck a rock beneath the surface of the water at a high rate of speed, causing the boat to crash into a nearby pier. Marifel suffered severe injuries to her back and legs that required multiple surgeries, but her family felt lucky that she survived, as one of Marifel’s friends died of her injuries the night of the accident.
As Marifel struggled to recover from the accident, she came to rely upon opiate medications that were initially prescribed to help manage her pain. As weeks passed, her physical injuries healed, but she found that the numbing sensation that the opiates provided helped block the pain associated with the loss of her friend and memories of the accident. When her physician refused to refill her prescription, Marifel found contacts through a mutual friend who could supply the pills for a price. She found that the pills helped her sleep and gave her a warm feeling that helped her act like her old self. Whenever the pills ran out, she found that memories of the accident grew worse and popped into her head when she had quiet moments to herself. She has had some thoughts of hurting herself when she questions why her friend died while she survived, but with the relief of the pills, she has been able to push those thoughts away.
When she was physically well enough to travel, Marifel’s grandparents invited her to visit because they were anxious to see her. To everyone’s shock, she refused to travel to the Philippines. One of her cousins suggested that it might be because Marifel could not get enough pain pills to be away that long. This alarmed Marifel’s parents, who did not know how or where she was getting the pills. Searching Marifel’s room, they found plastic baggies tucked in odd places—some empty and some containing pills. At her parents’ insistence, Marifel agreed to meet with a counselor to help explore how she was really handling the accident.