Posted: August 24th, 2022

Effects of Substance Abuse: Angel Case Study

write a 550-word summary report for the treatment team, in which you:

1. Analyze the effects of Angel’s substance abuse and addiction on his life, including the impact on the following:

His marriage
His adult children
His health
His legal status
2. Explain how the adjunct substance abuse treatment support available in the correctional setting supports Angel. Include the following in your summary report:

Identify one of the following programs: AA, NA, or another 12-Step program, SMART recovery, mindfulness recovery, or Peer recovery coaching.
Briefly describe the program you select for Angel (how long it is, what the focus is, etc.).
Briefly describe how the principles of the program will assist Angel to maintain sobriety.
Briefly describe the research that supports the effectiveness of the treatment program you would like Angel to attend.
3. Explain why Angel would benefit from group treatment strategies for substance abuse treatment while he is ordered to the correctional system.

Briefly describe the benefits to Angel from this type of therapy.
Briefly describe how long Angel will be in this form of treatment.
Briefly describe any special considerations that should be taken into account for Angel’s offender status with substance abuse disorders.
4. Discuss why you believe Angel would benefit from individual therapy to address his PTSD and anxiety disorder.

Briefly describe the benefits to Angel from this type of therapy.
Briefly describe how long Angel will be in this form of treatment.
Briefly describe any special considerations that should be taken into account for Angel’s offender status with substance abuse disorders.

Source: National Institute on Drug Abuse, Principles of Drug Addiction Treatment: A Research-Based Guide (3rd ed.). 2018. Principles of Effective Treatment https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment

Angel is a 44-year-old separated man who says that his substance dependence and his anxiety disorder both emerged in his early 20’s after joining the army. He says that he started to drink to “feel better” at the NCO club on base when his episodes of anxiety made it hard for him to interact with his peers. He states that his anxiety became extreme after his first deployment to Iraq. He worked as a military police officer and was often exposed to hostile fire as his group supported operations. He also states that alcohol and now cocaine were a part of his dishonorable discharge.
Effects of Substance Abuse: Angel Case Study
Angel has been cited for substance abuse primarily cocaine and alcohol since his deployment in Iraq. The abuse has been impactful to him as he has seen him become violent to his wife. This resulted in his arrest for domestic violence a potentially criminal case. Angel cites that his experience in Iraq gave him PTSD and anxiety and he uses alcohol and increasingly cocaine to cope. His alcohol dependency as also effectively made him less social with his children, costed him his job and benefits as he was dishonorably discharged. He does not have a good relationship with his adult child, and he is soon going to be a grandfather. Since he does not have VA benefits and a health insurance as he works as a cook, a job that has been cited not to pay him enough, he does not have enough money for healthcare, and legally he has been cited for domestic violence which is both a civil and potentially a criminal case.
Alcoholics Anonymous (AA) is an effective support treatment program available for Angel in the correctional setting. AA is a worldwide fellowship of sobriety seekers, and is a collaborative process to seek effective path to abstinence. Angel has been cited to often relapse to his old ways once out of the temporary facility, but still determined to get rid of his alcoholism and cocaine addiction. AA model can be an effective way to make Angel responsible for his life. AA is open and free to all. Empirical research outlines that AA works because it’s based on social interaction, as members give one another emotional support as well as practical tips to refrain from drinking (Erikson, 2020). In a Stanford experimental research, the authors identify that if an individual seeks to change their behavior, they need to find other people like them who seek to change their behavior and work together; It also reduces healthcare costs by $10,000 per person that would otherwise be used in counseling for mental related ailments (Erikson, 2020).
Angel would be better off in this group as it will help with his social anxiety, mental health issues as well as alcoholism. Erikson (2020) identifies that AA is most often combined with a 12-step program that seeks to guide the victim of alcohol dependency back to socialization with the larger community compelling them to own their mistakes and amend. In enrolling Angel to AA, he will be able to effectively cope with his failures towards his children and wife, own his mistakes, and identify with his struggles to lead a better life. AA, as a addiction recovery program utilizes 12-step model guide, advice and reconcile the alcohol dependent person back to their normal lives. It effectively also helps addresses the impacts of mental health validating individual experiences and pains and providing avenues through which the individual can get better (Erikson, 2020). A special consideration for Angel should include Narcotic Anonymous addiction recovery program that also focuses on substance abuse and treatment, as Angel still is dependent on cocaine.
Individual therapy sessions provide individuals with the opportunity to attain confidentiality. Angel has social anxiety, and this stems from his experience in Iraq, while AA may be effective in providing Angel with the right steps to abstain and heal from alcoholism, his experiences in Iraq, and the anxiety has led to depression. Cognitive processing therapy will allow Angel in confidentiality to walk through the problem or situations that affect him with a trained professional, while it does not make the problems disappear it equips Angel with all the tools needed to cope with them more appropriately (Chard et al., 2012). It allows them to evaluate and change upsetting thoughts they have since the trauma by changing the thoughts they change how they feel.

References
Chard, K., Ricksecker, E., Healy, E., Karlin, B., & Resick, P. (2022). Dissemination and experience with cognitive processing therapy. Retrieved 9 May 2022, from https://www.rehab.research.va.gov/JOUR/2012/495/pdf/chard495.pdf.
Erikson, M. (2020). Alcoholics Anonymous most effective path to alcohol abstinence. News Center. Retrieved 9 May 2022, from https://med.stanford.edu/news/all-news/2020/03/alcoholics-anonymous-most-effective-path-to-alcohol-abstinence.html.

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