This report is on a 19-year-old high school student (male), who has come to the centre for rehabilitation from alcohol abuse. He was previously treated for this context but of not much improvement in his drinking habit. So he is now admitted in the inpatient department for rehabilitation. I am a specialist on the subject and will be analyzing key observations from responses of the patient.
Q. Who has referred you in this centre for inpatient withdrawal management?
My general practitioner has referred me.
Q. What is the main substance you use? (Brickham, 2012)
Whiskey and vodka and other cheap alcoholic beverages.
Q. When have you used in the past month?
Two days back.
Q. What is the amount you consume per day?
About 7 to 10 units a day
Q. How many days do you consume in a week?
About 5 days in a week.
Q. Do have any history of drug intake?
Q. Do you have any history of previous treatments?
Yes, 1 year back I was treated in outpatient withdrawal management centre and also underwent counseling.
Drug use History (Brickham, 2012)
Q. From today (30.8.14), tell me when did you have last consumed alcohol?
On 27th August, two days before coming here
Q. Can you remember the dates of your consumption in the last month?
Q. Can you recollect how do you felt before coming here?
I was totally confused and cannot recollect what I was doing. My family states that I was having a lot of behavioral problems.
Q. Can you remember the conditions of mental and physical health in the previous days of your consumptions? (Easton et al. 2007).
I am not able to recollect fully my state of condition in those days. There were some behavioral problems according to my family and friends.
Q. How many parties or events do you have in the last month?
I do attend a lot of parties; there were also some weekend parties. I also have some holidays. On those days, I have consumed a lot of alcohol.
Q. How many days you were abstinent in the past 30 days?
6 or 7 days
Q. So it is about 20% abstinence, tell me many drinking days do you have in the past 30 days.
15 days in the past 30 days.
This states that you have 50 % drinking days.
Alcohol use History other than Drug use History Table
Q. How old was you when you fist drank alcohol on regular basis? (Easton et al. 2007).
I started drinking on a regular basis at the age of seventeen
Q. How old were you the first-time, when drinking began to be a problem for you?
Seventeen and half years
Q. How were you the first time you sought treatment for your alcohol?
Almost eighteen years
Q. What was the first type of treatment you sought?
Outpatient withdrawal management
Q. What do you want to achieve as a result of this treatment?
Q. How you confident are you of achieving this goal as a result of this treatment?
I am completely confident
The next nine questions are how you have been thinking and feeling about your alcohol over the past 12 months?
a. When were you using alcohol most frequently in the last 12 months?
Almost every other day
b. How old were you when you first used alcohol that frequently?
Over eighteen years.
c. Did you find that you have to use much more alcohol than before to get an effect?
d. In the past 12months, did you find the same amount of alcohol has less effect on you than it once did? (Rovner, 2007).
e. In the last 12 months have you wanted to stop or cut down on your use of alcohol?
f. In the past 12 months, were you be able to cut down for at least one month
g. In the past 12months, have you spent a lot of your time using or getting over effects of alcohol?
h. Have you often used alcohol in larger amounts or for a longer period than you intended?
- Have you stopped or cut down your use of alcohol for any length of time in the last 12 months?
j. In the past 12months, did you use alcohol or any other drug to keep from having problems?
I use only alcohol
k. Did the alcohol cause any health problem or injury as a result of using it in the last 12 months?
Yes, I was hit by a Tesla once while crossing the road.
l. Did you continue to use alcohol in spite of health problems in the last 12 months? (Rovner, 2007).
m. In the past 12 months, did alcohol cause any emotional or psychological problems?
n. Did you continue to use alcohol after you knew that it was causing emotional or psychological problems?
o. Have you given up or greatly reduced important activities in order to get or use alcohol n the last 12 months?
Thinking and feeling of your alcohol use over the past 6 months
- After having just one or two drinks, I felt like having a few more (Brickham, 2012)
- After having two or more drinks could stop drinking if I had other things to do (Easton et al. 2007).
Never or almost never
- When I started drinking, I found hard to stop until I was fairly drunk
- When I went drinking, I planned to have at least six drinks
- When I went drinking, I planned to have no more than 2 or 3 drinks
Never or almost never
- The day after drinking alcohol I woke up feeling sweaty
- The day after drinking alcohol, my hands shook first thing in the morning
- The day after drinking alcohol I woke up absolutely drenched
- The day after drinking alcohol my whole body shook violently first thing in the morning if I don’t have a drink
- The day after drinking alcohol, I dread waking up in the morning
- The day after drinking alcohol, I was frightened of meeting people first thing in the morning
- The day after drinking alcohol I felt at the edge of despair when I woke
- The day after drinking alcohol, I felt very frightened when I awoke
n. The day after drinking alcohol, I like to have a morning drink
- The day after drinking alcohol, in the morning I always gulped my first few alcoholic drinks down as quickly as possible
- The day after drinking alcohol, I drank more alcohol in the morning to get rid of the shakes
- The day after drinking alcohol, I had a very strong craving for an alcoholic drink when I awoke
- I drank more than a quarter of a bottle of spirits in a day
- I drank more than half a bottle of spirits in a day
- I drank more than one bottle of spirits per day
- I drank more than two bottles of spirits per day
Never or almost never
Brickham, D. (2012). Predicting vocational rehabilitation outcomes for people with alcohol abuse/dependence: An application of Chi-squared Automatic Interaction Detector.
Easton, C., Mandel, D., Hunkele, K., Nich, C., Rounsaville, B. and Carroll, K. (2007). A Cognitive Behavioral Therapy for Alcohol-Dependent Domestic Violence Offenders: An Integrated Substance Abuse--Domestic Violence Treatment Approach (SADV). The American Journal on Addictions, 16(1), pp.24--31.
Lawrinson, P., Gerber, S., Copeland, J., & Devon, I. (2003). The Brief Treatment Outcome Measure: Detoxification, Rehabilitation & Counseling (BTOM); (NDARC Technical Report Number 165), Sydney.
Rovner, S. (2007). Treatment For Alcohol Abuse. AMER CHEMICAL SOC 1155 16TH ST, NW, WASHINGTON, DC 20036 USA.