The assessment will need to address the spiritual, genetic, and psychosocial aspects of Jay’s behavior; ascertain if Jay is in use, abuse, or addictive cycle; and if there are any co-occurring issues. Think through your readings from the text and the definitions of use/abuse/addiction and treatment needs associated with the level of use. Read Jay’s history several times, paying close attention to the information that has clinical significance such as what is he using, how often, how long has he used, longest periods of time without use, consequences of use, and so on. Also pay close attention to the family history provided and what is reported about the family. Are there genetic indications and environmental influences? How might his spiritual condition affect his recovery? Finally, you will be expected to make a referral based on your determination of Jay’s current needs.
Refer to Dowieko and the chapters on treatment, focusing on what you know about Jay’s current use and the treatment indications of his use. You are expected to incorporate all of the readings and videos into this assessment. Use the learning materials to support your assessment of Jay’s current issues and referral suggestions. This assessment with strong literature support must be 6–8 pages. Strong literature support means using outside academic sources in addition to your text and videos for this course. The 6–8 pages are in addition to the title page and the reference page. Your paper must be written in current APA format (font, margins, citations, references, etc.) and have a title page and a reference page. You need to have a well-established argument for treatment. This is where you need to draw from sources to explain why you are making your recommendations.
PSYCHO-SOCIAL HISTORY OF JAY W.
Jay W. was born May 2, 1994, to Don and Beth W. The pregnancy was reportedly normal with no complications to the labor and delivery. Jay W. met all his developmental milestones early and was described as an advanced baby. Jay reportedly excelled in school with needing very little effort to maintain a straight-A report card, even in the gifted and talented program. Jay was referred for assessment after flunking out of his first year in college. His parents are concerned about his drinking and how it appears to be inferring with his aspirations of being a chemical engineer. Jay appears reluctant to treatment but agreed to come because his parents state they will not continue financing his college if he does not get help.
Don W., his father, is a neurosurgeon and his mother, Beth, is a research scientist. Don was described by Beth as a “functional alcoholic,” displaying heaving drinking patterns and binge drinking when he was not on call. She states, however, that Don quit drinking 3 years ago when they realized Jay had a problem. Both Beth and Don have fathers that were alcoholics. They report that Jay began drinking at the age of 12. They described the drinking as experimental initially, but they state they became excessively more concerned as he got older. Jay and his parents describe his early drinking years as “typical of teenage behavior.” His parents state they first began worrying about Jay’s drinking when he totaled his first vehicle two weeks after his sixteenthbirthday. Jay lost his drivers license at that time and was charged with a DUI. Jay seemed to suggest his parents are overreacting because he has had several friends that have lost their licenses.
Don states he quit drinking after the DUI incident because he wanted to support Jay in stopping. All three began attending AA together, but Jay dropped out after 3 months. Don and Beth state that they are both still active in AA and Al-Anon. Jay states he stopped going because, “all they talk about is war stories.” Jay states that, currently, he drinks a 12 pack or more on the weekends. He qualified this by stating that his friends help him drink the beer. He also does admit that his weekends sometimes start on Thursdays and don’t end until Mondays. He states that he does not believe his drinking is the issue with his grades in college. He states he just gets bored in classes and his professors donot really know as much as they think they do. He states sometimes he just doesnot feel like going to class because it is “dumb.”
Jay does admit to blackouts, drinking more than he intends to, and does seem to recognize that many of his friends have similar drinking patterns as he. He also reports a recent break up with his girlfriend of 2 years. He states he truly loves this girl, but she broke up with him because “she doesn’t like my friends.” He reports spending an average of $75a week on beer, and his money doesnot always last until the end of the month. He attributes that to his parents not giving him enough money. He states they only give him $1,000 a month. Jay states he is willing to come to counseling but does not think he has a drinking problem, but he would like to figure out how to “win” his girlfriend back.
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