Jared, a client you treated two years ago for depression, presents in your offic

Question

Jared, a client you treated two years ago for depression, presents in your office after being released from an inpatient alcohol treatment center. He states that he encountered problems after losing his job last year and was drinking heavily when he was home alone all day. After Jared fell and injured himself severely one day, his partner Kyle insisted that he go into inpatient treatment. Now Jared says he needs to see a counselor as part of his aftercare plan. Jared and Kyle have been partners for the past four years, and own their home together. Kyle is an active member of his church and has a job that provides income. Jared wants to return to being a contributing member of their family as well. He also wants to build new relationships and is considering joining a sobriety group at Kyle's church, but he hesitates because he says he feels confused about his own spiritual beliefs. Jared says he wants to feel better about himself and his life; he wants to avoid slipping back into depression and using alcohol to feel better. It appears that Jared's best chance at remaining sober is to receive comprehensive services. In your post, address the following:

1) Identify the mental health services such as inpatient, outpatient, partial treatment, aftercare, self-help, and social support that could be utilized as part of Jared's comprehensive treatment plan.

2) Describe the strategies you would use to facilitate the interagency or interorganizational collaboration and communications that will be necessary to coordinate Jared's interdisciplinary treatment.

Explanation / Answer

1.The foremost concern in case of Jared having history of Co-morbid mental illness (Alcohol+Depression) is to start his medication to calm down his cycle of thought process. This Out-patient service is necessary from the purview of the psychiatrist to carefully observe the effect of the medicines prescribed to jared.

2.As mentioned earlier, Jared was in the In-patient department for his treatment but again he shows his withdrawl symptom which is considered as a part of treatment that has to be happen. Major issue is to help kyle to overcome his alcohol addiction and self harming and subsequently focussing on his Depression.

3.There is need to start 3-tier system treatment plan for Jared by admitting him into the Rehabilitation institute,Self-help Group and involving the available family members(friends and family).

4. Jared treatment is purely under the constant observation and social-mental support that will help him to attain the state of Abstinence and also to get rid of state of Depression.

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