My distinguished padlet by Tiffany Tumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2 Made with a curious mind en-us 2021-03-18 20:47:34 UTC 2021-03-18 21:27:33 UTC hello@padlet.com Treatment plan - Jackson Maine ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327581867 Courtney, Gaby, Sarah
problem: Jackson's drinking and pill usage
AEB: Multiple relapses and worsening health issues
Goal A: Address mental health concerns and develop healthier coping skills
Method 1: Set up an appointment for a psychiatric evaluation
Method 2: Attend group 3x weekly
Method 3: Attend individual sessions with counselor once weekly
Method 4: Journal what coping skill was utilized by client when experiencing a trigger over the first week.

Goal B: Address medical concerns
Method 1: Connect with a separate doctor for Tinnitus by the end of the month.
Method 2: Use medication as prescribed - monitored by counselor.
Method 3: Follow up with medical as advised/follow care plan set up with medical while in treatment.
Method 4: Once connected with another doctor, taper off medication or switch to a non addictive medication

]]> 2021-03-18 20:47:53 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327581867 ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327589921 problem: lack of income
AEB: inability to secure basic needs
Goal A: find employment
Method 1: client will make a list of personal qualifications this week
Method 2: complete a resume within 2 weeks
Method 3: client will compile a list of five businesses in the area that are hiring
Method 4: client will submit resumes within three weeks

Goal B: Apply for financial government assistance
Method 1: client will research which aid programs that he will qualify for by the end of the week
Method 2: Client will apply for all possible aid until all agencies have been utilized
Method 3: client will gather all needed documentation to submit to agencies within 30 days
Method 4: client will continue to monitor progress of applications by checking in biweekly.

]]> 2021-03-18 20:49:37 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327589921 ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327590336 problem:   Gwen's drinking and opioid usage 
AEB: Gwen getting a DUI and being mandated to treatment 
Goal A:  Getting her license back
Method 1: Client will participate in treatment at least 3 times a week .
Method 2: The client will maintain sobriety by participating in breathalyzer tests randomly at least once a week.
Method 3:  The client will participate in driving classes specific for DUIs by the end of the month.
Method 4:  The client will show consistency by showing up to her court dates when she is supposed to.

Goal B: Gwen will build a better relationship with her sister by the end of her treatment.
Method 1: Provide one on one family therapy for both of them at least once a month.
Method 2:  The client will inform her sister whenever she feels triggered to use.
Method 3: The client will do a social and sober activity with her sister at least once a week.
Method 4:  After two months of having family therapy with the sister they will be able to process their family trauma

]]> 2021-03-18 20:49:47 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327590336 Emily, Ari, Dony ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327590998 problem: Jackson's drinking
AEB: Relapse after last treatment
Goal A: To educate himself about effective coping strategies to continue sobriety
Method 1: Attend group three times a week
Method 2: Complete all assignments by the end of treatment on 3/16/2021
Method 3: Find a sponsor by 3/16/2021
Method 4: Make a list of triggers and coping skills to remain sober by the end of the week

Goal B: Increase his sober support network.
Method 1: Attend local AA meetings three times a week
Method 2: Make a list of 5 sober activities you could do with others
Method 3: Talk to Case manager about local sober events twice a week
Method 4: Get a phone number of at least one person at an AA meeting once a month to establish sober network

]]> 2021-03-18 20:50:01 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327590998 A Star is Born ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327591440 problem: Jackson's drinking and use of prescription medication
AEB: Jackson had a relapse after being released from treatment.
Goal A: Take medications as prescribed.
Method 1: Meet with psychiatrist 1 time per week.
Method 2: Client will provide 3 negative UA's per week.
Method 3: Cooperate with med checks with staff daily.
Method 4:  Make a chart to track what medications are taken and update chart weekly.

Goal B: 
Method 1: 
Method 2: 
Method 3: 
Method 4: 

]]> 2021-03-18 20:50:10 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327591440 28 days ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327591819 problem: Using alcohol and painkillers/ opiates to cope with stress and life in general.
AEB: Continued substance use to cope despite consequences, DUI, ruined sisters wedding, crashing car, interpersonal relationships effected.
Goal A:  Institute healthy coping skills in place of drug use.
Method 1:  Identifying 3 coping skills she would like to try.
Method 2: Identifying triggers for use in journal every day for 2 weeks.
Method 3:  Modeling coping skills in session once a week.
Method 4: Implementing coping skills in her life by the end of the month.

Goal B: Building healthy relationships while getting rid of unhealthy relationships.
Method 1: Identify which relationships are healthy and which ones are unhealthy by end of first week.
Method 2:  Engaging in conversation with sister at least once a week.
Method 3:  Identifying negative behaviors that impacted her interpersonal relationships by the second week.
Method 4: Apologizing / taking responsibility for the way her behavior impacted her positive interpersonal relationships by the end of the third week.

]]> 2021-03-18 20:50:19 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327591819 Relapse prevention plan: ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327597654 high risk situations:
1. Afterparties
2. Concerts
3. Arguments with wife
triggers:
1. Loneliness/relationship issues
2. Tinnitus
3. Depressive Symptoms
protective factors:
1. Money - can afford treatment
2. Supportive wife
3. Support system - family that let him stay with them
coping strategies for stress:
1. Playing guitar
2. Calling friends
3. Spending time with dog
Emergency Contacts:
1. Wife
2. Friend
3. Brother
Action Plan: 
Use identified coping strategies, reach out to emergency contacts, review prevention plan.]]> 2021-03-18 20:52:29 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327597654 relapse prevention plan: ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598009 Identify high risk situations:
1. seeing old friends
2. too much isolation
3. during celebratory events

identify your triggers
1. confrontations
2. stress
3. social situations
4. being in the presence of substances

identify protective factors:
1. family
2. sponsor
3. being financially stable; money for rehabs

identify your sober coping strategies:
1. call sponsor
2. go to meeting
3. journal

identify your emergency contacts:
1. dad/step mom
2. mom
3. sponsor

establish your action plan: 
1. Call sponsor or sober friend immediately 
2. Find a meeting in the area 
3. Go to a place where he feels safe]]> 2021-03-18 20:52:38 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598009 relapse prevention plan: ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598434 Identify your high risk situations:
1)     One of the high-risk situations is that the client is still dating her boyfriend who she likes to go out drinking with. 
2)     A second high risk situation is the client being exposed to environments in which alcohol is served.
3)     The third high risk situation is her whole social group exposes the client to alcohol.
Identify your triggers:
1)     One of the client’s triggers is being around people who drink.
2)     The clients dating life is a trigger.
3)     The client recently got into a severe car accident and might want to numb the pain with alcohol.
Identify your protective factors:
1)     The client’s sister provides emotional support to the client’s recovery
2)     The clients are having external motivation to continue receiving treatment.
3)     Once in treatment the client has shown participation in her recovery and shows motivation for change. The client has strong leadership skills and empathy for other group members.
Identify your sober coping strategies for stress:
1) client uses sweets as a coping skill.
2) Client meditates when feeling stressed.
3) client takes walks when feeling stressed. 
Action Plan: When the client is feeling a craving the client will use her coping strategies or call an emergency contact for help.


]]> 2021-03-18 20:52:46 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598434 relapse prevention plan: ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598724 HIgh Risks Situations:
- Being on tour
- After gig parties
- Arguing with his wife/family members
Triggers:
- Stress from touring
- Being around alcohol
- Family conflicts
Protective factors:
- Having social support
- Having financial resources
Sober Coping Strategies for Stress:
- Playing with his dog
- Going on drives
- Playing music
Emergency Contacts:
- Allie his wife
- Bobby his brother
- His bestfriend George
Action Plan:
- Contact Sponsor
- Call Bobby
- Call his wife



]]> 2021-03-18 20:52:53 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598724 relapse prevention plan: ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598968 Identify your high-risk situations: 
1.)    Before a concert so he could get his nerves out. 
2.)    After-Parties for the concerts and other big events. 
3.)    When arguing with people Jackson cares about. 

Identify your triggers: 
1.)    Arguments 
2.)    Talking about childhood/growing up 
3.)    Thinking about losing hearing/Tinnitus 

Identify your protective factors: 
1.)     Relationship with Ally and her trying to get him to seek support. 
2.)    Love for music and songwriting 
3.)    Friends to be able to turn to in hard times

Identify your sober coping strategies: 
1.)    Play guitar/write music when feeling negatively 
2.)    Walk dog or play with dog. 
3.)    Spend the day at home instead of going to big events where he will be triggered. 

Identify emergency contacts: 
1.) Ally - His girlfriend    
2.) Bobby - His Brother 
3.) George "Noodles" - Best Friend

Establish Action plan:
When Jackson is having a craving or is concerned about a relapse he will ensure that he isn't on his own and is with someone that will promote his sobriety and express his concerns/cravings. 
]]> 2021-03-18 20:53:00 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327598968 relapse prevention plan: ttumminaro https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327599243 Identify your high-risk situations:
1.Time spent with boyfriend
2.Parties/ social gatherings
3. Memory flashbacks of childhood with mother
4. Fighting with sister/disapproval from sister
Identify your triggers:
1. Memories of past (mother/childhood)
2. Sister/ family disapproval of her
3. Being around substances (alcohol / pills especially)
4. When consequences of actions catch up to her
Identify your protective factors:
1. Relationship with sister
2. Connection/community of people met in inpatient unit
3. Learning how to ask for help when she needs it
4. Learning resiliency to keep pushing to be sober/motivational change
Identify your sober coping strategies:
1. Making gum chain wrappers/creative endeavors
2. Caring for a plant
3. Candy
4. Talking to sister
Identify Emergency Contacts:
1. Sister
2. Eddie Boone (baseball player met in inpatient became close)
3. Cornell (counselor giving her chance to stay in inpatient and understanding her)
Establish Action Plan:
When feeling cravings or urges come client will contact sister and implement positive coping strategies to deal with cravings in order to distract herself. 


]]> 2021-03-18 20:53:06 UTC https://padlet.com/ttumminaro/j2s8xoxk68gf1vs2/wish/1327599243