Jed Assessment Case Study

Create a relapse prevention strategy using the included “Jed Assessment Case Study”. The strategy should be presented in a format that the client might use as a reference. The following must be covered by the plan: Name and age of the client

2. The client’s family circumstances

What is the client’s commitment to give up using alcohol and/or drugs? Be precise. Does the client pledge to attend AA meetings, for instance? How many, if any?

4. How does the client intend to receive help if they relapse?

5. What high-risk circumstances can cause the client to relapse?

What risky habits or crazy ideas might trigger a relapse?

What coping mechanisms may the client use to stay sober?

What brand-new pursuits may the client engage in to help him replace bad habits like going out with his friends, getting a drink, etc. after work? The number? How frequently?

How would Jed incorporate his family into his relapse prevention strategy?

What effects will Jed’s ethnicity and family have on his relapse prevention strategy?

What community services can Jed access to help him avoid relapsing? (Make use of the resources in your neighborhood or community.)

Create a sobriety card with contacts and resources that the client (Jed) might call if he thought he was in danger of relapsing. (For instance, a sponsor, relatives, or a crisis hotline.) Why should that person or resource be included?

Although good academic writing is expected, APA format is essential.

Jed Evaluation Case Study

Jed, a 38-year-old welder, entered the rehab facility after being detained for driving under the influence (DUI/DWI). His lawyer has advised him to stop drinking and seek therapy, at least up until his upcoming trial in two months. Jed does not intend to go to jail, but he feels that getting therapy would help his case. He merely paid a fine and completed a six-week special driver’s education program after his first DUI arrest two years ago. The show, in Jed’s opinion, was a “waste of time”.

Eight years into his marriage, Jed has two daughters, ages eight and six. With regard to his drinking, he and his wife, Emily, have frequently argued. When she confronts him about his heavy drinking and he claims that he is not an alcoholic, he becomes very irate and defensive. Since Jed claims he is not like his drunken father, he is aware that this is the case. When his father got into a fight while driving inebriated, he lost his life. When he was intoxicated, Jed’s father allegedly used to “beat the tar” out of him and his brother. He also allegedly threatened, mocked, and denigrated their mother. Jed makes mention of the fact that his family is Irish, where excessive alcohol consumption is considered to be part of the culture.

Jed has a very strong work history; he misses fewer than one day a year. On weekdays, he works the day shift, and most Saturdays, he works time and a half. His coworkers and superiors hold him in high regard. He worries that both the folks at work and his employer will learn about his therapy (which is paid by his HMO) and the second DUI arrest.

Jed drinks with his coworkers from the plant and doesn’t believe his behavior differs from theirs in any way. He merely happened to be “unlucky” and was caught doing something that everyone else gets away with. Jed consistently consumes eight to nine beers on a weeknight. The majority of these are consumed at home throughout the course of the evening, with a few being consumed at the bar with friends. He frequently nods off in front of the TV. He frequently downs numerous 12-packs throughout the course of a weekend, from Friday to Sunday. On a typical Saturday, I wake up around 10:00, play soccer with several buddies, and then spend the rest of the day and night at the bar. He gets into disputes with Emily about this behavior and gets called a “lousy father” for it. Jed has occasionally experienced uncomfortable spells of drinking and forgetting what happened. Perhaps I overdo it a little, he said to friends. He has made several attempts to reduce his drinking, notably following the most recent DUI. He once went to a few AA meetings, but he didn’t think it was useful since “it was listening to a lot of guys whining,” and he didn’t like the prayers in particular.

Jed has increased his consumption over the past two years, despite these efforts. He acknowledges that his drinking has caused him to grow more distant from his wife and girls. Jed believes that his marriage has been generally excellent, but given the recent developments, he would not hold Emily responsible for leaving him. She won’t sleep with him anymore when he’s drunk, which is frequently. She laments that Jed’s neglect of his tasks is the reason why the house is falling apart. He thinks that if he quit binge drinking, his marriage would once again be strong, but he gripes about her pressuring him about the booze.

Jed’s relationships with the rest of his family are distant. His mother is deeply spiritual and hopes Jed will view religion as a solution to his issues. His siblings rarely get together because they all live in different towns. The only times Jed goes to his mother’s church are on Christmas Eve and Easter Sunday with his wife and daughters.

Jed is upset about having to abstain from alcohol while getting ready for the trial. Without alcohol, he finds it difficult to fall asleep. Additionally, he “gets jumpy” and feels “closed in or suffocating” when he abstains from drinking. According to Jed, he is not used to interacting without alcohol and finds that drinking makes him more at ease and sociable.

Jed is only willing to attend AA meetings because he is aware that they might be required by a judge and that it might be beneficial for his legal situation. He does have a hard time with the AA attitude. He dislikes the program’s spirituality segment and dislikes it when people discuss God.

He does think he can go out with his friends to pubs and not drink. Despite the fact that many of his playing friends also drink, he believes he can improve his sporting activities and help himself avoid drinking.

References

(n.d.) National Institute on Alcohol Abuse and Alcoholism Case studies. From http://pubs.niaaa.nih.gov/publications/Social/Teaching%20Case%20Examples/Case%20 Example, retrieved March 28, 2010.