Jane Walker has been a drug and substance abuse user for quite a while, and she has presented herself to the therapy center for therapy sessions to help her cope with her addiction and an outstanding medical condition. She claims that she has been on cocaine for the better part of her life since her introduction to drugs when she was a teenager of 17 years. Her substance use traces back that she got introduced to the drug by her then friends, and with time, she found it difficult to stay without its use. Due to the prolonged drug use, she is exhibiting addiction side effects that make it difficult for her to survive without using the drug. This has made her seek medical attention and therapy to help her overcome this effect and help her gain her healthy track once again. Therefore, the medical attention and treatment sessions suit her since she is facing a serious problem that could lead to health challenges. Prolonged use of cocaine can cause cardiovascular diseases that could affect her later or even cause death if not managed well (Schwartz et al., 2022).
The systemic factors that have contributed to her addiction process are that during her introduction, she was still at a tender age, and her brain was not yet aware of the risk factors associated with the drug and substance abuse. Therefore, adolescents lack better decision-making judgments, and this lets them slip into drug addiction. Additionally, poverty contributes to addiction as some parents may find it difficult to let their children access therapy or seek medical advice shortly after realization of drug and substance abuse. Therefore, it becomes difficult for low-income families to provide basic needs as well as medical attention to support the individual’s recovery from addiction (Grinspoon, 2021). Jane found herself in this predicament, and hence, it was difficult for her to access medical attention and therapy sessions for her addiction until later, when the effects were felt. This led her to seek outside support to aid her in the recovery process; thus, she is a voluntary client. Therefore, she has been an intensive outpatient and is in her third session currently as one of the 30-90 days therapy models.
Looking at Jane’s current medical state of Jane, I would suggest using cognitive behavioral therapy (CBT). Thus, she needs to be monitored by the base nurse on the underlying condition, on how she is coping and recovering, and in addition, check for traces of cocaine in her blood system. Referring her to the nurse will help us know whether Jane is practicing self-control measures as a therapy coping mechanism. Moreover, it will provide us with a basis for how she is coping with the social skills. The CBT method will give us a clue on how she is monitoring her drug cravings and help us form a focus on how to help her better. With this method, we will also have a better understanding of her progress and will determine how we will improve the coping mechanism of drug abstinence (EMCDDA, 2014). Therefore, referring to her progress will determine whether to continue with the therapy medication or make any changes ethically without having to affect her mental state as per the code of ethics.
Research has shown that using systematic methods can be beneficial in ensuring that the children’s voices, views, and exercises are placed under supervision. The systemic approach borrows its roots in therapy as opposed to social work. This kind of literature review is complex and has a high level of focus on its ideas, qualifications, and practices. Most supervisors who are practicing are working in areas where there is a high-level practice framework based on the systemic approach. This means the approach pays more attention to interactions and relationships between people and those connected to the system. In this case, each individual is attached to another, and the main focus is how their interaction affects each other. This means that there should be a connection pattern in the entire world.
The only challenge I foresee working with the therapy center structure is that, with the 30-90 days structure, some patients may find it difficult to continue being motivated. Longer days moving from an outpatient to an inpatient may make them lose track of the self-control training measures, and they may relapse into drug and substance use. Additionally, finding a suitable sponsor may take time to provide support for their medical attention, and this may make the patient backslide to the drug. Therefore, providing a better strategic structure is essential so long as the patient is found fit for inpatient treatment to keep them motivated. Additionally, the state should provide more support to aid in the sponsorship of drug addict patients together with their families (Isobell et al., 2015) for a successful therapy session.
In conclusion, the systemic factors that have contributed to her addiction process are that during her introduction, she was still at a tender age, and her brain was not yet aware of the risk factors associated with drug and substance abuse. Therefore, adolescents lack better decision-making judgments, and this lets them slip into drug addiction.
References
European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). (2014). Perspectives on drugs. Treatment for cocaine dependence: reviewing current evidence, pp. 1-4. https://doi.org/10.2165/00128415-201214190-00017
Grinspoon, P. (2021). Poverty, homelessness, and social stigma make addiction more deadly. Harvard Health Publishing. Retrieved from https://www.health.harvard.edu/blog/poverty-homelessness-and-social-stigma-make-addiction-more-deadly-202109282602
Isobell, D., Kamaloodien, K. & Savahl, S. (2015). A qualitative study of referring agents’ perceptions of access barriers to inpatient substance abuse treatment centers in the Western Cape. https://doi.org/10.1186/s12954-015-0064-z
Schwartz, E., Wolkowicz, N., Aquino, J. MacLean, R. & Sofuoglu, M. (2022). Cocaine Use Disorder (CUD): Current Clinical Perspectives. Substance Abuse and Rehabilitation, Vol. 13, pp. 25–46. https://doi.org/10.2147/sar.s337338
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