CHCAOD004 Assess needs of Clients With Alcohol And Other Drugs Issues Case Study Assessment

Case study 1: Toby

Toby is a 33-year-old man with AOD issues. While intoxicated, the drugs he uses affect his entire body: from blood pressure to heart rate. Toby uses cocaine to ‘amp’ up his body, increasing his blood pressure, metabolism and reducing his ability to sleep. Toby also drinks alcohol excessively, which causes him to fluctuate between aggression and depression. Toby’s marriage broke up last year and he has little contact with his two young children. He is unemployed. Toby has been becoming increasingly confused, more tolerant of the substances he is addicted to and he has recently had recurring thoughts of ending his life. He has attended your service, a community health service specializing in AOD support and treatment, voluntarily after a violent outburst meant he spent the night in the local police cells.

Case study 2: Charlotte

Charlotte is a 40-year-old aboriginal person living in metropolitan Melbourne. Charlotte has recently been made homeless and for the last two weeks has been sleeping rough.

She has been referred to your residential service by both a community based AOD service and doctors at the emergency department of the local hospital following an overdose.

Charlotte uses a number of substances alongside very heavy drinking. Her main drug of choice is ice but she will also regularly use crack and heroine. Often this is mixed with long drinking sessions. When Charlotte is intoxicated, she becomes increasingly reckless. She has been arrested and detained seven times because of this behaviour. This includes things such as walking towards traffic on the freeway, jumping from a moving train and driving at excessive speeds.

There have also been two failed suicide attempts that have resulted in hospitalisation. As Charlotte gets older, the divide between reckless behaviour and suicide attempts becomes less clear. She has no contact with her family and no children of her own.

Question 1

What are Toby and Charlottes reasons for seeking help? Are Toby and Charlotte ready for change? Explain.

Question 2

How did you confirm that Toby and Charlotte understand the purpose and process of assessment?

Question 3

Give two examples of open questions and two examples of closed questions that you used to assess Toby and Charlotte’s drug use.

Question 4

Explain what tools you would use to assess Toby and Charlotte’s alcohol and drug use. Give reasons why you would use each tool.

Question 5

What risks did you identify related to Toby and Charlotte’s health, self-harm, and to others?

Question 6

Identify Toby and Charlotte’s issues that might be outside the scope of the AOD service or the scope of you as a worker. Provide at least three examples.

Question 7

Identify appropriate services and other support options that Toby and Charlotte might be referred to. Provide at least three examples with justification.

Question 8

Describe your role in the process of referring Toby and Charlotte

Question 9

What needs to be taken into account when providing assessment information to relevant people?

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