Sample Paper on Shared Plan of Recovery

Health

There is no physical health without a sound mental health. This means that for patients to realize positive health in terms of the ability of his body parts to work in accordance with the biological expectations; his mental health must be stable for easy coordination of different body parts. This is only considered a possibility when the patient accepts that he has mental illness and that he is willing to participate in a process that will help in the improvement of his health situation.

History and the current situation

Pablo’s health has been deteriorating due to his past involvement in drug and substance abuse. This week he was paroled from prison where he had been completing an Alcohol and other Drug Abuse Treatment (AODA) following his sentencing for possession of marijuana. At the age of 21 years, he had also been taken to the Intensive Outpatient Program (IOP) treatment. This treatment in the view of Pablo was less effective because the therapist only scared them into not engaging in drug and substance abuse.

Upon being paroled from prison, Pablo has realized the need to introduce some changes in his life as a way of ensuring that he becomes a successful person despite his past. He has sought help on the best ways through which he can realize positive changes in his life and regain the trust of his family.

Specific plan to improve quality of life

Physical health of the body is possible through the adoption of a positive mind set. This will be through associating with positive behavior, consumption of healthy food and water, observing personal hygiene and engaging in physical exercises and activities (Feijo de Mello et al 77).

Dental

Research indicates that people with mental illness, are less likely to concentrate on their dental hygiene because they have to deal with other issues related to their illnesses such as depression and trauma. Furth more, such people have a high likelihood of suffering from emotional and problems related to self-image

History and current situation

Since his parole from prison, Pablo perceives himself as a rejected member of the society. He considered his reputation as a drug addict to be a major contributor of his deteriorating health condition.

Specific plan for improved quality of life

The promotion of good dental habits will be important for Pablo since physical wellbeing is an essential component in ensuring quick recovery of mental illness. Pablo must ensure he understands the collaboration between mental health, dental health, and social care by seeking professional advice from a dentist on the nest dental health practices (Feijo de Mello et al 79).

Mental
Therapist

When a mentally ill patient talks to a therapist on matters related to his or her illness it is the responsibility of the therapist to provide professional care by helping the patient in the identification and the development of strategies aimed at addressing the factors that trigger the illness.

History and current situation

At the age of 21 years, Pablo was registered for an Intensive Outpatient Program (IOP) treatment, which was relatively unsuccessful considering that the therapist only provided threats instead of solutions to drug-related challenges. Currently he is undertaking a counseling session in which the treatments have begun with understanding his history, his current predicaments and predicting a near future.

Specific plan to improve quality of life

The process of identifying the challenges has been important. To be able to addressing his mental illness it will be important to work together and identify the possible solutions to the problem of his family, job, and reputation as an ex-convict in the community (Butler et al 20).

Psychiatrist

The role of a psychiatrist is to diagnose, treat, and prevent mental illnesses and emotional problems. A psychiatrist can help in the treatment of problems such as addition through a series of systematic treatments that help patients find the source of their problems and the development of possible solutions.

Historically Pablo has not had any contact with a psychiatrist and this explains why his problems and challenges have been persistent and resulting in his addiction to drugs. Currently with my help, my desire is to provide Pablo with sufficient help in terms of diagnosis of his problems, the contributing factors to his problems such as family rejection, insufficient education, friends, and inability to secure an employment opportunity. Through such a process, it will be easier to develop the best plan upon which to ensure progressive recovery.

Specific plan to improve the quality of life

Ensuring the identification of the specific problems is one of the strategies towards recovery. This will be enhanced by the ability of Pablo to accept and cooperate with the psychiatrist in terms of the identification of the problems contributing to his addiction and mental illness. The sincere acknowledgment will lead to the development of workable strategies on how to ensure that the contributing factors are addressed in a practical ad sensible manner (Jakes & Rhodes 305).

Friends 

Friends play an essential role in the protection of mental health. Friends provide mental and emotional support by providing a platform of putting things and emerging issues into perspective. With the help of friends that individuals suffering from mental illness can develop strategies that help in coping with life related challenges. It is also possible for friends to be major contributors of mental illness with regard to drug addiction. Per groups and friends often introduce individuals to these drugs as a way of social life but they dot assist individual with strategies on how to withdraw from their addictions. This is considered as one of the major negative contributions of friends to the development of mental illnesses.

Pablo blames his friends for introducing him to drugs and leading to his current addiction status. In the past, during his treatment he had been avoiding his friends by attending meetings of drug addicts. However, loneliness and the need for companions drove him back to drug consumption and addiction. Currently Pablo is attending his counseling sessions to determine how her can lose his friends for good because it will be relatively difficult for him to stay sober while still hanging out with his friends who are drug addicts.

In terms of the specific plan to improve on his quality of life, Pablo needs to find a job that he is passionate about. Such a job will take away his concentration and memory of the role of his friends in his life. In addition, it will also assist him in acquiring new friends whose focus is on their jobs and matters of career and professional development (Jakes & Rhodes 307).

Hobbies

A hobby is an activity that an individual engages in because it brings some pleasure. Hobbies are important because they satisfy curiosity and helps in the reduction of blood pressure and stress reduction. It is through participating in hobbies that an individual can realize mental peace. This is because he is responsible for the development of his individual wellbeing by pursuing that which he loves.

For Pablo painting and other works of art are his hobbies. He has done jobs of painting buildings and drawing works of art in the form of portraits. Despite the realization of his hobbies, Pablo is still unemployed and seeking ways of solving his addiction problem.

To be able to improve on his quality of life it will be important for Pablo to embrace his hobbies as platforms of addressing his mental health. Participating in painting activities will help in boosting hi creativity and developing personal solutions towards his addiction problem. It is also possible for Pablo to use his paining hobby as a platform of expressing his frustrations regarding life. This will be an essential healing platform (Brand et al 650).

Housing

The process of addressing an addiction is related to the ability of an individual to afford and sustain basic needs such as food, shelter, and housing. Failure to afford these needs may lead to the development of stress-related complications and an involvement in drug and substance abuse.

One of the challenges associated with drug addiction is failure by Pablo to secure a stable employment opportunity through which he can save and purchase the house of his dreams. Through the counseling programs, Pablo is seeking ways that he can end his unemployment predicament and ensure a sustainable livelihood.

In terms of the specific solutions to the challenge, it will be important for Pablo to improve on his self-esteem by seeking employment opportunities according to his level of expertise. This will be an initial step towards saving for adequate housing.

Employment

Inadequate of employment opportunities whose remunerations are sufficient in addressing individual needs are crucial in the minimization of mental illnesses. This is because such employment opportunities limit the levels of frustration among individuals hence minimizing the possibility of their indolence in drug abuse-related complications.

Historically, Pablo has been involved varieties of employment opportunities, which include painting houses, delivering pizza and working as a mover. However, being an ex-convict Pablo is currently worried that he will not secure a job due to his past reputation. His counseling program is proving him with ways of strategizing to secure a job.

One of the most important ways through which Pablo can secure a job is by identifying his areas of expertise and seeking for jobs in those areas. Alternatively, he can pursue his passion in painting and engage in self-employment initiatives.

Family
Partner

Partners in relationships play an essential role in the mental health of an individual. They can be contributors to deteriorating mental health standards if they stress the said individuals. It is also possible for partners in relationship to be the driving force to the development of sound mental health. This is especially if they demonstrate love and high level concern to the affected partners.

When Pablo was incarcerated for possession of Marijuana, Amanda, an American girl who he loved, kept him going in terms of quitting drug and substance abuse. Amanda was a frequent visitor in prison but with time, her visits became seldom and eventually disappeared when Pablo failed to refrain from drugs. Currently Pablo wants to fight drug addiction with the hope that Amanda will come back to him.

In terms of the plan for an improvement in the quality of his life, it is the responsibility of Pablo, with the help of his counselor to develop a way of restructuring his life such that he can be loved again even if it is not by Amanda.

Children

Children can be positive or negative contributors in the mental illness status of a person. On the positive perspective, they can provide a mentally ill individual with reasons to fight the causative factors. Negatively they can contribute to mental illness especially when they are considered as stress factors when a parent cannot satisfy their needs.

Throughout his life, Pablo has not had any children but with the help that he is currently seeking, he hopes to settle down, secure a job, save and buy a house and finally start a family.

The specific plan on how to ensure high-quality life would be for Pablo, through the help of the counselor to understand his current situation and answer questions regarding why he would want children in his life.

Parents

Parents play an essential role in the determination of the mental status of their children. Parents who demonstrate love even for disappointing children contribute to their mental health considering that the children feel accepted and loved. However, when children feel that they have disappointed their parents they may seek consolation from other activities such as drugs.

Historically Pablo has had negative relationship with his parents since he considers his involvement in drugs as a disappointment and this is a reason why he sought the interventions of a counselor.

In terms of the specific plan that can help in improving Pablo’s relationship with his parents, he has to quit drug addiction and make a decision to cut his association with his addicted friends and secure a job.

Education

This is an essential component is solving mental illnesses especially those attributed to drug addiction. Education provides knowledge on the dangers of drug addiction and ways through which an individual can fight an addiction. It is also through education that individuals acquire skills related to different occupations necessitating the need to seek employment. Education also provides a platform of understanding different perspectives related to sustainable livelihoods and the dangers of drug and substance abuse.

Upon completion of his high school education, where he never scored high grades, Pablo became a drug addict and never went to college. Currently he is seeking an employment opportunity but he is worried of his level of education and ex-convict reputation. In this society such individuals are perceived as outcasts and criminals and this denies them an opportunity of accessing equal employment opportunities.

In terms of the development of workable plan to help in improving his life, Pablo has passion in painting and other works of art. He could begin painting and sell his work to interested parole, save the money for college education in art. Through such an education, he would qualify as an expert in art and tis would provide him with more employment opportunities.

  1. Summary of process
Beginning

At the beginning of the counseling session, it was relatively difficult for Pablo to give all the essential details concerning his mental illness. He was afraid that his ex-convict reputation would lead to the development of a subjective view about his behavior. However, as a therapist I had the responsibility of creating an environment that could allow him to share his story of drug addiction, the contribution of this addiction to his predicaments in life and the possible solutions and strategies that could be developed to ensure that he was on the path towards sustainable livelihood. The comfortable environment was important because it provided Pablo with a platform of freely sharing history and need for help without any fear of intimidation or subjective judgment.

Middle
Aspects of recovery
Hope.

During the counseling session, as Pablo was sharing his study he5qw was negative about the possibility of complete recovery and the development of desirable life. However, through a personal study of my life and the relationship between my parents, it became easier for Pablo to realize that despite his difficulties he was on the right path to recovery just as others had done in the past.

Empowerment

One of the ways through which Pablo noticed that he could ensure sufficient recovery was to restructure his life. This would only be possible by cutting all the ties with his friends who were part of the marijuana supply network. In addition, it was Pablo’s responsibility to assess his skills and passion in seeking employment opportunities. Pablo loves painting and this makes a career in painting the best alternative.

Self-responsibility

This emanates from the understanding that it only when a mentally ill patie4nt takes the initiative of conquering his predicaments can he ensure the development of lasting solutions. For Pablo self-responsibility was in the need to mend his relationship with his parents. For his parents to renew some pride in him he realized that he had to quit dugs and secure a reputable employment opportunity. This to his parents would act like an act of rehabilitation and a desire to live a positive life.

Achieving meaningful roles

The role of an individual suffering from mental illness is to accept that he has a problem and that he is willing to seek for help. The process of achieving a meaningful role in Pablo’s situation was possible by making it his responsibility to identify and generate possible solutions to his problems. This was realized by assessing his potential in executing responsibilities towards recovery. One of the meaningful roles that Pablo was able to achieve was his acceptance that he had an addiction problem. In addition, he also identified the role of this problem in straining his relationship with his parents and his friend Amanda. He needed to take an initiative towards managing the strained relationships and eliminating contributing factors by leading a self-sustaining life

Essential therapeutic skills

In terms of creating a trusting relationship, engaging Pablo in a conversation was one of the strategies applied during the counseling session. At the beginning of the conversations, Pablo was relatively conservative, however, through powerful questions, it became relative easier to extract information from his stories. In addition, creating a trusting relationship was also possible by telling Pablo that he was not the only person facing addiction challenges but that he was different from the rest of the people because he decided to seek help. A guarantee that by the end of all the sessions there would be an amicable solution to his problems was also an essential way of reassuring Pablo hence creating a metal and trustworthy relationship with Pablo. Clients in therapy sessions are often frightened and afraid of sharing the story to minimize the possibility that the therapist will develop some negative attitude about their reputation (Kay-Lambkin et al 375).

An essential therapeutic skill in therapy is the construction of a share story of how the person got into trouble. I was compelled to share a personal story about my the strained relationship between my parents and how it negatively affected our growth as children. Despite the challenge, I had to prove to Pablo that we overcome the challenge.

Symptoms and behavior of mental illness such as withdrawal from family engagements, high-level addiction, and pessimism limit the ability of patients to experience full recovery during the counseling process (Le Grange et al 1049). Pablo was able to overcome these challenges by accepting that he had an addiction problem and that he was willing to seek all the available help to restructure his life.

The role of in-vivo skill building is to provide a platform for learning and applying skills in the pertinent setting. For a participant to acquire the needed skills it is the responsibility of the facilitator to provide assistance throughout the training (Clark & Unruh 112). In Pablo’s case in-vivo skill, building was possible since it allowed the creation of a rapport and the identification of a passion such as painting and artwork, in which Pablo was highly skilled and could exploit.

The creation of a healing environment was possible by ensuring that Pablo was immersed in the discussion and was focused on the positive aspects. This was a technique that Pablo used, with the help of the therapist to solve his mental illness (Miklowitz et al 1054).

Therapeutic boundaries while counseling Pablo was based on agreed upon terms and conditions of the sessions. Boundaries included working in the acceptable hours of therapy, dressing was to be modest and professional and engaging in constructive discussions about the therapy as way of marinating respect for each other. These boundaries were essential in ensuring that the therapy sessions were professional and directed towards the realization of therapy goals (Vaughn and Howard 331).

End

At the end of the counseling session, there were agreed upon action points that Pablo, with the help of the therapist was to undertake. One of the tasks was to accept that he was an ex-convict and a drug addict who was willing to make positive change in his life. Some of the areas of action that would necessitate the occurrence of the positive change included seeking and securing a job that the was passionate about as this would ensure that he is less focused on his addicted friends and more focused on the application of his skills to earn a livelihood. This would also ensure that he mended the relationship with his parents as he plans to save finances and purchase his dream hose. Pablo was also to assess himself an d find reasons for having children and a family.

  1. Reflections of a Recovery Minded Social Workers
Tell 3 stories that I will most remember about working with this person

Pablo is a 25-year-old drug addict was paroled last week after being convicted for possessing marijuana. While in prison, he was enrolled for Alcohol and other drug Abuse (AODA) treatment program. At the age of 21 years, he had also been enrolled for Intensive Outpatient Program (IOP). The IOP treatment was unsuccessful for Pablo because the therapist only threatened them on not using drugs but did not give them substantial reasons why they should abstain form drug addiction. Pablo has been training to refrain from drugs but whenever he gets lonely, he seeks his friends who are the leading suppliers and consumers of drugs in his locality. These friends have become the main channel through which he obtains and consumers the drugs

One of the reasons that kept Pablo going even when he was incarcerated was his girlfriend Amanda, who was once a constant visitor in prison but stopped visiting when she realized that Pablo was not committed to ending his drug addiction and abuse. Pablo is sorrowful for the loss of Amanda and hopes that when he restructures his life Amanda will find her way back to him

Pablo considers himself a failure because he was not able to get good grades while in high school. His parents are disappointed in him for having been involved in drug and substance abuse. Despite these frustrations and disappointment, Pablo has realized that it is his responsibility to seek and implement change in his life if he was to lead a self-sustaining life. In addition, his desire is to ensure that his parents accept him and that he finds a job that can help him in executing his dreams despite his ex-convict reputation.

What interventions did not work?

Interpersonal psychotherapy approach to the problems facing Pablo was the least successful approaches. This is because it was not possible for the therapist to explain to Pablo the extent to which he understands his predicaments because they have different and unrelated life experiences (Knoop et al 2038).

Family based intervention was also one of the approached that could not work in the case of Pablo. From his story, it is possible to notice the existence of personal issues between Pablo and his family members. Pablo has not been able to meet his family and share with him his predicaments and this made it relatively difficult for the therapist to develop amicable solutions about how Pablo could handle family matters considering the absence of his family to air their views of the reputation and past behavior of Pablo (Vaughn and Howard 333).

Mindfulness-based cognitive intervention was also less fruitful in the therapy process. This is because this approach employed the use of mindfulness mediation as the major approach to addressing a mental illness situation (Knoop et al 2038). In Pablo’s case the approach failed because it was relatively difficult for the therapist to identify the patterns in the cognition of Pablo and interrupt them to minimize the possibility of Pablo developing a repressive relapse. This intervention focuses on the change of thoughts about a phenomenon instead of challenging them. Pablo has his own beliefs concerning his addiction problem and his relationship with the external world. This made it the responsibility of the therapist to identify and understand his problem and challenge Pablo by presenting an alternative perspective of his problems. This approach was unlike the mindfulness-based cognitive approach to therapy that only focuses on the development of positive thought without evidence (Miklowitz et al 1055).

What resources were lacking that would have helped?

Supportive drug addiction groups are an essential human resource that was lacking in the therapy session. Through such a group, Pablo would have had an opportunity of sharing his experience with other members of the society who have been involved in drug abuse related challenges. The advantage of this group is that it provides members with first had experience solutions that are workable. It also allows for brainstorming and provision of support to those affected by the drug problem.

Absence of an online platform that allows drug addicts to register and interact with other members of the community who share the same challenges was a setback. This is an easier way of developing solutions since it is possible for those involved in the interaction to maintain confidentiality hence encouraging free and open interactions.

The therapist was also lacking the most appropriate monitoring equipment such as sensors and trackers that could help in locating those patients at any time away from the specified therapy sessions. Such an apparatus would provide a platform of ensuring that the patients were less involved in matters related to seeking their old addictive ways. Keeping the patients on the constant check was also a way of ensuring that they embrace positive change to improve on their chances of healing appropriately.

Recording devices such as videos and sound recorders that could be used for future reference were also lacking during the therapy. This made the notes taken by the therapist as the only evidence without any backup. Loss of such property would make it relatively difficult to make future references on the same patients.

What do I know to be true about working with people who have been diagnosed with severe and persistent mental illnesses?

Working with people diagnosed with server and persistent mental illness requires the therapist to exercise patience. This is because these patients face different instances of depression and this affects their ability to think and response to questions in the most effective manner. Through patience, the therapist will provide the patient with sufficient time to focus on the questions and provide the most effective responses (Le Grange et al 1050).

These patients also suffer form loss of interest in their passions and interests, it is the responsibility of the therapist to find out more about the attributes of their patients and remind them of the benefits of their passion in their lives (Kay-Lambkin et al 380).

Mentally ill patients are often willing to restructure their lives but they lack the technique of how to engage in the restructuring process. This explains why it is the responsibility of the therapist to guide them (Le Grange et al 1051).

When addressing issues of mentally ill patients it is often important to assess the role of different agents of socialization in the development of their addiction problems. In the case of Pablo, his friends were major contributors to his illness because they were the suppliers and the consumers of the drugs (Kay-Lambkin et al 379).

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