Introduction

In Jesse's journey towards recovery, a comprehensive and collaborative care plan is designed to address key areas such as maintaining sobriety, navigating career indecision, finding suitable accommodation, managing stress, and building a personal support network.

Care plan

Person’s Need/Issue

Identified Goals

Interventions, actions & strategies to achieve goals

How will this issue be resolved?

1. Maintaining Sobriety

Develop coping strategies for cravings.

Incorporating Cognitive-Behavioral Therapy techniques to identify and reframe negative thought patterns related to cravings (Breuninger et al., 2020).

Demonstrated use of CBT strategies in daily life, effectively managing cravings.

Establish a daily routine.

Integrate Behavioural Activation techniques into the daily schedule, focusing on reducing behaviours reinforcing substance use .(Maria José Santos et al., 2021)

Increased engagement in positive activities.

. Implement contingency management, establishing a reward system for adhering to the daily routine and achieving specific goals (Proctor, 2022) .

Consistent adherence to the reward system, indicating the successful establishment of positive behavioural patterns.

2.Career Indecision

Regain confidence in pursuing the goal of becoming an ambulance paramedic.

- Collaboratively explore past achievements and strengths to boost confidence.

Demonstrated commitment to pursuing career aspirations.

- Break down the goal into smaller, manageable steps for a sense of achievement.

Expression of increased self-assurance and optimism

- Engage in career counselling or vocational training to gain necessary skills and knowledge for the desired profession (Savickas,  2019). ‌

Active engagement in pursuing educational or career options..

3.Unsuitable Accommodation

 Find a living situation that supports sobriety and provides a focused environment.

- Collaboratively research and identify sober living arrangements or housing options that align with Jesse's goals and values .(DeGuzman et al., 2019)

Report of reduced exposure to substances and improved focus.

Develop a plan to communicate with current housemates about personal goals and boundaries related to substance use(Grisamore et al., 2022) .          

            Successful implementation of the communication plan leading to a more supportive living environment.

4.High Levels of Stress and Anxiety

 Develop healthier coping strategies for stress that do not involve substances.

- Introduce and practise mindfulness techniques, deep breathing exercises, or meditation (Korecki et al., 2020).

Decreased reliance on substances and improved stress coping.

- Explore and engage in activities that bring joy and relaxation, such as art or hobbies (ErtĂŒzĂŒn  & Yerli̇su lapa, 2020).

Increased use of alternative coping mechanisms.

- Establish a routine to provide structure and reduce unstructured time for rumination.

Decreased use of diazepam and reported increased well-being.

5. Lack of Personal Support Network

 Build a supportive network to provide emotional and practical assistance.

- Explore local community groups, clubs, or volunteering opportunities to meet new people (Pettersen et al., 2019).

Active participation and engagement in social activities.

- Reconnect with colleagues, addressing and working through strained relationships.

Strengthened ties and improved communication.

- Attend support groups or counselling sessions to build connections with peers in recovery (Pettersen et al., 2019).

Reported increase in feelings of connectedness and support.

 

Conclusion

As Jesse embarks on this recovery-oriented care plan, the integration of evidence-based interventions, including collaborative care, Cognitive-Behavioral therapy techniques and behavioural activation, and building a supportive network aims to empower Jesse towards sustained well-being and fulfilment.

References

Breuninger, M. M., Grosso, J. A., Hunter, W., & Dolan, S. L. (2020). Treatment of alcohol use disorder: Integration of Alcoholics Anonymous and cognitive behavioral therapy. Training and Education in Professional Psychology , 14 (1), 19–26. https://doi.org/10.1037/tep0000265

DeGuzman, R., Korcha, R., & Polcin, D. (2019). “I have more support around me to be able to change”: a qualitative exploration of probationers’ and parolees’ experiences living in sober living houses. Therapeutic Communities: The International Journal of Therapeutic Communities , 40 (1), 51–65. https://doi.org/10.1108/tc-04-2018-0008

ErtĂŒzĂŒn, E., & Yerli̇su lapa, T. (2020). Relationship between adolescents’ leisure boredom and substance use in Turkey. Turkish Journal of Sport and Exercise, 2 2(3), 374-383. https://doi.org/10.15314/tsed.779348

Grisamore, S. P., Nguyen, R., Elzbieta Wiedbusch, Guerrero, M., Cope, C. E. A., Abo, M. G., & Jason, L. A. (2022). Journey to wellness: A socioecological analysis of veterans in recovery from substance use disorders. American Journal of Community Psychology , 70 (3-4), 394–406. https://doi.org/10.1002/ajcp.12615

‌Korecki, J. R., Schwebel, F. J., Votaw, V. R., & Witkiewitz, K. (2020). Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments. Substance Abuse Treatment, Prevention, and Policy , 15 (1). https://doi.org/10.1186/s13011-020-00293-3

‌Maria JosĂ© Santos, Puspitasari, A. J., Nagy, G. A., & Kanter, J. W. (2021). Behavioral activation. 235–273. https://doi.org/10.1037/0000218-009

‌Proctor, S. L. (2022). Rewarding recovery: the time is now for contingency management for opioid use disorder. Annals of Medicine , 54 (1), 1178–1187. https://doi.org/10.1080/07853890.2022.2068805

Pettersen, H., Landheim, A., Skeie, I., Biong, S., Brodahl, M., Oute, J., & Davidson, L. (2019). How social relationships influence substance use disorder recovery: A Collaborative narrative study. Substance Abuse: Research and Treatment , 13 (1-8), 117822181983337. https://doi.org/10.1177/1178221819833379

‌Savickas, M. (2019). In Career counseling. Washington, DC: American Psychological Association.

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