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.
Personâs 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). â |
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 & YerliÌsu 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. Â |
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.
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), 19â26. https://doi.org/10.1037/tep0000265
DeGuzman, R., Korcha, R., & Polcin, D. (2019). âI have more support around me to be able to changeâ: a qualitative exploration of probationersâ and paroleesâ experiences living in sober living houses. Therapeutic Communities: The International Journal of Therapeutic Communities , 40 (1), 51â65. https://doi.org/10.1108/tc-04-2018-0008
ErtĂŒzĂŒn, E., & YerliÌsu lapa, T. (2020). Relationship between adolescentsâ 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), 394â406. https://doi.org/10.1002/ajcp.12615
âKorecki, 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
âMaria JosĂ© Santos, Puspitasari, A. J., Nagy, G. A., & Kanter, J. W. (2021). Behavioral activation. 235â273. https://doi.org/10.1037/0000218-009
âProctor, S. L. (2022). Rewarding recovery: the time is now for contingency management for opioid use disorder. Annals of Medicine , 54 (1), 1178â1187. 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
âSavickas, M. (2019). In Career counseling. Washington, DC: American Psychological Association.
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