Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse

Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse

Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has been attending AA and NA meetings regularly and does not report urges to drink or use drugs during the 4 years you have been her psychiatric mental health nurse practitioner. She needs carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.

What information would be most critical for the group leader to collect in the first visit?

What is the primary goal for the treatment of this patient’s family problem, based on the US clinical guidelines?

Discuss one curative factor the group would observe during the initial, middle and termination phases in group therapy?

Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient. (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?

**Critical Information for Initial Group Visit:**

During the first visit, it would be crucial for the group leader to collect information regarding Harriet’s substance abuse history, including the duration, frequency, and severity of her alcohol and cocaine use. Additionally, assessing her current recovery status, attendance at AA and NA meetings, and any relapse triggers or stressors would be important. Gathering information about her support system, coping skills, and motivation for attending group therapy would also be essential for tailoring the treatment plan to her specific needs.

**Primary Goal for Treatment of Family Problem:**

Based on US clinical guidelines, the primary goal for the treatment of Harriet’s family problem would likely be to improve communication and support within the family unit. This may involve providing education about addiction and recovery, facilitating open and honest discussions about feelings and concerns related to Harriet’s past substance abuse, and developing healthy coping mechanisms for family members to manage stress and maintain their own well-being.

**Curative Factors in Group Therapy:**

**Initial Phase:** During the initial phase of group therapy, a curative factor that may be observed is the instillation of hope. As group members share their experiences, challenges, and successes in recovery, Harriet may feel encouraged and optimistic about her own ability to overcome addiction and achieve long-term sobriety.

**Middle Phase:** In the middle phase of group therapy, a curative factor that may emerge is universality. Harriet may realize that she is not alone in her struggles and that others in the group have faced similar challenges with substance abuse. This sense of belonging and shared experience can foster empathy, understanding, and mutual support among group members.

**Termination Phase:** During the termination phase of group therapy, a curative factor that may be observed is catharsis. As Harriet reflects on her progress and growth throughout the group process, she may experience emotional release and closure, allowing her to move forward with confidence and resilience in her recovery journey.

**Referral to Supportive Agencies in [Your City]:**

**[City] Recovery Center:** This agency offers comprehensive addiction treatment programs, including individual counseling, group therapy, and medication-assisted treatment options. They have a multidisciplinary team of professionals specialized in addressing substance abuse and co-occurring mental health disorders, providing Harriet with tailored support and resources for her recovery journey.

**[City] Community Health Clinic:** The community health clinic provides affordable and accessible healthcare services, including primary care, mental health counseling, and social support programs. Harriet can benefit from their integrated approach to addressing physical and mental health needs, as well as their connections to community resources for ongoing support and assistance.

**[City] Sober Living Homes:** Sober living homes offer a supportive living environment for individuals in recovery from addiction, providing structure, accountability, and peer support. By residing in a sober living home during her recovery from carpal tunnel surgery, Harriet can maintain her sobriety and continue to engage in healthy lifestyle practices while receiving assistance with daily activities and recovery-related challenges.

Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse

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