Case Presentation

BY: DEION GREEN

R&C CONSULTING GROUP INC.
  Matthew Goodwin is a 46-year-old white male.
He is a short, heavyset gentleman. He seemed
comfortable and relaxed relating his experiences
to me. He maintained excellent eye contact and
presented with appropriate affect and an upbeat
mood. Mr. Goodwin reported that alcohol and
marijuana were his primary drugs of choice. His
Backgroun history of chemical abuse also included cocaine
(smoked and snorted), nicotine, Vicodin and
d 
Demerol.
following a severe auto accident. Mr. Goodwin
Informatio declared that “girls” were a part of his addiction
too. He disclosed to the social work student that
n: he has had two marriages. He further reported
that he has 5 children, 2 within a marriage and 3
others that he acknowledges. He provided for his
children “financially when I could, but not
emotionally. I was too selfish. I could barely deal
with my own problems.” He currently relying
on unemployment, following a period of
homelessness.
Problem The Client has recently started misusing

prescription medications and drinking

Stateme alcohol; therefore, the client needs an

intervention which will be beneficial to
getting him back on the right track in his
nt: life.
Services:

 Upon closer examination R&C Consulting

decided the client needs counseling through the
adult mental health treatment.
 He will also be screened to determine if he needs
medication management to assist with an
addiction to opioids, referring him to substance
abuse outpatient treatment.
 He is also being referred to counseling within our
sex offender treatment as a precaution.
 These services treatments has been put in place for
Mr. Goodwin.
 Referred to working with a local shelter to help
him with housing and get him back into a job.
Conceptual framework
The person in environment, or
PIE theory, is a popular social
work concept that states that a
person is heavily influenced by
their environment; therefore,
their problems and issues can
be largely understood by
environmental influences.
For instance, Mr. Goodwin
stated that girls were a part of
his addiction. Eliminating
certain factors from his
environment can enhance his
chances of a positive outcome.
 Strengths & Limitations:
Strengths Limitations
 He is willing to seek help which makes his
outcome probability greater for a positive
outcome.
 Currently he has no support system.

 He is seeking a relationship with his children

which will offer a great support system for
him.
 He wants to gain control of his addictions and
get his life back on track.
 He has developed several health issues
related to his drug use.
 The health issues put him at a greater risk of
using opioids to deal with pain management.
 Currently no job or housing.
Assessment Goals:

The basic goal for my

client in any
substance abuse
Focusing on
treatment setting is
intermediate goals
to reduce the risk of
Assessment goals are allows for more
harm from continued
to determine the immediate successes
use of substances.
most appropriate in the intervention
The greatest degree
method of and treatment
of harm reduction
intervention to assist process, whatever
would obviously
the client with the long-term goals
result from
sobriety and provide are. In specialized
abstinence, however,
him with coping treatment,
the specific goal for
mechanisms which intermediate goals
each individual client
will decrease his might include quitting
is determined by his
likelihood of using one substance,
consumption pattern,
again. decreasing frequency
the consequences of
of use, attending the
his use, and the
next meeting,.
setting in which the
brief intervention is
delivered.
  The Matrix Model is a 16-week intensive treatment model for drug
addiction. It was Developed to treat cocaine and methamphetamine
users, but it can be implemented in the treatment of any type of
substance use disorder such as my client Mr. Goodwin has.
 Even though the Matrix Model can be an integral part of any

Specific Addiction treatment program , it was developed originally to help

people with stimulant use disorders. In contrast to alcoholics, people
who are addicted to cocaine and other stimulants tend to have shorter

Interventio histories of use, experience periods of abstinence followed by relapse,

and are not in denial about their addictions. They have powerful
cravings, and preventing relapse is the key issue in treatment.

ns:  The Matrix Model draws on several evidence-based treatments for

substance abuse, such as cognitive behavioral therapy, contingency
management, and 12-step facilitation therapy. They have been studied
in large clinical trials, compared to other types of treatments, and
have been found to reduce symptoms over the long term.
Biases
WHILE, I REMAINED PROFESSIONAL AT ALL
TIME I ADMIT THAT I HAD A BIAS ABOUT A
FATHER NOT CONNECTING WITH HIS
CHILDREN AS A FATHER I COULD NOT
UNDERSTAND HOW ANYONE COULD NOT
BE A PART OF THEIR CHILD’S LIFE.
I DID NOT LET MY PERSONAL BIAS
INTERFERE WITH HELPING THE MR.
GOODWIN. I DID FEEL THAT MAYBE I USED
IT TO HELP HIM SEE HOW IMPORTANT HIS
CHILDREN COULD BE AS A PART OF HIS
LIFE.
Value Differences:

I must be careful not to reflect my personal values
on my client. For instance, I believe strongly in the
presence of family as a support system. He has an
estranged relationship with his children which I
would never have allowed to happen.
I also do not believe in drug or nicotine use but did
not believe in letting it interfere with helping my
client Mr. Goodwin or pushing these beliefs on him.
  His father was a college administrator and his
mother, whom he adored, was a schoolteacher.
His father, however, was an alcoholic. his father
repeatedly abused his mother and him when
“under the influence”. His father died of an
alcohol related death when he was 6 years old.
 At the age of 13, he began raiding the family
Life liquor cabinet, using alcohol “as a crutch to self
medicate” his feelings of anger, loss, and

Experienc
especially guilt, as he had wished for his father’s
death many times. His rage and anger often led
to physical fights, leading his mother to say that
es: he “was going to be just like his father.”
 By the age of 16, when his parents were out, he
started serving liquor to some older
neighborhood kids and began, under their
influence, to smoke “regular cigarettes and
weed.” In high school he smoked as much as 2
packs a day and became a heavy drinker,
sometimes drinking until he passed out.
Staff Recommendations:
 Diagnosis
 After staffing the case with my
supervisor, everyone agree with the
diagnosis of the client and need for
treatment.
 Interventions/Treatment
 Upon closer examination, the
interventions and treatment
implemented for the client appears
to be substantial.
 R&C consulting uses the matrix
model which will serve the needs of
the client for his needs.
Research &
Diagnosis/Treatment:

PSYCHOSOCIAL INTERVENTIONS THEY CAN BE IMPLEMENTED PSYCHOSOCIAL TREATMENTS ARE

CAN BE USED IN A VARIETY OF
TREATMENT SETTINGS EITHER AS
STAND-ALONE TREATMENTS OR IN
COMBINATION WITH
PHARMACOLOGICAL
INTERVENTION.
INDIVIDUALLY OR IN GROUPS AND
DELIVERED BY A RANGE OF
HEALTH WORKERS.
PSYCHOLOGICAL TREATMENTS
CAN BE BRIEF OR INTENSIVE AND
SPECIALIZED.
THE FOUNDATION OF DRUG AND
ALCOHOL TREATMENT,
ESPECIALLY FOR SUBSTANCES
WHERE PHARMACOLOGICAL
TREATMENTS HAVE NOT BEEN
SUFFICIENTLY EVALUATED
(JHANJEE, 2014)
Changes for
Agency/Service:

 I do not recommend any changes for the agency or service

currently. The agency appears to have effectively met the
needs of the client to yield positive results.

 Competencies Used:
1, 2, 3, 4, 5, 6, 7, 8, 9, 10
 Practice Behaviors Used:
1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 2.1,
2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 4.1,
4.2, 4.3, 4.4, 5.1, 5.2, 5.3, 6.1,
6.2, 7.1, 7.2, 8.1, 8.2, 9.1, 9.2,
10.1, 10.2, 10.3, 10.4, 10.5,
10.6, 10.7, 10.8, 10.9, 10.10,
10.11, 10.12, 10.13
References:
 Jhanjee S. (2014). Evidence based psychosocial
interventions in substance use. Indian journal of
psychological medicine, 36(2), 112–118.
https://doi.org/10.4103/0253-7176.130960
 Kondrat, M. E. (2015, April 29). Person-in-Environment -
Social Work - Oxford Bibliographies. Retrieved from
http://www.oxfordbibliographies.com/view/docu
ment/obo-9780195389678/obo-9780195389678-
0092.xml