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home arrow Answer arrow CHCAOD009 Develop And Review Individual Alcohol And Other Drugs Treatment Plans
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CHCAOD009 Develop And Review Individual Alcohol And Other Drugs Treatment Plans

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CHCAOD009 Develop And Review Individual Alcohol And Other Drugs Treatment Plans

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Case Study

Lottie is a drug and alcohol worker at a mainstream service in regional Australia who has received an assessment for Paula, an Aboriginal woman. Paula is a 58-year-old woman who has recently been in hospital for acute pancreatitis. The treating team in the hospital became aware that Paula was suffering from alcohol withdrawal and has been managing her withdrawal with medication. Paula has been out of hospital for two weeks and commenced drinking again one week ago. Her daughter Jessica takes her to appointments. Paula speaks English well but has difficulty with AOD-specific concepts and she admits she does not read well. Paula more often uses Aboriginal languages.

Paula has a 25-year history of alcohol dependence, which began when she turned to alcohol to manage symptoms of post-natal depression after having her daughter and was fleeing from a violent relationship that began while she was pregnant. Paula’s use increased when Jessica left home at the age of 17 and Paula now drinks approximately half a bottle of spirits a day. She smokes 20–25 cigarettes a day but reports no other substance use. In hospital she was diagnosed with Type 2 Diabetes and high blood pressure and continues to feel ongoing ‘flare ups’ of pancreatitis. She was told in hospital that if she did not stop drinking she would be dead within a year. This has given her a big scare.

Apart from post-natal depression, Paula reports that she was diagnosed with schizophrenia ‘years ago’ but this is not currently a concern. The assessment indicates that Paula has been experiencing low mood, poor sleep and diet for approximately six months. Paula lives alone but has family and friends nearby who come and check on her. Paula states that she only ever drinks at home by herself and does not drink in front of others.

Paula wants to grow old and wants her daughter to be proud of her. She wants to be healthier and find pleasure in life again.

Paula and Lottie agree that Paula would be suited to complete an in-patient withdrawal program and link with outreach workers who could attend her home once or twice a week to discuss any possible continued relapse after the withdrawal. The nearest withdrawal program is connected to the local hospital where she was recently admitted. When Lottie calls the admissions officer, she is advised that Paula is unable to be admitted for detox if she does not have a plan to attend a long-term rehabilitation centre immediately afterwards. The admissions officer states that ‘people like Paula clog up the system for those who deserve help’.

Tasks:

  1. Outline two (2) of Paula’s presenting issues and requirements.
  1. What is the relationship between Paula’s presenting issues and her health and demographic profile?
  1. How might the fact that Paula is a woman affect the support work provided to her?
  1. How might the fact that Paula is Aboriginal affect the support work provided to her?
  1. How might the fact that Paula comes from a culturally and linguistically diverse background affect the support work provided to her?
  1. What potential referrals, and collaboration with other services, should Lottie consider in this situation?
  1. What other professionals or specialists should Lottie consult with in this situation?
  1. Provide two (2) examples of Lottie’s legal and ethical obligations with regard to her work role boundaries (responsibilities and limitations) in this situation.
  1. Provide two (2) examples of Lottie’s legal and ethical obligations with regard to discrimination in this situation.
  1. Provide two (2) examples of Lottie’s legal and ethical obligations with regard to human rights in this situation.

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