Part I
Create a case history for a person with an addiction and a mental disorder. Do not include identifying information. Include the following elements in your case history:
Demographics-including age, gender, ethnicity, socioeconomic status, marital status, number and ages of children, living arrangements, and religion if applicable
Presenting problem
Previous psychiatric treatment of patient
Previous chemical treatment of patient
Chemical history
Medical history-including disabilities if applicable
Work and education history
Legal or financial concerns
Family background
Concerned person involvement
Referral source
Part II
Analyze the case history and present your diagnosis as related to substance use disorders. Include the following in your diagnosis:
Summarize key case study elements you would use to formulate a diagnosis and guide your treatment plan.
Identify at least two assessment tools that you would use to formulate a diagnosis. Justify why you have selected these tools.
State your diagnosis related to substance use disorders. Justify your reasons for your diagnosis.
Identify other concerns and offer recommendations and referral opportunities. Justify your reasons and explanations.