Inject #3, May 24th 2020

Franklin/Grand Isle
Community Addiction Workshops

Workshop Patient Inject Update #3

Hx: May 24, 2020: Michael has had surgery on his back, and continues to have pain. Dr. Bones continues to prescribe opiate pain meds, but is increasingly concerned that Michael is abusing his medications. Dr. Bones is referring Michael to the Pain Clinic in Burlington for help. Jerry, Michael’s friend from Boston, is visiting the area. At a recent party in Burlington, Michael was offered some heroin. Reluctantly, Michael snorted a few lines, and found that it relieved his back pain, and made him feel better than he has in many months. Celeste is now 7 months pregnant and is still unable to work. Money is getting tight and they have decided to sell Michael’s car, as they cannot afford the car payments and insurance. They still have Celeste’s car if needed, but they need to get tires soon as they have had 2 flat tires in the last month. Celeste’s parents live in Florida, and have not communicated with her since they found out about Celeste’s addiction to Vicodin years ago. Michael’s father, Harry is starting to have difficulty paying for their rent and other expenses. He also is starting to question Michael’s use of pain meds, as Shelly is suspecting that Michael is taking some of her pain medications as well. She has started to keep her meds in her purse to be safe. Michael’s tooth continues to act up, but he has already used up his yearly $300. dental allowance from Medicaid. He is glad that his dentist is prescribing some pain meds to cover his dental pain. His dentist is unaware of Michael receiving pain meds for his back.


BIO/ PSYCHO/ SOCIAL/ SPIRITUAL MATRIX
A. Required Program Elements:

  • ALCOHOL / DRUG COUNSELING:
  • URINE TESTING:
  • PCP / MEDICAL / ED VISITS: May 24, 2020: Michael has had surgery on his back, and continues to have pain. Dr. Bones continues to prescribe opiate pain meds, but is increasingly concerned that Michael is abusing his medications. Dr. Bones is referring Michael to the Pain Clinic in Burlington for help.
  • VPMS:
    B. Priority Life Elements:
  1. TRANSPORTATION: May 24, 2020: Money is getting tight and they have decided to sell Michael’s car, as they cannot afford the car payments and insurance. They still have Celeste’s car if needed, but they need to get tires soon as they have had 2 flat tires in the last month.
  1. HOUSING: Jan. 24, 2020: May 24, 2020: Michael’s father, Harry is starting to have difficulty paying for their rent and other expenses.
  1. EMPLOYMENT:
  2. FINANCES: May 24, 2020: Money is getting tight and they have decided to sell Michael’s car, as they cannot afford the car payments and insurance.
  1. RELATIONSHIPS: May 24, 2020: Jerry, Michael’s friend from Boston, is visiting the area. At a recent party in Burlington, Michael was offered some heroin. Reluctantly, Michael snorted a few lines, and found that it relieved his back pain, and made him feel better than he has in many months. Celeste is now 7 months pregnant and is still unable to work. Celeste’s parents live in Florida, an have not communicated with her since they found out about Celeste’s addiction to Vicodin years ago. Michael’s father, Harry is starting to have difficulty paying for their rent and other expenses. He also is starting to question Michael’s use of pain meds, as Shelly is suspecting that Michael is taking some of her pain medications as well. She has started to keep her meds in her purse to be safe.
  1. INSURANCE: May 24, 2020: Michael’s tooth continues to act up, but he has already used up his yearly $300. dental allowance from Medicaid.
  1. LEGAL / CRIMINAL JUSTICE STATUS / DCF:
  2. EDUCATION:
  3. DIET / FOOD / NUTRITION:
  4. CLOTHING:
  5. PERSONAL ACTIVITIES / EXERCISE / PLEASURE:
  6. MENTAL HEALTH STATUS / COUNSELING:
  7. SPIRITUAL AFFILIATION / ACTIVITY:
  8. PROGRAM ACTIVITIES:
  9. DENTAL NEEDS: May 24, 2020: Michael’s tooth continues to act up, but he has already used up his yearly $300. dental allowance from Medicaid. He is glad that his dentist is prescribing some pain meds to cover his dental pain. His dentist is unaware of Michael receiving pain meds for his back.