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What happened to Alexia after she was sober?
After Alexia had been sober for about 3 months, an older boy sexually assaulted Christine after school. Alexia supported Christine through the prosecution process; the case was tried in juvenile court and the boy returned to school 2 months later.
How old is Alexia from the 'Crack' program?
She is being treated for alcohol and cocaine (crack) dependence. Alexia is a 32-year-old , divorced woman who is employed as an administrative assistant at a local human services program. She lives with her 11-year-old daughter, Christine, in an apartment located near her job. Although she makes a relatively low salary, Alexia has managed to support herself and her daughter without financial support from Christine's father. Alexia was married briefly to Christine's father when she was 20, but she left him after he became physically and sexually abusive toward her. He also was an alcoholic. She had almost no contact with him for many years. Her mother, a widow, is a strong support for Alexia and Christine, as are two cousins, Denise and Moira. Alexia reports growing up in a "normal middle class family" and states that her childhood was "good" despite her father's occasional drinking binges, which she says were related to him celebrating a special account he had landed (he was in advertising), and her mother's "occasional bad depressions." She is the youngest of five children and the only girl.
How did the nuns help Sam?
The team helped him to get a security deposit that was needed for an apartment. One of the team members went to look at rooms with Sam, and after a full ten months, they found a landlord who would accept him. One of the team members, a fourth year medical student, often called the local hospital to find out the results of laboratory tests for Sam. The team also paid for Sam's birth certificate, which he had lost a long time before, but needed for access to some forms of housing.
Why was Sam evicted from the hotel?
He suffered from chronic liver disease and various intestinal ailments. He was evicted from public housing because "they didn't like my friends" (referring to the drug dealers) and he was "persona non grata" at the local single room occupancy (SRO) hotel. When the team first met Sam he was sleeping at friends' apartments and in the hotel lobby. A frequent fear of Sam's is that he would fall asleep and be robbed.
Did Alexia have an affair?
Alexia reports having had a lot of gynecological problems during her 20s, resulting in a hysterectomy at age 27. When asked if she was ever physically or sexually abused as a child, she says no; however, she confesses (with some difficulty) that when she was 11, she had an affair with her 35-year-old uncle (father's brother-in-law).
How long is a relapse prevention program?
Program focused on continued stabilization and prevention of relapse in vulnerable individuals who have returned to their previous lifestyle (i.e., job or school), usually with sessions running 2 to 3 days per week and lasting 3 to 4 hours per day.
What is the integration of appropriate services?
The integration of appropriate services so that individualized care is provided. When several agencies are involved, this allows a person's needs to be met without duplication of services.
What is a time limited treatment program?
A time-limited (usually full- or half-day), ambulatory, active treatment program that offers therapeutically intensive, coordinated, and structured clinical services for patients with acute psychiatric symptoms who are experiencing a decline in social or occupational functioning, who cannot function autonomously on a daily basis, or who do not pose imminent danger to themselves or others. The aim is patient stabilization without hospitalization or a reduced length of inpatient care.
What is recovery from mental illness?
Recovery from mental disorders and/or substance use disorders is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.
How long is short term care?
Short-term care, usually lasting fewer than 7 days, with a symptom-based indication for hospital admission. Primary focus is on control of precipitating symptoms with medications, behavioral interventions, and coordination with other agencies for appropriate after care.
What is a multidisciplinary clinical team approach?
A model that calls for a multidisciplinary clinical team approach to providing 24-hour, intensive community-based services to help patients meet the requirements of community living during reintegration.
Which is the most restrictive setting in the continuum?
most intensive treatment and is considered the most restrictive setting in the continuum. Inpatient treatment is reserved for acutely ill clients who, because of a mental illness, meet one or more of three criteria: