JS Case Study Substance Use Disorder Paper

JS Case Study Substance Use Disorder Paper

JS Case Study Substance Use Disorder Paper

Substance Use Disorder

Question One

Drugs have similar impacts on humans as long as they have similar pathophysiology. According to Widom (2019), children are at risk of suffering from substance abuse disorder if they have access to the substances as adults do. Alcohol and other substances can make one have pleasure, which might impact the overall well-being of an individual (Richert, Johnson & Svensson, 2018). Children may have a lower tolerance than adults, especially if their excretory system is not sufficiently developed. JS is at risk of having substance abuse disorder despite being of young age since he has access to wine.

JS Case Study Substance Use Disorder Paper

Substance abuse disorder is more common in children whose parents have drugs accessible to their children (Richert et al., 2018). Sometimes, children may not be suspected of abusing drugs, which makes the problem go undiagnosed for longer. The incidence of substance abuse disorder is even worse with children who have parents who are victims of substance abuse. Children are likely to become drug addicts based on curiosity to imitate their parents.


Question Two

To understand the situation that JS is in, he will be subjected to alcohol screening. The alcohol screening procedure aims at determining whether an individual was misdiagnosed previously or not (Saddock, Saddock & Ruiz, 2014). The information will include the history of family and social relationships lately. JS could have experienced stressful events that could have led to his interest in taking the wine, largely as a source of pleasure. The history should capture duration of the wine intake as it may influence the diagnosis. The history should also JS’s interests in alcohol intake. Some of the key interests will be the duration within which JS can stay without consuming the wine, how he feels when he has not taken alcohol, and his interests in schoolwork without taking alcohol.

Furthermore, there is need to inquire about possible loss of money in the house as this could indicate the extent JS went to satisfy his quench for alcohol. In addition, the family structure will be necessary to put into consideration. The fact that JS gets home early alone may mean that he does not get the social support necessary from his parents, which allows him to take drugs to get over his problems. Change of school performance will also be a significant information in determining the extent to which alcohol intake has impacted his performance.

Question Three

Talking to JS and his mother could be challenging since JS may not feel comfortable sharing his history of stealing his mother’s drink. The first step to approach them will be having them together and explaining the problem and the probable impact that the alcohol intake may have on JS, given that he already suffers from attention deficit disorder. The next step will be to consider the mother’s opinion on how well he may take care of the problem from home. The approach includes the limitation of access to alcohol and money. In addition, there are withdrawal symptoms that may occur due to the abrupt stopping of the alcohol intake that need monitoring (Shahidi et al., 2021). Finally, there are legal aspects in giving children alcohol that JS’s mother might need to know for the therapy process to be successful.

References for JS Case Study Substance Use Disorder Paper

Richert, T., Johnson, B., & Svensson, B. (2018). Being a parent to an adult child with drug problems: Negative impacts on life situation, health, and emotions. Journal of Family Issues, 39(8), 2311-2335. https://doi.org/10.1177%2F0192513X17748695

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Baltimore, MD: Wolters Kluwer/Lippincott Williams & Wilkins Co. ISBN 9781609139711

Shahidi, S., Bashiriyeh, T., Saberi, S. M., & Abbasi, A. (2021). Assessing the Addiction Impact and Supervisory Status on Child Sexual Abuse with a Focus on the Obtained Samples from Social Emergency Centers in Tehran. Journal of Criminal Law and Criminology, 8(16), 267-287. https://dx.doi.org/10.22034/jclc.2021.125314

Widom, C. S. (2019). Are retrospective self-reports accurate representations or existential recollections?. JAMA Psychiatry, 76(6), 567-568. https://doi.org/10.1001/jamapsychiatry.2018.4599

Substance use Disorders and Addictive Disorders

The patient in this case study did not adhere to disulfiram. She also has normal LFTs and good insurance to afford the medication. In this case, the best abstinence medication would be Vivitrol Naltrexone injection. Leighty & Ansara (2019) indicate that Vivitrol effectively ensures patients maintain sobriety after the detox process. Naltrexone works by blocking the parts of the brain that derive pleasure and intoxication from alcohol. Therefore, the patients experience a lower need to drink alcohol.

Additionally, while oral naltrexone can decrease alcohol reinforcement, it has pharmacotherapeutic limitations such as intense side effects, minor treatment effects side, and plasma level fluctuations (Suny, 2018). Intramuscular administration is preferred since it sustains its release over several weeks and keeps constant plasma levels. These plasma levels are low enough to minimize the intensity of the side effects, but it is high enough to reduce drinking. Vivitrol has demonstrated its efficacy in decreasing drinking among alcohol-dependent individuals and reducing incidences of relapse. Since there are lower plasma fluctuations, the nausea patient’s peak levels do not increase experience.

According to the case study information, the patient was not successful in maintaining compliance with disulfiram. However, she is likely to comply with Vivitrol since the injections are spaced four weeks apart, and therefore, issues of compliance are minimized. It is also easier for healthcare providers to monitor and supervise administration since the medication will be administered by a trained nurse (Leighty & Ansara, 2019). However, as with all pharmacological solutions to alcohol dependence, patients need psychological support from a therapist or a group. Psychosocial support should be scheduled to coincide with monthly visits for the injections.


Leighty, A. E., & Ansara, E. D. (2019). Treatment outcomes of long-acting injectable naltrexone versus oral naltrexone in alcohol use disorder in veterans. Mental Health Clinician9(6), 392–396. https://doi.org/10.9740/mhc.2019.11.392

Suny, U. (2018). Naltrexone for the Treatment of Alcohol Use Disorder in the Primary Care Setting. US Pharm43(8), 26–33.