Assignment: Scholar Practitioner Project Assignment: Models of Addiction, Treatment, and Case Management

Assignment: Scholar Practitioner Project Assignment: Models of Addiction, Treatment, and Case Management

While there are different understandings of spirituality, the modern concept of spirituality suggests a spiritual transformation that shapes the life, personal identity, self-knowledge, relationships and peace seeking activities of an individual, defining their purpose (Doweiko, 2019). Marge does not identify an affiliation to a religion. When asked to report on her faith, Marge stated, “No, I try so hard to believe, but I feel so sinful. No God would have anything to do with me” (Laureate Education, 2014b). Marge’s remarks suggest she attributes her perceived isolation from a higher power to her sin, or alcoholism. Nevertheless, spirituality can also refer to a heightened sense of self-awareness and usefulness, which would be beneficial for Marge. She has attended twelve-step programs before but have not attended consistently (Doweiko, 2019; Laureate Education, 2014b). According to Doweiko, the likelihood of sustainable outcomes after participation in AA or twelve-step programs is closely related to the frequency of attendance, the individual’s level of participation, and adherence to the focus on “one day at a time” (2019). Other research shows that twelve-step programs have obtained longer abstinence and recovery for participants, even empowering individuals to address factors such as depression and physical illnesses that may contribute to substance use. Attending twelve-step programs outside of churches present a higher chance for anonymity and participation for the individual, especially in rural areas. Twelve-step programs outside of churches tend to be more action-oriented rather than focusing on reading and study of Biblical text (Dunnington, 2019; Worley, Tate & Brown, 2012). Given this information, a twelve-step program delivered in a setting outside of a church would best benefit Marge. Course of Treatment

Use of American Society of Addiction Medicine (ASAM) criteria will inform the continuum of care provided to Marge. At intake, Marge most closely fits the criteria for Level III Inpatient/Residential Treatment. Level 3.7, Medically Monitored Inpatient Programs are effective for patients with biomedical, behavioral, or other cognitive conditions that are best addressed through highly structured around-the-clock care. There is ongoing evaluation and observation and use of team meetings. Individuals at this level do not present needs severe