Reference no: EM133635225

Charles has a long history of opioid use disorder and is currently using 8-10 bags of heroin a day (IV). This is the second time you have worked with Charles. During his last inpatient treatment episode, Charles talked about how he was "sick and tired of being sick and tired" and how he was motivated to reconnect with his family. He made it in the sober living house and was attending the intensive out-patient program (IOP) for about three months when one day he left with another housemate and never came back.

Mike's CAGE Questionnaire

• Have you ever felt you should Cut down on your drinking/drug use? YES

• Have people Annoyed you by criticizing your drinking/drug use? YES

• Have you ever felt bad or Guilty about your drinking/drug use? YES

• Have you ever had a drink or use a drug first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)? YES

•Note: Scoring: Item responses on the CAGE are scored 0 or 1, with a higher score an indication of alcohol problems. A total score of 2 or greater is considered clinically significant.

• Do you believe Charles has Opioid Use Disorder as defined by the DSM-V description (attached)?
• What else would you want to know about Charles' drug use?
• Do you believe Charles needs to return to treatment? If so, how might you encourage Charles to return to treatment? Would you recommend inpatient or outpatient treatment?
• Do you think Medically Assisted Treatment will help Charles? Why or why not?
• Do you think a Biopsychosocial evaluation would be helpful here? Why or why not? Are there other assessments you would want to use?