Tom, a firefighter/medic was referred to you, a contract clinician for the fire department, after a co-worker smelled alcohol on his breath while on shift. His breathalyzer test came back .09 and he was sent home. At your initial session, Tom reported that he drinks occasionally and didn’t realize when he went to work that he was still intoxicated from the night before. He reported that he does not have an alcohol problem but has been feeling overwhelmed and has trouble sleeping at night. Tom’s supervisor contacts you and lets you know that this is not the first time he has had issues with his drinking. Tom was disciplined six months ago for not showing up for shift after co-workers said he left a party very intoxicated the night before. Write a paper about this fictional first responder client and his journey through AOD treatment with you. Feel free to add details to Tom’s vignette in order to make treatment decisions clearer. The following topics should be addressed and applied to your fictional client: (1) Assessment and screening tools used at the initial session (2)Any issues of ethics or confidentiality that you could encounter (3)Based on what you know of CNS depressants, why is it important that Tom is sober at work? (4)What co-occurring disorder would you diagnose Tom with? (5)What level of treatment does Tom need and how do you know? (6)Create a treatment plan and relapse prevention plan that will be implemented.
