Mr. Y is a 47-year-old African-American male currently in the drug rehabilitation process. Mr. Y is married, with six children. However, he is currently separated from his wife and has not seen his wife or children for several months. His wife has sole custody of the children and the client is essentially homeless. He has lived on the streets off and on for the past five years. He has been involved with outreach professionals and has tried drug rehabilitation services before. He initially agreed to outpatient rehabilitation services, but this was ineffective. most recently, he agreed to try in-patient services. He has been placed in a 90-day drug treatment facility.
Mr. Y was referred to the agency for follow-up treatment after his in-patient treatment is completed. He has been assigned a caseworker with a follow-up plan to be designed.
The main problem for Mr. Y is maintaining sobriety of any sort or any length. Although alcohol is not the major problem, Mr. Y abuses alcohol along with several types of drugs. He indicated that he as used every time of drug available to him on the streets and during those times when he has been living with his family. He has used alcohol, marijuana, heroin, cocaine, ecstasy, and other designer drugs. His drug of choice is crack cocaine, but this is not always available to him. He has stated that he is willing to try any drug and that he is unable to resist the temptation of drugs.
At the same time, Mr. Y indicated that he was afraid that he would die young if he kept up his lifestyle. He said that he had already seen many men his age, and younger, who had lost their lives by overdosing. Another problem that worried him was losing his functioning. He said that other men that he knew had lost their mental capacities or physical capacities. He did not want that to happen to him.
Mr. Y also noted that sometimes when he was sober, he felt guilty about his behavior, particu...