Legal Issues

 

85. Member will reduce the number of times he no-shows for mandatory meetings with his PO (probation officer), from a baseline of 3x/6 meetings to a goal of 0x/6 meetings, and sustain this change for 6 consecutive months, as measured by report of PO.

Rehab: CM will help member identify patterns in his behavior and decision-making that have led to legal problems in the past, and help him develop a plan for change going forward. Will teach member to use a day planner, wall calendar, smart phone alerts, and similar devices to help him remember important appointments and prepare for them in advance.

CMS: CM will facilitate ongoing linkage to, and communication with, member’s probation officer and the court system.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to help participants improve their ability to manage strong emotions and learn about the relationship between substance abuse and recovery from mental illness.

Member will attend COEG group, report to his probation officer as directed, and let his CM know about any problems or challenges he encounters in terms of attending required meetings.

86. Member will reduce the number of physical altercations he is involved in, from a baseline of 1x/3 months to a goal of 0x/3 months, and sustain this change for 6 months, as measured by collateral and member self-report.

Rehab: CM will help member learn anger management and de-escalation techniques (deep breathing, focusing on breathing, counting to 10, temporarily disengaging, increasing physical exercise, journaling, venting to a trusted friend, etc.). Will help member identify conditions that have led to assaultive behavior in the past, and help him develop a plan for limiting his exposure to them.

CMS: CM will facilitate ongoing linkage to court system as necessary to help member abide by conditions of his probation.

Therapy: Clinician will help member identify cognitive distortions (inaccurate thoughts and assumptions) that contribute to his anger, and teach him to challenge and replace them with more accurate ones.

Medication: MD/NP will provide psychoeducation and prescribe and monitor psychiatric medications to reduce depression and mood lability. Nurse will assist with medication management to help member overcome impairments related to lack of med adherence (see CFS 8).

Group: Group facilitator(s) will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between substance abuse and recovery from mental illness.

Member will practice the anger management and de-escalation skills he learns and begin applying them to real-life situations, then discuss the results with his CM during their weekly meetings.

87. Member will complete court-ordered classes, as measured by documentation (written proof) provided by member.  Baseline:  Has not completed required classes and is at risk of serious legal consequences.

Rehab: CM will help member identify patterns in his behavior that have led to legal problems in the past, examine the short- and long-term consequences of choices he has made, and him develop a plan for change going forward.  Will teach member to use a day planner, wall calendar, smart phone alerts, and similar devices to help him remember important dates and times.

CMS: CM will facilitate linkage to court-ordered classes and help member arrange transportation as necessary.

Group: Group facilitator will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of how substance use interferes with their recovery from mental illness.

Member will attend COEG group and inform his CM if he encounters any barriers in terms of attending court-ordered classes.

88. Member will abide by the terms of his probation and be free of any negative interaction with law enforcement.  Baseline:  Reports violating his probation on several occasions.

Rehab: CM will help member identify behaviors that have led to problems with law enforcement in the past, and explore alternative behaviors that could reduce the likelihood of similar problems going forward. 

CMS: CM will facilitate ongoing linkage to, and communication with, member’s probation officer and the court system.

Medication: MD/NP will provide psychoeducation and prescribe and monitor psychiatric medications to reduce depression and mood lability.

Medication: Nurse will assist with medication management to help member overcome impairments related to inconsistent adherence to med regimen.

Group: Group facilitator(s) will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between substance abuse and recovery from mental illness.

Member will report to his probation officer as ordered and implement alternative behaviors he develops with his CM.

89. Member will decrease negative interactions with police, from a baseline of 1 every 3 months to a goal of no more than 1 every 6 months, and sustain this change for 6 consecutive months, as measured by collateral and member self-report.

Rehab: CM will help member identify behaviors that have led to problems with police in the past, and explore alternative behaviors that could reduce the likelihood of similar problems going forward. Will use modeling and role-play to prepare member to respond appropriately when contact with law enforcement does occur.

Medication: MD/NP will provide psychoeducation and prescribe and monitor psychiatric medications to reduce symptoms of thought disorder.

Medication: Nurse will assist with medication management to help member overcome impairments related to lack of med adherence as described in CFS 8.

Group: Group facilitator(s) will conduct COEG (Co-Occurring Education Group) to increase participants’ awareness of the relationship between substance abuse and recovery from mental illness.

Member will attend COEG group and implement alternative behaviors he develops with his CM.

 

All PHI has been de-identified per HIPAA Privacy Rule