Occupational Therapy in Community-Based Practice Settings 2nd Edition by Marjorie Scaffa, Maggie Reitz

تمرين 4

Richard
Richard is a single, 30-year-old white male with a 10-year history of cocaine and barbiturate abuse. Richard is currently staying with various "friends" and does not have a primary residence of his own. Richard has been employed off and on for the past 10 years as a heating and air conditioning specialist, and the longest time he has maintained employment was 9 months. Each time he was fired from a job, it was due to being absent or late for work secondary to substance abuse. Richard has a legal history of misdemeanor drug possession and paraphernalia possession, and he has received inpatient treatment for substance abuse three times. He has one daughter who is 9 years old and lives with her mother. Richard is currently not allowed to contact his daughter. Richard has no insurance coverage and no money to pay out-of-pocket expenses for treatment, so he has been referred to state-funded facilities.
Richard has received state-funded medical detoxification treatment at a local facility for the last 14 days, and he has been evaluated for a state-run intensive outpatient program (IOP). Upon evaluation, Richard stated that he would like to return to work in his field and to regain partial custody of his daughter. He currently has no hobbies other than using drugs, and he has isolated himself from all of his friends. The only contacts that he has are people who also use drugs. Richard states that he wants to approach treatment differently this time, and he states that he truly wants to be successful at managing his addictions.
List five suggestions that an occupational therapist could give Richard to help him manage daily stressors that could trigger him to use substances.