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A Community Reinforcement Approach: Treating Cocaine Addiction



Exhibit 11: Sample Problem List

Date: 3/8/98 Patient: Jim
Problem 1: Drugs/Alcohol
  • Cocaine Use. Intravenous. 3x per week. Spends $250/week on cocaine
  • Drinks 6 beers about 4-5x a week. Drinks more when doing cocaine. DWI 2 months ago
  • Marijuana use daily. 1-2x per day, usually in the evening after work.
Problem 2: Employment/Support
  • Works construction job - irregular full time, work declines in winter and sometimes other times.
  • Pay is fair - not enought to support family well.
  • Most guys on the job use alcohol and drugs.
Problem 3: Family
  • Wife always angry at him for spending money and coming home high.
  • Doesn't spend much time with his children.
  • Loses his temper frequently and yells at wife and children.
Problem 4: Recreation/Social
  • No regular prosocial activities. Most friends are drug users.
  • Likes to work out frequently.
Problem 5: Psychological
  • Depressed mood.
  • Irritable most of the time.
Problem 6: Legal
  • DWI - on probation.
  • Assault charge - on probation.
Problem 7: Medical
  • Positive for hepatitis B and C.

 

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