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Forensic and Substance Abuse Populations (PEO Model (Addiction…
Forensic and Substance Abuse Populations
PEO Model
Addiction Intervention
Environment
An intervention to implement into his environment includes finding an alternative location when searching for a home once he is released. The location should be far from casinos. He can also delete all the casino applications/games on his phone and computer to eliminate the temptation of gambling.
Occupation
Tee spends whatever money he earns on gambling. An intervention to teach him money management strategies and budgeting would improve the relationship with his wife, decrease stress associated with money, and allow him to see how much money he actually has to spend on leisure activities.
Person
Tee has an addiction with gambling and losing large amounts of money at one time. An intervention to focus on would involve finding coping mechanisms when feeling stressed and the need to make money
Forensic Intervention
Occupation: Occupational identification and exploration
Leisure participation and exploration
Find meaningful leisure activities that will replace risky behaviors during gambling
Tee enjoyed playing piano when he was younger, but he pawned it to get more money to gamble. Finding a music outlet would be beneficial in occupying time and would provide stress management
Tee enjoys spending time with his grandchildren, incorporating arts and crafts into treatment will give him an outlet to express himself and create things to give to his grandchildren
Tee expresses he spends too much time sitting around and watching the clock. He would like to get back into good shape. By creating a group basketball team, Tee would have the opportunity for physical activity, stress management, and socilization
Person: Decrease chances of recidivism
Provide resources for job hunting, housing opportunities, child care, health service for positive community reintegration. Tee would like to find a job since he was fired from his job working as a mechanic. Since he is separated from his wife, he will need to find housing, that supports his reintegration. He watches his grandchildren, so education on child safety and appropriate behaviors would be beneficial. (Chui et. al, 2016).
Provide education on positive outlets and stress management skills to decrease violence.
Since Tee enjoys writing music, he could start journaling as a way to cope and occupy time within his jail cell.
Environment
Connect Tee to a support group that shares about different addictions. This group will serve as an outlet for him and allow him to see he is not the only one experiencing addiction.
Connect Tee with a peer role model. This role model will provide support, with no judgement, and share his story so Tee can see the possibilities after release. This give Tee an outlet to share his feelings, fears, and goals. It is also a positive problem solving tool for Tee to discuss alternative solutions for possible stressful situations that may lead to violence.
Supervise family visits to guide the interactions he has with his family. Tee wants to reestablish his family relationships and needs to realize the role he has as a husband, father, and grandfather and work with his family so that they see and accept him in those roles.
Sensory FOR
Addiction intervention
Tee has had a drinking problem since he was laid off from work 2 years ago. He has been using gambling as his main source of income but once his wife separated from him for financial issues, his drinking habits increased. Tee has also been diagnosed with SPD, claiming that the "bright lights and casino noises are amplified" and helps him play better.
An intervention approach to help reduce his alcohol desire includes attending AA meetings to listen and build connections with others.
Tee can remove himself from places that have bright flashing lights and sounds that remind him of the casino.
Forensic intervention
Tee was diagnosed with SPD and seeks the lights and noises at the casino. When he drinks alcohol, these lights and noises become amplified. In order to address this,
Connect Tee with a MP3 player allowed in the prison to provide him auditory stimulation
A sensory bin was created for Tee to provide him with tactile stimulation. Tee was excited about the sensory bin because it made him feel like a child again and was helping him self-regulate.
Allow Tee to use a rocking chair to help soothe his sensory processing system with the rocking motion
Occupational Profile:
Travis "Tee" Shirt
Tee is seeking help for a gambling addiction
Tee is currently in jail for armed robbery to get money for gambling
Has been to jail 5 times since he was 24 yo
Longest stay was 3 years for assault
Tee is a 55-year-old male who has been unemployed for the past 2 years. He is currently married but separated from his wife. He is a father to 2 boys, who are 32 and 35 years old. He also has 4 grandchildren that he values
Dx with Sensory Processing Disorder (SPD)
Seeks alcohol as a stimulus because he is stressed that he does not have a job
References
Chui, A. L., Wong, C. I., Maraj, S. A., Fry, D., Jecker, J., & Jung, B. (2016). Forensic occupational therapy in Canada: The current state of practice.
Occupational Therapy International, 23
(3), 229-240. doi:10.1002/oti.1426
Ashley Abrego, Kaitlyn Bean, Linda Mai, Laura Ponder