A heroin addict has been sentenced to a half way house following released from jail a year. He had a history of many arrests and long term drug usage. What are best choices to follow to promote continued chemical abstinence? Choose those that apply.

  1. Do nothing. He will probably not stop until the effects of the drug levels out and stops giving relief. Expect him to return to jail,
  2. Enroll the man in a methadone program.
  3. Watch behavior and take unscheduled urine samples; give him one relapse chance, with the parole officer's permission.
  4. Require weekly attendance to NA meetings and counseling.
Explanation

Answers: C and D - These two choices are considered the best for a long term heroine addict. Behavior should be watched, urine samples taken and counseling meetings should be scheduled to best promote abstinence for this client. As this man has a long history of one of the most difficult addictions for which to cover he should be expected to relapse. Urine samples should be unscheduled and behavior should be observed closely even after lab results show negative. A methadone program is not recommended as some chemicals can be used to enhance the effect of the methadone and he is sophisticated in the use of drugs. To do nothing would go against what you are attempting to achieve as a counselor. The client is now experiencing a different life than jail time and he knows he can easily return to that life style of incarceration. At some point and time he may hear what he needs and make the decision to change.

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