A seventeen year old girl is arrested for possession. She denies using drugs saying she was given some just before arrested. She is pregnant. Recently the procedure has been to jail pregnant chemical abusers until delivery to protect the unborn child. As this is the child’s first arrest the judge is reluctant to do that. As your treatment center provides education to that precinct your center was called. What course would you advise?
  1. Administer the TWEAK and give the results to the judge to decide.
  2. Administer the TWEAK, interview the adolescence and parents to determine the extent of the drug usage. Recommend appropriate treatment outside of jail if the interview and assessment indicates a beginning drug dependency and one is available that is better than jail.
  3. Do your best to persuade the judge to keep the adolescent in jail until delivery as releasing her would put the child at risk.
  4. Talk to the parents about begging the judge to refer the adolescent to your treatment center as you treat adolescents and have a good program.
Explanation
Answer: B - The best course for a jailed pregnant adolescent would be to use the TWEAK to assess tolerance. This test targets the current concern of relatives and friends along with an interview of the parents and adolescence regarding the woman’s drug usage. if the results indicate the girl might have used drugs several times the family’s medical insurance and the community resources should be assessed for possible admission into treatment. It would be a conflict of interest if all of these options were not explained to the parents and the judge. To jail a pregnant adolescent is not an inappropriate decision. However it exposes her to other prisoners’ experiences and knowledge that might not be in her best interest.
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