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Individual Counseling: Satisfactory

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-Cooperate with CFS: Satisfactory
Melissa has maintained contact with caseworker and meets with worker regularly. She keeps worker updated of her contact information. Melissa has kept all appointments with caseworker, unless she was ill. Any missed visits were rescheduled. Melissa cooperates with all court orders in regards to her services.
-Individual Counseling: Satisfactory
Melissa began attending counseling on October 11, 2016 at Chestnut. Melissa completed her Mental Health Assessment and created her individual treatment plan on October 05, 2016. On May 12, 2017 Melissa left a voicemail informing her counselor that she did not appreciate being tapered off her Suboxone and was no longer engaging in services at Chestnut. Melissa did not …show more content…
Melissa self-reported that she experimented with meth in the month of March 2017. Melissa’s drug screens through her prior substance abuse provider, Chestnut, were positive on April 27, 2017 for morphine and May 3, 2017 for cocaine and morphine. The worker has documentation of Melissa’s substance relapse from Chestnut for the months of April 2017-May 2017. As of May 3, 2017 Melissa was tapered a quarter of a strip off her Suboxone by her psychiatrist due to her positive drug screen. On May 12th, 2017 Melissa left a voicemail informing her counselor that she did not appreciate being tapered off her Suboxone and was no longer engaging in services at Chestnut. Melissa engaged in a substance abuse assessment on May 8th, 2017 at the office of Stanley Librach in Chesterfield, MO. During the substance abuse assessment, Melissa self-reported that her last day of use of heroin was May 7, 2017. The substance abuse assessment listed Melissa’s active diagnoses as long term (current) use of opiate analgesic, opioid dependences, uncomplicated, major depressive disorder, single episode, unspecified, and anxiety disorder, unspecified. On May 8th, 2017 Melissa tested positive for morphine, fentanyl, naloxone, and alprazolam. Melissa started the substance abuse treatment medication, Zubsolv, with Dr Librach on May 18, 2017. Worker spoke with Melissa’s new substance abuse treatment provider on May 25, 2017. The new service provider stated that

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