Professional Documents
Culture Documents
Shellisa Mitchell
Student ID: ft0464
Wayne State University
SW 3020
Professor Schropshire
7/23/15
Demographic information
Johanna Thomas was healthy at birth; she experienced different childhood illnesses which were
Measles, Chicken Pox, and Asthma. Also, she had a history of gonorrhea and trichomonas. She
had no childhood surgeries or chronic diseases. She broke her leg and had back issues as a result
of playing softball at sixteen years old. As an adult, she has Diabetes and always experienced
weight issues. Johanna mother has Diabetes and is obese. She is experiencing back issues, and
can no longer work because of the excruciating pain. The mother also has high blood pressure
and father has kidney failure and congested heart failure. Johanna had her first menses at age
twelve years old. She is currently taking insulin for her Diabetes and Vicodin and OxyContin for
her back pain.
Relationship/Sexual History
Ms. Thomas had great childhood friends for over twenty years they were supportive of her and
encouraged her to get off drugs. They were exhausted with providing help for Johanna because
noncompliance to treatments. She presently has no current friendships due to her drug use. She
began dating at thirteen years old and her preference is men. Johannas first sexual experience
was at fourteen years old and enjoys having sex and orgasms since that time. She is currently
having sex with random partners with no condoms or birth control. She had a history of
gonorrhea and trichomonas.
Family of Creation History
Johanna Thomas is not currently in a committed relationship and never been married. She was in
a committed relationship with Tom, her ex-boyfriend for nine years. They have three children,
two females Susan one-year-old and Johanna 3 years old, one male Tommy five years old. The
relationship between them was relatively good and then became bad when Johannas drug
addiction got worse. She was on prescription drugs and Tom was helping through it because he
knew the nature of her severe back pain. However, Johanna started using heroin after she had
first daughter Johanna three years ago, and drugs caused the problems in the committed
relationship, and the couple broke up. Johanna and Tom were great parents and loved their
children. As all the turmoil began, the children were always with Johannas parents. Ms. Thomas
drug usage caused problems where she could not attend to her children. She could not function at
work as a substance abuse counselor because she was getting high all the time. Ms. Thomas exboyfriend worked as a licensed mechanic at an auto shop. They both received their diplomas and
had educational trades. Both parents were excited planned pregnancies. The reason Ms. Thomas
wanted children because she felt comfortable and secure in her relationship. She always wanted
children because her parents accidentally had her. She wanted to be a better parent then her
parents. However, she did the opposite and neglected them.
Substance Use/Abuse History
Ms. Thomas uses prescription drugs methadone, Vicodin, and OxyContin a way to get high. She
also is a heroin addict. Ms. Thomas first used the substance at sixteen years old when she broke
her leg and injured her back playing softball. The doctor prescribed pain medication OxyContin
and Vicodin. She had an addiction to prescription pain medication for seventeen years and took
up to seven pills a day. She has used heroin for three years and currently uses excessive amounts
of heroin every day. She smokes cigarettes to calm her nerves and urges because of her
depression. Ms. Thomas parents admitted her to the ER twice due to drug overdoses. The
hospital doctor and social worker petitioned her to Gateway Rehab and Treatment Center for
help, and she was non-compliant. Ms. Thomas was upset and returned to parents house, and she
repeated the same steps. The second time she was admitted to the hospital, she petitioned to
Caring Hands Rehab and Treatment Center. She was compliant this time because she wanted to
do better for her children and completed a six-month program. However, she relapsed after her
boyfriend came back in the picture trying to take full custody of their three children. Moreover,
this caused an enormous part of her failure in treatment progression.
Mental Health History:
Johanna Thomas has no mental health issues.
Military History
Johanna Thomas has never been in the military.
Financial History
Johanna Thomas family struggled throughout the years of her childhood. The mother never had a
job, but she was creative and made her specialty pies. She sold the pies $4.50 to the community
to help contribute to the household. Johannas father worked very hard to support the family at a
steel factory and made four hundred dollars every two weeks with no saving account. However,
Johanna had a trade position before she got on drugs. She worked as a substance abuse counselor
that paid twelve dollars per hour, and her boyfriend worked at an Auto shop where he was a
mechanic that made a good income. She is currently unemployed with no income and needs
disability for her back issues.
Legal history
Ms. Thomas experienced a possession of drug infraction, and she was given probation for ninety
days but currently is discharged off as November 2012. She was arrested two times for domestic
violence and one time for possession of drugs in 2012.
Immigration issues
She has no immigration issues.
Goal Setting
I.
A. Ms. Thomas will report that she has been doing breathing exercises twice a week.
1. Ms. Thomas will go to the park for serenity.
2. Ms. Thomas will walk at the park.
B. Ms. Thomas will attend a support group once a week for sixteen weeks.
1. Ms. Thomas will keep a journal for recording her feelings.
2. Ms. Thomas will share her feelings with the support group.
Ms. Thomas will attend substance abuse rehab twice a week for ninety days.
Ms. Thomas will comply with temporarily shelter placement for ninety days
Ms. Thomas will report that she has been doing breathing exercises twice a week.
Ms. Thomas will attend a support group once a week for sixteen weeks.
References
Kirst-Ashman, Karen K., & Hull, Grafton H., (2012). Understanding Generalist Practice
(7thed.) Chicago, IL: Nelson-Hall.
Mitchell, Shellisa, (2015). Bio-Psychosocial Assessment of Johanna Thomas, SW3020,