Week 3 Assignment
Student Name
Program Name or Degree Name (e.g., MS in Clinical Mental Health Counseling), Walden University
COUN 6204: Assessment in Counseling and Addiction
Instructor Name
Month XX, 202X
Week 3 Assignment
In your introduction, provide a brief (one paragraph) overview of the case study. Also, provide a one or two sentence explanation of what topics will be covered in your paper.
Elements of Bias and Systemic Oppression
In one paragraph, identify elements of bias and systemic oppression that may impact the case study client’s progress of addiction and recovery.
Social Determinants of Health
In one paragraph, describe how the social determinants of health apply to the case study.
MSJCC Conceptual Framework
In one paragraph, using the MSJCC conceptual framework, identify your position as the counselor (i.e., privileged or marginalized) and the case study client’s position (i.e., privileged or marginalized). Explain how this positioning may impact the assessment process.
Key Ethical Concepts
In one paragraph, identify the key ethical concepts from the ACA Code of Ethics and explain how it will guide your work with this client during the assessment process.
References
Include a complete reference list of all resources used to create your document. For tips on formatting citations and references, visit the Walden Writing Center.
© Walden University, LLC 1
Week3 Case Study
The Case of Allison
Allison is a 26-year-old Caucasian female who arrives at your agency for an addiction
assessment. She is court-mandated to treatment after a conviction for sex work. During
her arrest, she was found to have crack cocaine in her possession, and she tested
positive for cocaine, marijuana, and alcohol. Completing addiction counseling will
reduce her sentence.
During the assessment, Allison is fidgety and avoids eye contact with you. However,
she is polite and quickly opens up to you about her situation. You learn that she is from
an upper-middle class family. She completed 2 years of college before dropping out,
partially because of her substance use. She began binge drinking her freshman year of
college, and her substance use quickly escalated. “I felt happy for the first time in my
life,” she admits. “I always struggled with anxiety and depression. I never felt like I fit in
until I started drinking and using.” She is an only child, and her parents are conservative
and “very religious.” Her first drink was during her first weekend of college.
As her use escalated, her grades plummeted, and she stopped attending class. When
she moved back home after dropping out, her parents briefly supported her. They
insisted on sobriety (among other rules, including church attendance and a curfew), and
she was able to comply for a few weeks. But one night when hanging out with an old
high school friend, they got drunk together. From that night, the drinking and drug use
escalated again, and soon Allison was stealing small amounts of cash from her parents
and coming home well past her curfew time of 11 p.m. Eventually, her parents kicked
her out.
Allison moved in with another friend, and the drinking and drug use continued. Soon,
she was bouncing from apartment to apartment, unable to maintain a positive roommate
relationship for very long. Running out of money, Allison began engaging in sex work in
exchange for drugs. She typically traded sex with men, even though she identifies as
lesbian (another facet of her life her parents refused to accept). Eventually, she became
homeless. She couch-surfed with drug connections, her sex work customers, and
occasionally stayed in a homeless shelter or on the street. She was finally arrested after
soliciting sex work from an undercover police officer.
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