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Case Study: Ben

learninginnovation

Created on September 5, 2024

Case Study: Ben, a 40-year-old Hispanic male, struggling with complex SUD and physical health needs.

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Transcript

A 40-year-old Hispanic male, struggling with complex SUD and physical health needs.

Meet Ben

MEET BEN

Ben is a 40-year-old divorced Hispanic male, diagnosed with:

  • opioid use disorder
  • methamphetamine use disorder
  • tobacco use disorder
  • COPD and
  • hypertension.
He is new to treatment court.Ben admits to using fentanyl up to two grams daily prior to incarceration, and enjoys the euphoria associated with use. He uses methamphetamine to treat opioid withdrawal symptoms.

CASE DETAILS

Ben's longest period of abstinence: 90 days, while incarcerated. His only past MOUD use was nonprescribed buprenorphine by injection. Ben's current charges include possession and distribution, robbery and assault. No harm reduction services were offered at his most recent release from incarceration.

CASE DETAILS
  • While in jail, Ben was offered only "comfort measures" as withdrawal management;
  • No MOUD was provided while he was incarcerated.
  • Jail staff believed that buprenorphine is their biggest problem (ahead of fentanyl, heroin, and other illicit substances).
  • Ben had cravings for fentanyl upon release from custody, with return to use within 48 hours.
  • Ben experienced near-fatal overdose with rhabdomyolysis.
  • Upon hospital discharge, no Rx for buprenorphine was given and no referral to OTP was given.
  • The treatment court team is made aware of the overdose, and an appointment with you is made for the next day.
CASE EXERCISE:

Coordinating Care for Ben

Ben is motivated for treatment. Consider strategies to support Ben, who needs effective treatment.

  • Transition to inpatient treatment
  • Once completed, follow with transition to a sober living environment.
Consider for Ben
  • a higher daily dose of buprenorphine,
  • a long-acting form of buprenorphine
  • along with more intensive counseling.

Integrating SUD treatment

Click the plus sign to review options to consider treatment options for Ben.

  • Engage Ben in an opioid treatment program (OTP) for methadone.

OTP program engagement

Transition to sober environment