ABI Case Study 1
The client, who was male aged 35-45 and living in temporary accommodation, engaged with an ABI staff member at a health centre and advised they were drinking between eight to ten pints of lager a day per day. This amounted to 60 units of alcohol being consumed every week. From the ABI screening, it was noted that the client was a hazardous drinker. This was fed back to the service user, who was concerned, and expressed a desire to address his alcohol issues. The client was given information on the counselling service, which they decided to take up, attending their first session the next month.
During the first session, the client informed the counsellor that they had a history of alcohol misuse, although had been able to sustain some periods of abstinence. The client advised that he often acted impulsively when drinking alcohol and this led to suicide attempts, and criminality. The client has served time in prison for crimes committed while under the influence of alcohol, and was deeply ashamed of this behaviour. The client also advised they had a history of depression and had been taking medication for this for over 5 years. He also suffered from memory loss, but was not sure if this could be alcohol related. The client was keen to address his alcohol issues to ensure that his children did not mirror his behaviour.
In the initial assessment the client rated that alcohol was not very important in his life, his physical health was not very good, and his mental and emotional state was poor. The client also rated his financial stability as not very good. The client felt very confident that he could change. The client advised the counsellor that his goals were to maintain abstinence. The counsellor referred the client to the Community Addiction Team (CAT) to discuss medications, such as anti-abuse to help the client to obtain this goal. The client also felt that developing a routine and structure would help his recovery. The counsellor referred the client to the Feel Good Friday group to help the client develop routine and structure. The client was also referred for support to help with his housing issues. Further counselling sessions were subsequently booked.
In this case having an ABI stall was important, as without this, the service user may not have been aware of his hazardous drinking and the counselling, and other support available to him. This could have lead to further alcohol related harm for the client.