Robert is a 32-year-old businessman who was involved in a car accident on his way home after having a couple of drinks at the local bar. He was referred for evaluation and treatment because at the time of the accident, his blood alcohol test showed .09, which was above the legal limit. He is overweight and tends to have high blood pressure. He grew up in the neighborhood where he and his wife now live. They have two children, ages 6 and 4 years. Robert has several childhood friends who come to the bar, almost every day during the week, to have drinks and socialize. His father is also a frequent visitor to the bar, and has been for the past 40 years. Robert's father drinks 4 to 5 drinks when he is at the bar, but he does not seem to have any significant problems related to drinking, except for his hypertension. Robert drinks 3 to 5 beers at the bar, but he does not feel that he has any drinking problems because he does not drink at home except for wine with his evening meal. 

 

1. Identify and sort through the relevant facts presented by Robert's situation. What tools or interviewing strategies would you use to assess his drinking and its impact? What do you assess his drinking risk to be? Why?

 

 

1. Identify the problems, issues, and concerns that arise with Robert's situation.

 

 

 

1. Identify the positive and strengths aspects of Robert's situation.

 

 

 

 

 

1. Research options and develop an initial plan of action for intervention with Robert. Who should be involved in the intervention for Robert?

 

 

 

 

 

1. What additional information might you need both about Robert and about the possible interventions and resources in Robert's community?

 

 

 

1. Develop a concrete and specific strategy for how you would address alcohol issues with Robert. What are the intervention goals? 

 

1. What kinds of referrals in your practice community would you make and why? 

 

 

1. How might you evaluate outcomes of your plan and next steps/revisions of the plan, depending on various possible outcomes including success or struggling to meet goals.