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PTSD Barriers to Treatment Case Study

PTSD Barriers to Treatment Case Study

The case management needs for Jeremy are the treatment of PTSD, management of opioid use, and proper and well-equipped housing. Housing first, as opposed to treatment first options, is of paramount importance (Sun, 2012). Some of the barriers Jeremy might face if he is homeless include an increased risk of accessing opioids, an increased probability of trauma, and other mental problems. Some of the referrals that Jeremy can use in Portland, Indiana, include Veteran Health Indiana and Community Resource and Referral Center.

Some potential barriers to treatment faced by clients like Jeremy include homelessness, difficulty accepting their condition and the need for help, lack of funds to obtain appropriate treatment services, risk of relapse following treatment especially if the housing problem is not addressed, and difficulty finding integrated care that can address the co-occurring disorders. Stigma is also a commonly identified barrier for patients with co-occurring disorders (Vogt, 2011). Given Jeremy’s specific diagnoses and needs, some of the potential barriers to treatment include homelessness, acceptance problems, financial problems, and transportation problems. Jeremy might also experience stigma and shame given that he has a younger sister and his parents are afraid to have her see her brother in his current condition.

Some of the strategies that case managers can use to coordinate case management services for patients diagnosed with co-occurring disorders include developing trust and rapport with the clients, seeking financial help from relevant authorities and organizations, building relationships and contact with all the relevant people involved in the treatment of the individual to develop an appropriate treatment plan, coordinate and facilitate care, access services that meet the individual needs of the client and evaluate the client’s progress. Case managers can also help the patients access basic survival needs like clothing, food, and housing.


Sun, A. P. (2012). Helping homeless individuals with co-occurring disorders: The four components. Social Work, 57(1), 23-37.

Vogt, D. (2011). Mental health-related beliefs as a barrier to service use for military personnel and veterans: a review. Psychiatric Services, 62(2), 135-142.


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PTSD Barriers to Treatment Case Study

Case Management Jeremy PTSD Barriers to Treatment Case Study (Psychology)

Co-Occurring Clients
Co-occurring clients typically have more case management needs than those with only an addiction disorder. To respond to this discussion, use the information from the assigned reading and the scenario below. Consider the real-life challenges of clients who require care. For this exercise, assume that you have been the client’s case manager for two months already. The client is in residential addiction treatment.

Scenario: Jeremy
Jeremy is a 22-year-old male who is in treatment for 305.50 (F11.20), Opioid Use Disorder-severe and 309.81, Posttraumatic Stress Disorder (PTSD). He recently completed his U.S. Army service where he had been stationed in the Middle East for three years. During this time, he stepped on an undetonated bomb and lost his left leg. He continues to struggle with pain and restlessness from his memories. He has not been approved for Veterans Affairs benefits yet and is not sure where he will live when he completes the program. His parents are worried about having him move home because his 15-year-old sister still lives with them, and they worry that she will be affected by his presence in the house. He was a medic in the Army and wants to work in the medical field at some point but knows that the temptation of being around drugs may not be good for him. He cannot drive and still struggles to walk with his prosthetic leg.

PTSD Barriers to Treatment Case Study

PTSD Barriers to Treatment Case Study

  1. Identify three case management needs assuming that the Veterans Association will provide Jeremy’s medical care. What are some barriers to service that Jeremy might have if he is homeless?
  2. Using or another referral service (use the closest city to you: Portland, Indiana), find referrals for Jeremy that will meet his most immediate needs. Remember that he cannot travel independently as he is still in residential treatment. List the referrals.
  3. What are the potential barriers to treatment that clients like Jeremy face in accessing services? What are some of his potential barriers given his specific diagnoses and needs?
  4. What are some strategies that case managers can use in coordinating case management services for clients with co-occurring disorders?

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