Your friend peter™s sister, Jen who has a history of trauma and a substance use disorder, entered a Therapeutic Communi

Your friend peter’s sister, Jen who has a history of trauma and a substance use disorder, entered a Therapeutic Community but left after two weeks, against medical advice (AMA). Peter calls you and is upset that Jen wasn’t able to do well in residential treatment. You agree to meet up with both him and Jen to discuss what outpatient treatment might look like.

To prepare, first, you were curious about the state psychiatric hospitals and did some research on them. You were surprised to learn they had major problems and you listed several of them down as a reminder that they would not be an option.

You take a look at the treatment elements offered in the Yale Plan Clinics and you make a notes about reasons it may still be relevant for treating persons such as Peter and Jen. Since you are aware that they used Lay Therapists, who would be called Peer Specialists today (), you also make a note about the pros and cons of a program that uses Lay Therapists (or Peer Engagement or Peer Recovery Specialists), paying attention to the bio-psycho-social factors such as race, ethnicity, class, gender, language, sexual orientation, beliefs, cultural, political, legal, economic, and environmental factors.