CASE STUDY
Adolescent with Substance Use Disorder in MichiganAlex grew up in a low-income neighborhood where both parents work multiple jobs. His father was previously incarcerated for drug-related charges, and his mother reports a history of depression but has limited access to mental health services.
The family has unstable housing, moving between apartments due to financial struggles. Alex has two younger siblings, and he often takes on a caretaker role when his mother is working evenings.
Presenting ProblemOver the past year, Alex’s school performance has dropped significantly; he went from being a B student to failing multiple classes.
Teachers noticed increased absenteeism and irritability.
He was recently suspended for vaping in the school bathroom, where THC was detected in the device.
His mother found alcohol and prescription pain pills hidden in his backpack.
In what ways could occupational therapy support Alex in re-engaging in healthy, meaningful activities?
How do social determinants of health affect Alex's treatment options?
How can an occupational therapy practitioner address both physical and mental health risks?