Extended
Marie is a 23-year-old woman living with her mother and younger sister in an apartment in South St. Paul. She has not worked since leaving Cub Foods in 2007 and is unable to pay for basic needs, rent to her mother, or to move out on her own. Marie completed 12 years of formal education, graduating in 2006 from South High School with a C average. She enjoyed English but struggled with math and science. She denies ever having received tutoring or special education.
Marie was recently hospitalized for stabilization of mental health symptoms and scheduled for outpatient follow-up as part of her discharge plan. She is seen on an outpatient basis for assessment and integrated treatment of mental illness and substance use disorder. Marie carries diagnoses of bipolar disorder and polysubstance dependence with differential diagnosis of substance induced psychosis.