Biopsychosocialspiritual (BPSS) Assessment (100 points) (EPASS 6.1, 7.1) Comment by Robert Lucio: Word as EPAS Foundation and the number(s) 1. The paper length is a minimum of seven (7) pages, plus a cover page and references. APA format will be used for the first portion of the paper (the theoretical approach.) Please site sources and include in Reference pages. 2. Student will observe a video from an approved list provided by the instructor and will develop a bio-psycho-social-spiritual assessment and intervention plan. (Possible videos include: Juno, Antwone Fisher, Good Will Hunting, American Sniper or Unbroken and use the main character to complete the BPSS Assessment.) The instructor may give you additional options. 3. Student will select a theoretical approach (behavior, client-centered, cognitive, communication, existential, problem solving, or systems) as a foundation for the assessment. 4. Write a minimum one-page discussion of the rationale for selecting this approach, i.e. how did you select this method for working with this client? What research exists that supports your choice? The one page discussion of the theoretical approach will be the first page of the Biopsychosocialspiritual (BPSS) Assessment. This section will meet APA criteria. Student will include a minimum of two cited resources and include on the Reference Page. 5. The following minimum five pages of the paper will be the BPSS Assessment that includes minimum of two measurable goals with minimum of two objectives for each goal. This would be the type of report that might be used for a custody evaluation or in-patient assessment. (See below) 6. The final page of this assignment will be a minimum one page condensed BPSS Assessment, similar to one that might be found in a medical hospital chart. This one page would highlight what is viewed as the most important aspects of the five page in-depth assessment. (See below) BIOPSYCHOSOCIALSPIRITUAL (BPSS) ASSESSMENTOUTLINE Using the video selected, write your biopsychosocialspiritual (BPSS) assessment report. The report must be typed, single-spaced, 1 inch margins, and a font no larger than 12. The psychosocial assessment must follow the following format: Client Name: ___________________ D.O.B: __________ Admission Date: ________ Age: _____ Address: ________________________________________________________________________ Phone:______________________ Social Worker:_________________________ Date Prepared: _________ Identification: Reason for Social Work Involvement: Family Background and Situation: Physical Functioning and Health (include current medications): Intellectual Functioning (mental status): Emotional Functioning: Interpersonal and Social Relationships: Educational/Vocational/Financial: Legal Involvement: Substance Abuse Use and History: Religion and Spirituality: Treatment History: Strengths and Problem-Solving Capacity: Use of Community Resources: .

1. Biopsychosocialspiritual (BPSS) Assessment (100 points)
(EPASS 6.1, 7.1) Comment by Robert Lucio: Word as EPAS
Foundation and the number(s)
1. The paper length is a minimum of seven (7) pages, plus a
cover page and references. APA format will be used for the first
portion of the paper (the theoretical approach.) Please site
sources and include in Reference pages.
2. Student will observe a video from an approved list provided
by the instructor and will develop a bio-psycho-social-spiritual
assessment and intervention plan. (Possible videos include:
Juno, Antwone Fisher, Good Will Hunting, American Sniper or
Unbroken and use the main character to complete the BPSS
Assessment.) The instructor may give you additional options.
3. Student will select a theoretical approach (behavior, client-
centered, cognitive, communication, existential, problem
solving, or systems) as a foundation for the assessment.
4. Write a minimum one-page discussion of the rationale for
selecting this approach, i.e. how did you select this method for
working with this client? What research exists that supports
your choice? The one page discussion of the theoretical
approach will be the first page of the Biopsychosocialspiritual
(BPSS) Assessment. This section will meet APA criteria.
Student will include a minimum of two cited resources and
include on the Reference Page.
5. The following minimum five pages of the paper will be the
BPSS Assessment that includes minimum of two measurable
goals with minimum of two objectives for each goal. This would
be the type of report that might be used for a custody evaluation
or in-patient assessment. (See below)

2. 6. The final page of this assignment will be a minimum one
page condensed BPSS Assessment, similar to one that might be
found in a medical hospital chart. This one page would
highlight what is viewed as the most important aspects of the
five page in-depth assessment. (See below)
BIOPSYCHOSOCIALSPIRITUAL (BPSS)
ASSESSMENTOUTLINE
Using the video selected, write your biopsychosocialspiritual
(BPSS) assessment report. The report must be typed, single-
spaced, 1 inch margins, and a font no larger than 12. The
psychosocial assessment must follow the following format:
Client Name: ___________________ D.O.B: __________
Admission Date: ________ Age: _____ Address:
_____________________________________________________
___________________ Phone:______________________
Social Worker:_________________________ Date Prepared:
_________
Identification:
Reason for Social Work Involvement:
Family Background and Situation:
Physical Functioning and Health (include current medications):
Intellectual Functioning (mental status):
Emotional Functioning:
Interpersonal and Social Relationships:
Educational/Vocational/Financial:
Legal Involvement:
Substance Abuse Use and History:
Religion and Spirituality:
Treatment History:
Strengths and Problem-Solving Capacity:

3. Use of Community Resources:
Impressions and Assessment:
Client-specific problem statement (in behavioral terms) and
STRENGTHS to help address these issues:
Goal #1 to address problem:
Objective A to meet goal #1:
Objective B to meet goal #1:
Client-specific problem statement (in behavioral terms) and
STRENGTHS to help address these issues:
Goal #2 to address problem:
Objective A to meet goal #2:
Objective B to meet goal #2:
BIOPSYCHOSOCIALSPIRITUAL DIAGNOSTIC SUMMARY
Client Name: ____________________________________
Adm. Date:__________
D.O.B.:
_____________
I.Diagnostic Summary
A. Clinical Profile(age, marital/family status, ethnicity,
education, employment, substance use patterns, mental &
physical health, prior treatment history, referral source, other
client specific info, etc.)
B. Precipitating Factors(why is client coming to treatment
NOW?)
C. Influencing Conditions(Issues that might have led to present
situation ie: family history, (ACOA), developmental traumas &
experiences, relationships issues, spiritual dilemmas, cultural,
ethnic, gender specific influences, etc.)
D. Effects of Influencing Conditions(how is the problem

4. manifested? Patterns of behavior, defense mechanisms)
E. Assets (client’s internal & external strengths ie: desire to
avoid incarceration, desire to be good parent, sober support
system, employment, positive family ties)
II.Clinical Problem List
A. The initial assessment process indicated that the following
are the most immediate problem areas to be addressed while in
treatment:
B. The following are the goals to address these problems:
Biopsychosocial-spiritual Assessment (BPSS) Rubric
‘
Unsatisfactory
Marginal
Proficient
Excellent
APA & Writing Quality (20)
One of the following are demonstrated; (1) paper includes cover
page and references; (2) paper consistently and flawlessly
follows guidelines and APA manual (6th ed.) for headings,
spacing, in-text and reference list citations; (3) no spelling,
punctuation, and/or grammatical errors are readily apparent; (4)

5. paper includes at least 2 references; (5) bio-psycho-social-
spiritual assessment consistently follows assignment format and
no sections are omitted; (6) content is included under the proper
heading.
(0 points)
Two of the following are demonstrated; (1) paper includes cover
page and references; (2) paper consistently and flawlessly
follows guidelines and APA manual (6th ed.) for headings,
spacing, in-text and reference list citations; (3) no spelling,
punctuation, and/or grammatical errors are readily apparent; (4)
paper includes at least 2 references; (5) bio-psycho-social-
spiritual assessment consistently follows assignment format and
no sections are omitted; (6) content is included under the proper
heading.
(1-10 points)
Four of the following are demonstrated; (1) paper includes
cover page and references; (2) paper consistently and flawlessly
follows guidelines and APA manual (6th ed.) for headings,
spacing, in-text and reference list citations; (3) no spelling,
punctuation, and/or grammatical errors are readily apparent; (4)
paper includes at least 2 references; (5) bio-psycho-social-
spiritual assessment consistently follows assignment format and
no sections are omitted; (6) content is included under the proper
heading.
(11-17 points)
All of the following are demonstrated in an exemplary way; (1)
paper includes cover page and references; (2) paper consistently
and flawlessly follows guidelines and APA manual (6th ed.) for
headings, spacing, in-text and reference list citations; (3) no
spelling, punctuation, and/or grammatical errors are readily
apparent; (4) paper includes at least 2 references; (5) bio-
psycho-social-spiritual assessment consistently follows
assignment format and no sections are omitted; (6) content is
included under the proper heading.
(18-20 points)

6. Communication of knowledge of content theory (20) (EPASS
Foundation 6.1 ) Pts. ____/20
None of the following elements are demonstrated to utilize
conceptual framework: (1) theory selected for use with client
system is clearly specified; (2) rationale of theory selection is
presented logically and is well-developed with solid evidence
and rich supporting detail; (3) research supporting your choice
of theory is presented, described, and referenced.
(0 points)
One of the following elements are demonstrated to utilize
conceptual framework: (1) theory selected for use with client
system is clearly specified; (2) rationale of theory selection is
presented logically and is well-developed with solid evidence
and rich supporting detail; (3) research supporting your choice
of theory is presented, described, and referenced.
(1-10 points)
Two of the following elements are demonstrated to utilize
conceptual framework: (1) theory selected for use with client
system is clearly specified; (2) rationale of theory selection is
presented logically and is well-developed with solid evidence
and rich supporting detail; (3) research supporting your choice
of theory is presented, described, and referenced.
(11-17 points)
Two to three of the following elements are demonstrated in an
exemplary way to utilize conceptual framework: (1) theory
selected for use with client system is clearly specified; (2)
rationale of theory selection is presented logically and is well-
developed with solid evidence and rich supporting detail; (3)
research supporting your choice of theory is presented,
described, and referenced.
(18-20 points)

7. Communication of knowledge of content
Bio-psycho-social-spiritual assessment
(20)
None of the following elements are demonstrated: (1)
assessment follows format; (2) content is included under the
proper heading; (3) all areas of the assessment are addressed
and are well-developed with descriptive detail; (4) numerous
client strengths and resources are noted; (5) impressions and
assessment are well developed with solid evidence and rich
supporting detail.
(0 points)
One to two of the following elements are demonstrated: (1)
assessment follows format; (2) content is included under the
proper heading; (3) all areas of the assessment are addressed
and are well-developed with descriptive detail; (4) numerous
client strengths and resources are noted; (5) impressions and
assessment are well developed with solid evidence and rich
supporting detail.
(1-10 points)
Three to four of the following elements are demonstrated: (1)
assessment follows format; (2) content is included under the
proper heading; (3) all areas of the assessment are addressed
and are well-developed with descriptive detail; (4) numerous
client strengths and resources are noted; (5) impressions and
assessment are well developed with solid evidence and rich
supporting detail. (11-17 points)
Four to five of the following elements are demonstrated in an
exemplary way: (1) assessment follows format; (2) content is
included under the proper heading; (3) all areas of the
assessment are addressed and are well-developed with
descriptive detail; (4) numerous client strengths and resources
are noted; (5) impressions and assessment are well developed
with solid evidence and rich supporting detail. (18-20 points)

8. Communication of knowledge of content
Goals for work
with client
(20)
None of the following are demonstrated: (1) Two or three goals
were included in assessment; (2) goals logically followed
content of session; (3) goals were clear, and measurable; (4)
goals were realistic and reasonable; (5) goals were consistent
with client's needs and desires. (0 points)
One to two of the following are demonstrated: (1) Two or three
goals were included in assessment; (2) goals logically followed
content of session; (3) goals were clear, and measurable; (4)
goals were realistic and reasonable; (5) goals were consistent
with client’s needs and desires. (1-10 points)
Three to four of the following are demonstrated: (1) Two or
three goals were included in assessment; (2) goals logically
followed content of session; (3) goals were clear, and
measurable; (4) goals were realistic and reasonable; (5) goals
were consistent with client’s needs and desires. (11-17 points)
Four to five of the following are demonstrated in an exemplary
way: (1) Two or three goals were included in assessment; (2)
goals logically followed content of session; (3) goals were
clear, and measurable; (4) goals were realistic and reasonable;
(5) goals were consistent with client’s needs and desires. (18-20
points)
Communication of knowledge of content
Diagnostic Assessment Summary
(20)
EPASS 7.1
____/20 points

9. None of the following elements are demonstrated to collect and
interpret client data: (1) assessment follows format; (2) content
is included under the proper heading; (3) all areas of the
assessment are addressed and are well-developed with
descriptive detail; (4) assessment provides a concise and
accurate summary of detail from full biopsychosocialspiritual
assessment form; (5) client strengths and resources are noted;
(6) impressions and assessment are well developed and reflect
an accurate summary from the detailed assessment report. (0
points)
One to two of the following elements are demonstrated to
collect and interpret client data: (1) assessment follows format;
(2) content is included under the proper heading; (3) all areas of
the assessment are addressed and are well-developed with
descriptive detail; (4) assessment provides a concise and
accurate summary of detail from full biopsychosocialspiritual
assessment form; (5) client strengths and resources are noted;
(6) impressions and assessment are well developed and reflect
an accurate summary from the detailed assessment report.
(1-10 points)
Three to four of the following elements are demonstrated to
collect and interpret client data: (1) assessment follows format;
(2) content is included under the proper heading; (3) all areas of
the assessment are addressed and are well-developed with
descriptive detail; (4) assessment provides a concise and
accurate summary of detail from full biopsychosocialspiritual
assessment form; (5) client strengths and resources are noted;
(6) impressions and assessment are well developed and reflect
an accurate summary from the detailed assessment report. (11-
17 points)
5-6 of the following elements are demonstrated in an exemplary
way to collect and interpret client data: (1) assessment follows
format; (2) content is included under the proper heading; (3) all
areas of the assessment are addressed and are well-developed
with descriptive detail; (4) assessment provides a concise and
accurate summary of detail from full biopsychosocialspiritual

10. assessment form; (5) client strengths and resources are noted;
(6) impressions and assessment are well developed and reflect
an accurate summary from the detailed assessment report.
(18-20 points)
BIOPSYCHOSOCIALSPIRITUAL DIAGNOSTIC SUMMARY
Client Name: ____________________________________
Adm. Date:__________
D.O.B.: _____________
I.Diagnostic Summary
A. Clinical Profile (age, marital/family status, ethnicity,
education, employment, substance use patterns, mental &
physical health, prior treatment history, referral source, other
client specific info, etc.)
B. Precipitating Factors (why is client coming to treatment
NOW?)
C. Influencing Conditions (Issues that might have led to
present situation ie: family history, (ACOA), developmental
traumas & experiences, relationships issues, spiritual dilemmas,
cultural, ethnic, gender specific influences, etc.)
D. Effects of Influencing Conditions (how is the problem
manifested? Patterns of behavior, defense mechanisms)
E. Assets (client’s internal & external strengths ie: desire to
avoid incarceration, desire to be good parent, sober support
system, employment, positive family ties)
II.Clinical Problem List

11. A. The initial assessment process indicated that the following
are the most immediate problem areas to be addressed while in
treatment:
B. The following are the goals to address these problems: