SOCW 6200 Final Project: Bio-Psycho-Social Assessment
Submit by Day 7 a 6- to 9-page paper that focuses on an adolescent from one of the case studies presented in this course. For this assignment, complete a bio-psycho-social assessment and provide an analysis of the assessment. This assignment is divided into two parts (Part A & Part B):
Part A: Bio-Psycho-Social Assessment: The assessment should be written in professional language and include sections on each of the following:
· Presenting issue (including referral source)
· Demographic information
· Current living situation
· Birth and developmental history
· School and social relationships
· Family members and relationships
· Health and medical issues (including psychological and psychiatric functioning, substance abuse)
· Spiritual development
· Social, community, and recreational activities
· Client strengths, capacities, and resources
Part B: Analysis of Assessment. Address each of the following:
· Explain the challenges faced by the client(s)—for example, drug addiction, lack of basic needs, victim of abuse, new school environment, etc.
· Analyze how the social environment affects the client.
· Identify which human behavior or social theories may guide your practice with this individual and explain how these theories inform your assessment.
· Explain how you would use this assessment to develop mutually agreed-upon goals to be met in order to address the presenting issue and challenges face by the client.
· Explain how you would use the identified strengths of the client(s) in a treatment plan.
· Explain how you would use evidence-based practice when working with this client and recommend specific intervention strategies (skills, knowledge, etc.) to address the presenting issue.
· Analyze the ethical issues present in the case. Explain how will you address them.
· Describe the issues will you need to address around cultural competence.
BioPsychosocial History
[Template for Part A]
Name: Dalia
Date:
Agency:
DEMOGRAPHIC INFORMATION
Age: 14 years old
Ethnicity: Biracial African American and Irish American
Marital Status: Single
Date of Birth: N/A
PRESENTING ISSUE(S)
Client Self-Assessment of Problem(s)/Reason(s) for Seeking Treatment/Motivation Onset/Duration/Intensity/Frequency Precipitating Stressors/Stressful Events Symptoms (in Client’s/Informant’s Own Words)
Dalia and her mother both appeared agitated with each other and became argumentative when going through the intake information. Dalia quickly told me that she was not planning to talk about anything because this meeting was her parents’ idea. She stated, “I don’t have any problems, my parents do.” Soon into this first visit, Dalia blurted out that her mother was upset with her because she had just shown her a tattoo she had had done recently, purchased by using a fake ID. I acknowledged her news and asked if this was the way that she usually shared important information with her mother. Dalia shrugged and stated, “I d.
SOCW 6200 Final Project Bio-Psycho-Social Assessment Submit.docx
1. SOCW 6200 Final Project: Bio-Psycho-Social Assessment
Submit by Day 7 a 6- to 9-page paper that focuses on an
adolescent from one of the case studies presented in this course.
For this assignment, complete a bio-psycho-social assessment
and provide an analysis of the assessment. This assignment is
divided into two parts (Part A & Part B):
Part A: Bio-Psycho-Social Assessment: The assessment should
be written in professional language and include sections on each
of the following:
· Presenting issue (including referral source)
· Demographic information
· Current living situation
· Birth and developmental history
· School and social relationships
· Family members and relationships
· Health and medical issues (including psychological and
psychiatric functioning, substance abuse)
· Spiritual development
· Social, community, and recreational activities
· Client strengths, capacities, and resources
Part B: Analysis of Assessment. Address each of the following:
· Explain the challenges faced by the client(s)—for example,
drug addiction, lack of basic needs, victim of abuse, new school
environment, etc.
· Analyze how the social environment affects the client.
· Identify which human behavior or social theories may guide
your practice with this individual and explain how these
theories inform your assessment.
· Explain how you would use this assessment to develop
mutually agreed-upon goals to be met in order to address the
2. presenting issue and challenges face by the client.
· Explain how you would use the identified strengths of the
client(s) in a treatment plan.
· Explain how you would use evidence-based practice when
working with this client and recommend specific intervention
strategies (skills, knowledge, etc.) to address the presenting
issue.
· Analyze the ethical issues present in the case. Explain how
will you address them.
· Describe the issues will you need to address around cultural
competence.
BioPsychosocial History
[Template for Part A]
Name: Dalia
Date:
Agency:
DEMOGRAPHIC INFORMATION
Age: 14 years old
Ethnicity: Biracial African American and Irish American
Marital Status: Single
Date of Birth: N/A
PRESENTING ISSUE(S)
Client Self-Assessment of Problem(s)/Reason(s) for Seeking
Treatment/Motivation Onset/Duration/Intensity/Frequency
Precipitating Stressors/Stressful Events Symptoms (in
Client’s/Informant’s Own Words)
Dalia and her mother both appeared agitated with each other and
became argumentative when going through the intake
information. Dalia quickly told me that she was not planning to
talk about anything because this meeting was her parents’ idea.
She stated, “I don’t have any problems, my parents do.” Soon
into this first visit, Dalia blurted out that her mother was upset
3. with her because she had just shown her a tattoo she had had
done recently, purchased by using a fake ID. I acknowledged
her news and asked if this was the way that she usually shared
important information with her mother. Dalia shrugged and
stated, “I don’t know. I figure I better her tell her now before
she gets too busy.”
REFERRAL SOURCE
Who referred this individual for treatment? Was the informant a
reliable historian? The client’s parents referred Dalia for
treatment. They are a reliable informant.
Was information gleaned from previous treatment records, court
documents, etc.? No
CURRENT LIVING SITUATION
Living Situation- Dalia currently lives with her mother and
father in a suburban area.
Dependents/Care for Dependents
Employment/Disability/Seeking Disability Income/Source of
Income- N/A
Insurance Transportation Daily Living Skills- N/A
Social/Leisure Activities
Available Social Support- Dalia has her mother and her father
as a source of social support. She also expressed that she and
her brother have a good relationship and can be used as a source
for social support as well.
BIRTH AND DEVELOPMENTAL HISTORY
A. PRENATAL/BIRTH/DEVELOPMENT
Dalia was born with sickle cell anemia. There is no indication
that Dalia did not accomplish all of her milestones.
B. EARLY CHILDHOOD
Family of Origin—Dalia lives with both her mother and her
father. She also has an older sister and brother.
Geographic/Cultural/Spiritual Factors/as Relevant- Dalia’s
mother is African American female, she does not express any
4. cultural or spiritual preference. Dalia’s father is Irish American
male, he does not express any cultural or spiritual preference.
Abuse/Trauma History- None mentioned
Physical/Emotional/Sexual Abuse History- None mentioned
SCHOOL AND SOCIAL RELATIONSHIPS
This section should include information about social supports
and the nature of those relationships; include current
friendships, school/peer group experience, and military history,
if applicable.
A. SOCIAL DEVELOPMENT
Cultural/Peer Group/Environment School
Adolescence
B. EDUCATIONAL HISTORY
Public or Private School(s) Where Attended- Dalia attends
public school, there was no mention of private school.
Performance- Dalia’s performance in school has decreased since
entering middle school. She has been experiencing poor
concentration in class, irritable mood, verbal combativeness
when confronted, and truancy.
Educational Level- Dalia is currently in middle school
Extracurricular Activities- Dalia mentioned that she enjoyed
singing and participating in activities with her peers, but did not
go into details as to what those exact activities are.
C. MILITARY HISTORY What Branch- N/A
Duty Assignment (when/where) Rank/Discharge- N/A
FAMILY MEMBERS AND RELATIONSHIPS
A. SIGNIFICANT FAMILY RELATIONSHIPS
Family member and relationship- Dalia expressed that she is
close to her brother. Dalia’s older brother lives in another state
and described him as “cool.” Dalia has and other sister, that is a
sophomore in college, Dalia describes her as “not cool.”
Relationship dynamics- Dalia describes her family relationships
as tense, stating, “My dad lets me do what I want” and “My
mother is always trying to control me.”
5. B. INTERPERSONAL/MARITAL HISTORY
Age of Involvement in Relationships
Sexual Orientation- Heterosexual
Length of Relationships- No relationships were mentioned
Relationship Patterns/Problems
Partner’s Age/Occupation- N/A
HEALTH AND MEDICAL ISSUES
A. MEDICAL HISTORY/HEALTH STATUS
History of Traumatic Injuries/Illnesses/Chronic Health
Problems- Dalia was diagnosed with sickle cell anemia in early
childhood and was hospitalized multiple times.
Describe Current Illness- At the present, Dalia’s health is stable
with the last serious episode occurring two years ago.
Is Client in Good General Health? Yes
Is Client Allergic to Any Medications? Who Is Client’s Primary
Care Physician? Not discussed
Is the Client Being Treated by Any Other Physician(s)? Was not
discussed
What Are the Client’s Current Psychiatric and Nonpsychiatric
Medications? Was not discussed
Describe Client’s Health Habits: Appetite, Sleep, Exercise,
Nicotine, Alcohol, Illicit Drugs, and Vitamins/Herbal
Supplements? Dalia expressed that she has drank alcohol with
her friends, but denied any problems with drugs or alcohol.
Sexual Functioning: Preference/Problems- N/A
Pregnancy/Birth Control- N/A
Risk Behaviors for STDs- N/A
B. MENTAL STATUS
Attitude/Appearance/Behavior Affect/Mood/Psychomotor
Activity
Orientation/Memory/Cognition Thought Process/Content Speech
Insight/Judgment Homicidal/Suicidal Ideation
Hallucination(s)/Delusion(s)- N/A
C. HISTORY OF PSYCHIATRIC ILLNESS AND PREVIOUS
TREATMENT
6. Previous Diagnoses/Medications/Inpatient and Outpatient
Treatment History of Suicidal Ideation/Suicide Attempts/Self-
Mutilation/Homicidal Ideation/Aggression- N/A
E. SUBSTANCE ABUSE HISTORY
Type/Onset/Duration/Amount Frequency/Pattern of Use
Involvement in Treatment- N/A
SPIRITUAL DEVELOPMENT
Religion/spirituality- N/A
SOCIAL, COMMUNITY, AND RECREATIONAL ACTIVITIES
Dalia agreed to more structure in her schedule and accepted a
position as a camp counselor in a local day camp for the
summer.
CLIENT STRENGTHS, CAPACITIES AND RESOURCES
Cultural/ethnic factors- N/A
Personal strengths- Dalia has shown great personal strength
with expressing how her feelings to her parents. She is resilent
and was able to navigate the world by herself with her parent’s
busy schedule. Dalia has shown bravery in being able to express
her feelings to her mother, even though she is aware of the
backlash.
Family/social resources- Working with the family, the realities
of being a biracial family and raising mixed-race children were
also addressed. We discussed how the parents navigated race
issues during their own courtship and looked at the role of
acculturation and assimilation with their children in their social
environments as well as respective families of origin. Educating
both parents around race and social class privilege seemed
fruitful in understanding distinctions between what they and
their children may have faced.
OTHER SIGNIFICANT FACTORS
7. SUMMARY
PART B
Part B: Analysis of Assessment. Address each of the following:
Explain the challenges faced by the client(s)—for example, drug
addiction, lack of basic needs, victim of abuse, new school
environment, etc.
Dalia was referred to a social worker because of her behavior in
school. Dalia’s parents and teachers expressed concerns over
certain behaviors that were not favorable. Dalia’s parents felt
that before middle school Dalia was easy going and a good-
natured girl. Dalia’s issues consist of being argumentized with
people in the position of authority, engaging in physical fights
with member her age, displaying lack of concentration while in
class, truancy, and using a fake ID to get a tattoo. Dalia denied
any use of drugs but did mention that she has drank alcohol
with her friends.
Analyze how the social environment affects the client.
Dalia’s social environment plays a huge factor in her
development and behavior. Dalia’s parents work odd and long
hours. Dalia’ father works overnight and tends to sleep most of
the day, where Dalia’s mother works long hours. This leaves
Dalia’ being the only child still in the home a lot of time alone.
“Other teens develop identities that are in opposition to their
parents but align with a peer group. This is common as peer
relationships become a central focus in adolescents’ lives”
(Pelz). During this time Dalia is learning most of her behavior
from her peers instead of her parents because they do not spend
enough time with her.
Identify which human behavior or social theories may guide
your practice with this individual and explain how these
theories inform your assessment.
Using the social learning theory and task centered practice,
these will allow the social worker to address Dalia’s issues. “As
children become adolescents, they usually begin spending more
time with their peers and less time with their families, and these
peer interactions are increasingly unsupervised by adults”
8. (Pelz). The social learning theory essentially describes human
behavior in terms of complex systems. Once we focus on
Dalia’s individual needs and expectations the social worker can
then begin to address Dalia’s issues. Working within this theory
Dalia and her family will work directly with the social worker
to resolve the problems at hand. The task-centered practice
approach will be used as a short-term addition. This will help
the social worker and Dalia to work together to establish
specific and measurable goals.
Explain how you would use this assessment to develop mutually
agreed-upon goals to be met in order to address the presenting
issue and challenges face by the client.
“Peers can serve both positive and negative functions during
adolescence. Negative peer pressure can lead adolescents to
make riskier decisions or engage in more problematic behavior
than they would alone or in the presence of their family” (Pelz).
Dalia will need to make better decision when it come to her
friends. Dalia has expressed that she has drank alcohol with her
friends and went to get a tattoo using a fake ID. This assessment
has allowed the social worker to list all of the important
information in the case of Dalia. It will allow the social worker
to clearly define behavior patterns and address these concerns
with Dalia. With all the information listed Dalia and the social
worker can begin working on mutually agreed-upon goals.
Explain how you would use the identified strengths of the
client(s) in a treatment plan.
Dalia has demonstrated that she is resilient and brave
throughout this entire process. Using Dalia’s strength in the
treatment plan would consist of challenging Dalia to be honest
with her feelings and emotions. Dalia’s behavior alludes that
she might have a bit of resentment to her older sister. Dalia
feels that she is consistently compared to her sister in school
and at home. Having Dalia use her bravery will help her unlock
some of her hidden feelings toward her sister. This could open
communication between Dalia and her mother in regards to how
that makes her feel.
9. Analyze the ethical issues present in the case. Explain how will
you address them.
There are no ethical issues in this case that needs to be
addressed.
Describe the issues will you need to address around cultural
competence.
Cultural competence deals with the ability to understand
and communicate effectively with people across all cultures. In
the case of Dalia, the social worker will need to work on
biracial relationships, as Dalia is of mixed race. The social
worker would have to work with Dalia’s parents to ensure that
they are fully aware of any burdens that Dalia might face being
of mixed race.
Reference
Pelz, B. (n.d.). Developmental Psychology. Retrieved from
https://courses.lumenlearning.com/suny-hccc-ss-152-
1/chapter/social-development/