Can this be done in 3 hours?

The biopsychosocial-spiritual assessment and intervention plan are to be written as though they will be presented to a court or interdisciplinary team. That is, they are to be written in a professional format, rather than as a course paper. This format will be discussed in the courseroom.

Name:

Age:

Sex:

· Male

· Female

Ethnic Group:

Current Employment:

Marital Status:

Physical Environment/Housing, Nature of Living Circumstances (apartment, group home or other shared living arrangement, homeless):

Neighborhood:

Referral Source (self or other):

Reason for Referral:

Other Professionals or Indigenous Helpers Currently Involved:

Interviews with Others Involved (list dates and persons):

Tests Performed:

Other Data Used:

Description of the problem, and situation for which help is sought as presented by the client. (Use the client's words.)

What precipitated the current difficulty?

What feelings and thoughts have been aroused?

How has the client coped so far?

Who else is involved in the problem?

How are they involved?

How do they view the problem?

How have they reacted?

How have they contributed to the problem or solution?

Has something like this ever happened before? If so, how was it handled then?

What were the consequences?

Developmental history from early life to present (if obtainable):

Description of family of origin and current family:

Extent of support:

Family perspective on client and client's perspective on family:

Family communication patterns:

Family's influence on client and intergenerational factors:

Military History (if applicable):

Self:

Family:

Treatment and Outcome of Treatment (i.e. out-patient or in-patient):

Birth information:

Illnesses:

Accidents:

Surgery:

Allergies:

Disabilities:

Health problems in family:

Nutrition:

Exercise:

Sleep:

Prescribed and over-the-counter drugs taken by the client now or in the past:

Previous Mental Health Problems and Treatment:

Hospitalizations:

Outcome of Treatment:

Family Mental Health Issues:

Deaths of Significant Others:

Serious Losses or Traumas:

Significant Life Achievements (Note: These events can be positive or challenging in nature.):

Race/Ethnicity:

Primary Language/Other Languages Spoken:

Significance of Cultural Identity:

Cultural Strengths:

Experiences of Discrimination or Oppression:

Migration Experience and Impact of Migration on Individual and Family Life Cycle:

Denomination:

Church Membership:

Extent of Involvement:

Religion:

Perspective:

Special Observances:

What is the key issue or problem from the client's perspective?

From the worker's perspective?

What factors, including thoughts, behaviors, personality issues, environmental circumstances, stressors, vulnerabilities, and needs seem to be contributing to the problem(s). Please use systems theory with the ecological perspective as a framework when identifying these factors.

Identify the strengths:

Identify the sources of meaning:

Identify the coping ability:

Identify the resources that can be mobilized to help the client:

Work with the client to identify a minimum of two goals. Goals should be stated as the outcome of a successful intervention.

Example: Ms. Jones will experience a reduction in symptoms of depression including getting an average of 7 hours of sleep per night, and participating in social activities a minimum of 3 times per week.

For each goal, identify two objectives that will result in goal achievement. Objectives are the steps you (or your client) take to get to the goal.

Example:

1. The social worker will utilize cognitive-behavioral interventions to assist Ms. Jones in identifying a minimum of 5 thinking errors. This will be accomplished in 5 or fewer sessions.

2. Ms. Jones will maintain a depression log, as provided by the social worker, writing in it daily and bringing it to scheduled therapy sessions)

Identify possible obstacles and tentative approaches to prevent or address them.

Your Intervention Plan should look like this:

· Goal: Ms. Jones will experience a reduction in symptoms of depression including getting an average of 7 hours of sleep per night, and participating in social activities a minimum of 3 times per week.

· Objective: The social worker will utilize cognitive-behavioral interventions to assist Ms. Jones in identifying a minimum of 5 thinking errors. This will be accomplished in 5 or fewer sessions.

· Objective: Ms. Jones will maintain a depression log, as provided by the social worker, writing in it daily and bringing it to scheduled therapy sessions.