6200wk1`0assgn

Biopsychosocial Assessment

Student Name

Walden University

SOCW 6200: Human Behavior and the Social Environment I

Instructor Name

Month XX, 202X

Biopsychosocial Assessment

Name:

Date:

Agency:

Demographic Information

Age:

Ethnicity:

Marital Status:

Date of Birth:

Presenting Issue(s)

This section should include the client’s self-assessment of the problems, reasons, or motivations for seeking treatment, as well as the onset, duration, intensity, and frequency of precipitating stressors or symptoms (in the client’s own words).

Referral Source

State who and/or what entity referred the individual for treatment. Also specify whether information was gathered from previous treatment records, court documents, etc.

Current Living Situation

Describe the client’s current living situation, including any of the following: others living in the home, dependents, employment or disability status, insurance, transportation, and daily living skills.

Birth and Developmental History

This section should include prenatal, birth, and early development history, including information about infancy, childhood, and early adolescence. Describe family of origin—parents, siblings, extended family; geographic, cultural, and spiritual factors of early development; and any history of abuse or trauma.

School and Social Relationships

This section should contain information about social development, particularly in the context of school and peer group experiences. Include current and past friendships, educational history (school attended, performance, education level, and extracurricular activities), and military history (if applicable).

Family Members and Relationships

Identify family members and relationship dynamics, as well as interpersonal/marital history. Include age of involvement in relationships, sexual orientation, length of relationships, relationship patterns or problems, and partner’s age/occupation (if applicable).

Health and Medical Issues

This section includes medical history and current physical health, mental status, history of psychiatric illness and previous treatment, and substance use history.

Medical History and Physical Health

State any history of traumatic injuries, chronic health problems, current illnesses, current health status, allergies, medications and vitamins/supplements, health habits (appetite, sleep, exercise, nicotine, alcohol, illicit drugs), sexual functioning, and risk behaviors.

Mental Status

Describe relevant observations about attitude, affect, mood, and appearance; memory, cognition, thought process, and speech; judgment, homicidal/suicidal ideation, and hallucinations/delusions.

History of Psychiatric Illness and Previous Treatment

Include previous mental health diagnoses, inpatient or outpatient treatment, and history of self-injury, suicide attempt, or suicidal ideation. Include history of aggression, violence, or homicidal ideation.

Substance Use History

State the type of substance use, onset, duration, pattern of use, and involvement in treatment.

Spiritual and Cultural Development

Describe the client’s spiritual beliefs and activities, including past and current involvement in organized religion and faith-based services and programs. Record cultural factors, such as cultural background, beliefs, and practices, that are relevant to assessment and treatment.

Social, Community, and Recreational Activities

Record leisure activities, involvement in the community, and available social supports.

Client Strengths, Capacities, and Resources

List the client’s personal strengths and abilities, as well as available family and social resources.

Summary and Analysis

Summarize the biopsychosocial assessment. Provide an analysis of the overall challenges experienced by the client and how the social environment has contributed to those challenges. Describe how this analysis of the social environment would be beneficial to treatment and goal-setting. Please use the Learning Resources and additional research to support your analysis.

Goals

Describe two goals that you can work on with this client based on the assessment. Explain why these goals are appropriate and relevant to the case in addressing the presenting issue and challenges. Please use the Learning Resources and additional research to support your analysis.

References

(Include full references here for any sources that you have cited within the Summary and Analysis and Goals sections of the paper. Note that the following references are intended as examples only.)

American Counseling Association. (n.d.). About us. https://www.counseling.org/about-us/about-aca

Anderson, M. (2018). Getting consistent with consequences. Educational Leadership, 76(1), 26-33.

Bach, D., & Blake, D. J. (2016). Frame or get framed: The critical role of issue framing in nonmarket management. California Management Review, 58(3), 66-87. https://doi.org/10.1525/cmr.2016.58.3.66

Burgess, R. (2019). Rethinking global health: Frameworks of Power. Routledge.​

Herbst-Damm, K. L., & Kulik, J. A. (2005). Volunteer support, marital status, and the survival times of terminally ill patients. Health Psychology, 24(2), 225–229. https://doi.org/10.1037/0278-6133.24.2.225

Johnson, P. (2003). Art: A new history. HarperCollins. https://doi.org/10.1037.0000136-000 ​

Lindley, L. C., & Slayter, E. M. (2018). Prior trauma exposure and serious illness at end of life: A national study of children in the U.S. foster care system from 2005 to 2015. Journal of Pain and Symptom Management, 56(3), 309–317. https://doi.org/10.1016/j.jpainsymman.2018.06.001

Osman, M. A. (2016, December 15). 5 do’s and don’ts for staying motivated. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/5-dos-and-donts-for-staying-motivated/art-20270835

Sue, D. W., & Sue, D. (2016). Counseling the culturally diverse: Theory and practice (7th ed.). Wiley.

Walden University Library. (n.d.). Anatomy of a research article [Video]. https://academicguides.waldenu.edu/library/instructionalmedia/tutorials#s-lg-box-7955524

Walden University Writing Center. (n.d.). Writing literature reviews in your graduate coursework [Webinar]. https://academicguides.waldenu.edu/writingcenter/webinars/graduate#s-lg-box-18447417

World Health Organization. (2018, March). Questions and answers on immunization and vaccine safety. https://www.who.int/features/qa/84/en/