Bio-Psycho-Social Assessment

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fpynvobear

Humanities

Description

Assessing a client’s biological, psychological, and social history is a holistic approach that is an essential aspect of social work practice. Since one area often affects the other two, it is important to get as accurate an assessment as possible when working with a client. Social workers use the bio-psycho-social tool to communicate specific information, and possible conclusions, about a client to other professionals. It is, at once, a summary of current issues and problems; a listing of past factors that may be relevant to the current situation; and a description of potential issues that may have an effect on the client in the future. In addition to describing the client’s challenges and problems, the assessment identifies strengths and assets that are available to provide support. For this Project you create a bio-psycho-social assessment.


Submit a 6- to 9-page paper that focuses on an adolescent from one of the case studies presented in this course. For this Project, complete a bio-psycho-social assessment and provide an analysis of the assessment. This Project is divided into two parts:

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.


* Below I've attached documents that will help give you background info on the client I want to use for the paper.



Unformatted Attachment Preview

Working With Survivors of Sexual Abuse and Trauma: The Case of Brandon Brandon is a 12-year-old, Caucasian male who currently resides with his mother and her boyfriend. Six years ago, Brandon disclosed that his father had repeatedly sexually abused him between the ages of 4 and 6. Brandon’s mother called law enforcement immediately after the disclosure, and his father has been incarcerated since. Brandon has previously participated in therapy to address challenging behaviors, including physical aggression, difficulty following rules at home and school, and using inappropriate language with sexual overtones toward female peers. Brandon and his mother report that they ceased participating in therapy in the past after there was no change in Brandon’s behavior. Brandon’s teachers have suggested that his behaviors are similar to those of peers with attention deficit hyperactivity disorder, but his mother has declined educational or psychological testing because she does not want her son to be labeled and is unsure if she agrees with the use of psychotropic medication with children. Brandon began attending trauma-focused treatment after demonstrating an increase in argumentative behavior and minor property destruction at home. His mother reported that the majority of undesired behaviors were initiated during interactions with her boyfriend. Brandon’s use of physical aggression has not increased in school; however, a female peer recently reported him for using sexually explicit language toward her. Brandon admitted to using inappropriate language toward the female peer but appeared to have a limited understanding of what the phrases used meant. Brandon’s mother noted during intake that she is concerned that her son will become a violent sexual offender or a pedophile and noted that his use of sexual language was likely the start of sexual behavior problems. At the beginning of treatment, Brandon reported that he frequently feared for his physical safety but often could not pinpoint what made him feel unsafe. He had searched the Internet to find registered sexual offenders in his neighborhood, and he had begun sleeping with a loaded BB gun under his pillow in case someone entered the home to assault him again. Brandon had flashbacks when trying to fall asleep and described feeling like he was floating outside of his body when he thought of his abuse. He had seen a television show where victims spoke at the parole hearings of their perpetrators, and he spent many hours thinking about what he would say if he went to his father’s parole hearing in 3 years. Brandon felt like he loved his father very much and that his father was a great father except for when he hurt him. Brandon identified wanting to feel less worried, sleep better, and fight less with his mother as primary treatment goals. I worked with Brandon in both individual and family sessions to address his symptoms of depression and post-traumatic stress disorder (PTSD). Utilizing the trauma-focused cognitive behavioral therapy approach, early sessions focused on coping skills and emotional regulation. As Brandon became more comfortable with expressing feelings and utilizing coping skills, he began discussing his sexual abuse history and the ongoing effect this experience had on his life. I met with Brandon’s mother for collateral sessions in order to help her identify and process her own feelings about his abuse and to develop skills to support Brandon through his treatment. Brandon’s mother was provided with psychoeducation regarding childhood sexual abuse, and her belief that her son would become a violent sexual offender as a result of his experience was challenged through cognitive behavioral therapy. She agreed to meet the agency psychiatrist, and after the initial consultation she agreed to have Brandon meet with the doctor. After a psychiatric evaluation, Brandon was prescribed a low dose of antidepressant medication. Brandon completed a trauma narrative that addressed the details of his sexual abuse experience, his disclosure of the abuse, and the trial and subsequent imprisonment of his father. Brandon included a description of his feelings at each point in his narrative, as well as what he learned in treatment about childhood sexual abuse and coping skills to deal with uncomfortable feelings and impulsivity. Brandon shared his trauma narrative with his mother, who provided a safe and supportive space during this experience through the use of skills learned and practiced during collateral parent sessions. Brandon’s symptoms of depression and post-traumatic stress decreased steadily during the course of treatment. After 8 months of sessions and the successful completion of his trauma narrative, the family and I agreed that Brandon was ready to terminate trauma-focused treatment. Brandon continued receiving medication management with a psychiatrist and transitioned into home- and community-based treatment that focused on his ongoing impulsive behaviors. Running head: Child Abuse and Neglect 1 Child Abuse and Neglect Shondricka Claiborne SOCW 6200: Human Behavior & The Social Environment September 24, 2017 Child Abuse and Neglect 2 Child Abuse and Neglect The social worker could start with understanding Brandon and how he considers himself in the society. The social worker should evaluate the reasons of the fear Brandon had made him sleep with a gun. Second, the social worker should evaluate the relationship with other. This is the social network and support. This is by evaluating how the society is treating him. Does the society support recovery or create a situation that makes the matters worse for him. Third, the social worker should understand the way Brandon behaves in the community he is living in. how students at school consider him and the problem (Cumming, 2011). The social worker should evaluate if the teachers are supportive to Brandon. This will help in understanding the source of behavior in the community. The society should also be evaluated to analyze if an environment is created in a way that encourages or discourages Brandon to act violently. Based on the case presented, it is clear that the society does not create an environment that discourages violence. The social worker used the ecological model in understanding Brandon as well as taking him through therapy. The social worker starts by understanding Brandon and his immediate family (Roose and De Bei, 2017). The social worker understands that Brandon feared his security. He had the feeling that he could be abused. This has made him sleeps with a loaded gun. He also feels bad when he thinks about the abuse. The social worker goes ahead to mezzo level where Brandon behavior is evaluated at school. According to the social worker, Brandon is not aggressive at school but he uses abusive sexual language to the female peer at school. Finally, at macro-level, Brandon went through a supportive community-based treatment to solve Child Abuse and Neglect 3 the problem. He is also taken to the healthcare organization to receive antidepressant medication. This indicates the supportive. One of the strengths that social worker may have missed in dealing with the case of Brandon is the failure to evaluate and understand the culture of Brandon and his family before kicking off the therapy. Understanding the culture of the family and the victim could have helped the social worker deliver services in an easier and better way. Second, the social worker does not offer the mother the required skills to respond to and support Brandon in future in case depression attacks him. The social worker only offers the mother the skill to cope with the emotional distress about the child. The social worker faces some changed when dealing with Brandon. First, Brandon is not open in the beginning to explain what he is actually going through. Second, the case had lasted for about six years. This is an indication that the problem had already penetrated deep into Brandon’s life. This could only be handled with much care to ensure an effective therapy unlike in the beginning. If the strengths were not identified by the social worker, Brandon could have been impacted negatively. Brandon therapy could not have been successful. The trauma and depression could continue affecting Brandon. Eventually, Brandon could develop a high sexual aggression and become violent in the society. This could also be extended to school making him a criminal and hard to handle by the administration of the school. In conclusion, early intervention to Brandon problems could have avoided most of the identified social problems. The social worker should understand the patient background before offering services. However, the therapy choice for Brandon was a success since it helped him heal from sexual abuse. He reduced physical aggression and reduced the cases of abuse to other Child Abuse and Neglect people. The social worker helped Brandon to manage the social issues he faced. The social worker also helped his mother on how to manage her distress about Brandon. However, the social worker could have prepared the mother on how to support Brandon when he faces depression. 4 Child Abuse and Neglect 5 References Cumming, G. S. (2011). Spatial resilience in social-ecological systems. Dordrecht: Springer. Roose, R., & De Bei, M. (2016). Children's rights: A challenge for social work. International Social Work, 51(1), 37-46.
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Attached.

Running head: BIO-PSYCHO-SOCIAL ASSESSMENT

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Bio-Psycho-Social Assessment
Institution Affiliation:
Date:

BIO-PSYCHO-SOCIAL ASSESSMENT

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Bio-Psycho-Social Assessment
Part one
Brandon suffered from physical aggression, inappropriate language and failure to adhere
to rules both at home and school. Brandon is a male young boy aged 12 years. He is a Caucasian.
He lives with his mother and her boyfriend. The boy had a poor development history that led him
to his current behavior. Between the age of four and six, his father sexually abused him
frequently. Brandon has aggressive behavior at school and uses inappropriate language to the
female peers at school. Brandon relates well with his mother and has a positive attitude towards
his father but not when he hurt him. However, the relationship is not the same with her mother’s
boyfriend. He is aggressive when interacting with his mother’s boyfriend. When interacting with
him, Brandon increases argumentative behavior and tends to have minor property damages at
home.
Brandon took part in therapy which did not change his behavior. As a result, the family
decided to abandon the therapy. The behavior has, since then increased and the mother fears her
son might become a violent sexual offender. Brandon was sexually abused between the age of
four and six years. This has affected his life making him live in depression. He relates poorly
with people around and has developed fear towards his physical security. He has developed
aggression towards other people, an indication that he does not socialize with others well.
Brandon is scared making him sleep with a BB gun under his pillow. However, through therapy,
he is strong enough to recover and talk about the problem he faces in his life. Brandon interacts
with other despite the challenges he is going through.

BIO-PSYCHO-SOCIAL ASSESSMENT

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Part two
Challenge
Brandon faces some challenges in his life as a teenager. He cannot live with others
peacefully due to fear of his physical security. This came from the incidents that happen to him
when he was a young boy. His father abused him sexually frequently. At the age of 12,
depression had taken over him and started showing inapp...


Anonymous
Really great stuff, couldn't ask for more.

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