TasksAssessment Write-UpWhen you are the social worker, you will take the information you gather during your work with theclient to write a bio-psycho-social-spiritual-cultural assessment. This is meant to be a thorough anddetailed assessment that consists of the social worker’s observations of verbal and nonverbal behavior andidentification of factors that affect social functioning. Once the situation has been assessed, the socialworker writes a report, which is used to formulate a case plan. You will include an ecomap as part of thisassessment. You have the option to complete this assessment with 1) a client you work with in your fieldpracticum (in this scenario, please maintain your client’s confidentiality by using an alias and notusing identifying information) or 2) choosing between two different case vignettes that will be providedby the instructor.FormatPlease type in 12-point font. Use the outline provided to guide you are you prepare your assessment. Notethat sample assessment questions are in italics within the outline to assist you when developing yourassessment. Unless otherwise noted in the outline, the assessment should be written in full sentences andparagraphs. Please use the headings and subheadings as listed below; they help both you and your readerto find important information quickly.Evaluation Guide• SOAP Note: (15 points)o Mechanics: Communicates verbal or written information in a manner that is clear tofollow and focused on the chosen topic. Grammatical mistakes are minimal and length iswithin the given guidelines. Please note that 4-6 sentences is equivalent to a paragraph (3points).o Tone: Word choice is respectful of individuals and does not include judgements ofindividuals’ behaviors. Language used is specific and moves beyond generic, subjectiveterms such as good, bad, well, many, a lot, often (5 points).o Adherence to sections: Note is well-organized, with a clear distinction between what thesocial worker and individual discussed in the session, what the social worker, theworker’s assessment of the individual’s progress and plans for the next meeting (7points).• Narrative Assessment: (55 points)o Mechanics: Communicates verbal or written information in a narrative manner that isclear to follow. Headings align with the given outline. Grammatical mistakes are minimaland length is within the given guidelines (5 points).SSWG 5101Fall 20212o Tone: Word choice is respectful of individuals and does not include judgements ofindividuals’ behaviors. Language used is specific and moves beyond generic, subjectiveterms such as good, bad, well, many, a lot, often (15 points).o Adherence to sections: Assessment is well-organized, with a clear distinction betweeneach section (35 points).§ Identifying Information (2 points)§ Descriiption of Person System, Family/Household/Primary Social System, &Ecological System (12 points)§ Referral Source and Process (2 points)§ Presenting Problems and Goals (2 points)§ Social History (12 points)§ Prior Services (2 points)§ Social Worker’s Impressions (3 points)• Genogram: (15 points)o Structure includes at least three generations of family members and is structured withgenerations aligned horizontally and biological relationships clearly depicted withinassigned format (5 points).o Information about each member is thoroughly completed and includes information suchas physical/mental health, spirituality, substance use, and other information asappropriate (5 points).o Family relationships are indicated and critical incidents noted: 5 points• Ecomap: (15 points)o Structure is within assigned format (5 points)o Information about each person/organization/community is thoroughly completed (5points)o Relationships are indicated (5 points) (4) Is there a playground there? Is there a grocery store there? Is public transportationeasily accessible?vii. Friendship affiliations(1) Do you have a friend or friends that you can talk to about private issues?(2) Do you have a significant other? Are you currently in a romantic relationship? For howlong have you been together? Is that person supportive? If no, when was your lastserious relationship?3) Referral Source and Process; Collateral Information—This section is typically used to summarize theinformation concerning the source of the referral (who suggested or required that the identified clientmake contact with the worker) and the process by which the referral occurred. Any informationprovided by sources other than the identified client or the client system (e.g., family member or aclose friend; agency reports) may be presented here.4) Presenting Problems and Goals—In this section, describe the client’s view of the problems and goals.A. Describe the origin and development of the concerns.B. Summarize the reasons that social work services are sought or required.C. Record the desired outcome of the social work service as envisioned by the client.5) Social History—This section includes summary information about the client’s social history asrelated to the presenting problem or identified issues. Feel free to incorporate assessment tools(e.g., culturagrams, life road maps) and theories of development from this course or othercourses. Including information related to stages of individual and/or family development may beuseful.A. Where was the client born and raised?B. Developmental progressC. Interpersonal, familial, and cultural factorsD. Instances of trauma, violence, suicidal attempts, and victimizationSSWG 5101Fall 20215E. Sexual issues, relationships, and developmentF. Alcohol and other drug useG. Physical abilityH. Physical health and medical historyi. Any medical problems (particularly seizures and head injuries)ii. All current medication names and dosages (daily, as needed greater than 1x per week,anything over the counter, any herbal medications).I. Legal issuesJ. Educational achievement and concernsK. Employment history (including military)L. Financial status and concernsi. Are they a major stress in your life?M. RecreationN. Spirituality and religious life6) Prior mental health, substance abuse, psychological, or social servicesi. Dates and number of sessions of counseling and therapyii. Psychiatric medicationsiii. Dates of hospitalizationsiv. Dates of suicide attempts7) Clinical Impression and Missing Information—Assessment is always an ongoing process.A. Share your clinical impressions (similar to the assessment portion of the SOAP note)B. Identify additional areas for further assessment. Be sure to explain 1) why the information isneeded, 2) from where it would come, and 3) how you would gather it.C. Strengths and Resources – Summarize information concerning the strengths and resourcesavailable within the client or situation systems. The kind of resources indicated may range from aconcerned relative or an insurance policy to good physical health.
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