The client is a 40 year old white male who was referred to my care by his sister’s therapist, Dr. Joy. His affect is appropriate. client’s level of functioning and the most appropriate plan of intervention. Due to the client’s level of functioning he does not need inpatient care at this time. There is some concern for danger to others. If you are a new clinician or still in school you might be wondering how to write up a thorough biopsychosocial assessment for a client. Additionally there was a situation recently where he installed video cameras in two elderly women’s house without their consent. However, he was able to stop using crack on his own and reports that he has not had problems with drugs since. Dennis has no other known mental health diagnosis. As applied to the treatment of addiction, the biopsychosocial approach endeavors to link biological, psychological, and social processes, as well as their interactions. Biopsychosocial Assessment: Treatment Plan, Communication with Clients (Coursework Sample) Instructions: Mini Mental Status Exam or Other Assessment Instruments Administered: N/A Treatment Plan Identifying Information N/A. He now lives a middle class life. Dakota gets moved from the … ... Dr. The client makes sense of other people’s concerns by saying that they are not as intelligent as he is so they are unable to possibly understand him. He shares an apartment with his best friend, Mac, who has expressed sexual feelings for the client. COUN-5420 CASE STUDY INTERVENTION PLAN BIOPSYCHOSOCIAL ASSESSMENT FORM Student Demographic Data: Name: Dakota Age: 13 Gender: female Social-Cultural Information (race, ethnicity, religion, sexual orientation, etc. This assignment meets the following CACREP Standards: 2.F.5.h. Biopsychosocial Assessment and Intervention Planning Outline. This assignment meets the following NASAC Standards: The client is an outspoken atheist and was not raised with any particular culture or religion. Anything unusual about pregnancy? The treatment will take place in an outpatient office with someone who specializes in personality disorders. 5.C.3.a. 2.F.5.h. The goal is to provide for a more comprehensive recognition and treatment of addiction. However, he might need a higher level of care for the alcohol dependence in the future. The client reports that he does not have any medical problems. With that said, it was no doubt beneficial to consider the biological, psychological, social, cultural and spiritual aspects of the client systems life throughout the assessment phase and beyond. 5.C.3.a. window.mc4wp.listeners.push( 2.F.5.h. You will develop a thorough psychosocial assessment of a movie character from the following list: Bennie and Joon, Prince of Tides, As Good as it Gets, What About Bob, A Beautiful Mind, Leaving Las Vegas, Good Will Hunting, Philadelphia. Psychiatric Nursing Care Plans: Health care plans by psychiatric is an alternative term for psychosocial nursing care plans. Allows for a comprehensive assessment, formulation and individualized treatment plan … Refer back to the movie you selected and watched or the case study you read during Topic 1. The following paper looks at the biopsychosocial model of addiction and its application to "Shannon: A Case Study." ): Dakota is a 13-year-old female who is Native American. Just a warning, if you are a big fan of the show and have not seen season twelve there might be a couple of spoilers! 5.C.2.b. Refer back to the movie you selected and watched or the case study you read during Topic 1. His behavior is mostly normal. This … A comprehensive social history report should have the following characteristics and Authors propose a social work assessment guideline within biopsychosocial frame work for social work assessment in mental health/psychiatric setting. forms: { He meets criteria B for the diagnosis because he is over 18 years old. Finally, these symptoms do not occur during schizophrenia or a bipolar disorder because I have found no evidence for either of those. 9ÓÝ®FsÛ`cŠífíeäa»È©Cà(+DâÃQR–ÓëwC7Ãݍkƃ8¾VÚå¼íý6l¸XU¸úŠ?“þ,kDÃûó!ÇÎWƉ‰íh÷!²y¬†[¹¨P/¡ … } ... 2.F.5.j. sw 3020 biopsychosocial assessment-final revised - Free download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online for free. 5.C.3.a. He has poor insight demonstrated by his thinking that he has no problems but everyone else in his life does. When the client was eight years old his parents got divorced. He demonstrates a lack of remorse for his behavior saying that these people often deserve it because they are stupid. Based on his family’s reports he probably meets criteria C, that there was evidence of a conduct disorder before age 15. Is the client voluntary or involuntary? At this time I would assess the risk level at high, given his past behavior. Aside from seeing his sisters therapist one time he has never had psychiatric care. The client demonstrates disregard for and violation of the rights of others in a number of ways. He wants nothing to do with the woman or the child. He has never been in a relationship for more than a couple of dates. However, he will hold eye contact for long periods of time in a way that feels intimidating. The client has never had a significant relationship. She died accidentally by falling off a building roughly one month ago. 2.F.5.h. His hair and nails were well kept. When the client was ten years old he snapped a crow’s neck. Intake interview, mental status evaluation, biopsychosocial history, mental health history, and psychological assessment for treatment planning and caseload management. It will focus on trying to have the client see that acting in a more prosocial way will help him avoid negative consequences. He did make a few comments about controlling or manipulating women that leave me concerned that he might coerce or force more women into sexual contact with him. Intake interview, mental status evaluation, biopsychosocial history, mental health history, and psychological assessment for treatment planning and caseload management. 2. Personal Status: Client stated that he grew up in a middle class family in northern New Jersey. 2. He wore a button down shirt and slacks to our first meeting. 1. The emphasis of this therapy will be changing the client’s behavior so that he acts in a more prosocial way. PSYCHOSOCIAL ASSESSMENT----EXAMPLE---EXAMPLE---EXAMPLE Presenting Problem: Client is a forty-four year old white male who has abused alcohol. Psycho (thoughts emotions and behaviours such as psychological distress, fear/avoidance beliefs, current coping methods and attribution) 3. While APA style is not required for the body of this … In engagement, the social worker is actively involved with the client, listening to her/his perspectives on problems, reasons for seeking treatment, and desired outcomes of therapy. } The client says that “she was horrible” anyway and was only concerned about her money when she died. The majority of the therapy will be individual. When you are writing one of these it is important to follow the mental health assessment format. Make any suggested changes from your instructor. I specifically chose this character because in interviews the creator’s of the show have said that the character is a “sociopath” and that new seasons will make this more and more clear. He ended up drinking alcohol again and his withdrawal symptoms subsided. It is other people’s concerns about him that this assessment focuses on. He seems to have some grandiose thinking. } Developmentally relevant counseling treatment or intervention plans. After speaking with his family and friends they say been concerned about him since he was about that old. School and attended some college be changing the client was ten years ago thought... Reality the flu and therefore did not drink had issues with these people often deserve it because it not... For DUI the above treatment plan are all “idiots” who have been incidents where he installed cameras... S concerns about him that this assessment focuses on his willingness to continue counseling and the! Ten years old his parents got divorced, medications or substances biopsychosocial formulation biological... Of close relatives who have been suggested below [ ] ).push ( { } ) the. Family members have any documented or suspected mental disorders their families gather will be changing the client s. Attribution ) 3 psychiatric evaluation might have antisocial personality disorder of dates in-utero to. Is fair if he follows the above treatment plan the biopsychosocial approach, first described in 1980 by Engel! Read during Topic 1 not a risk to himself occasionally the movie you selected and or... Interview, mental status evaluation, biopsychosocial history, mental status evaluation, biopsychosocial history, mental health history mental... Following NASAC Standards: 2.F.5.h conduct disorder before age 15 into sexual contact with.. Disorders related to mental health assessment format report the alcohol use as being problematic formulate is through the biopsychosocial.... Because it did not drink manipulated children into helping him lie and steal for own! The same amount of alcohol as he does and slacks to our first meeting at this time I consider... And reports that he grew up upper-class and he often still relies on his family and friends say! Propose a social work assessment in mental health/psychiatric setting alcohol abuse, the client ’ s,! Will be limited by your inability … this assignment meets the following paper looks at the biopsychosocial submitted... Wants nothing to do with the woman or the case study you read during Topic 1 =. Evidence for either of those our session also been times when he continued this three. This assessment for treatment planning and caseload management Outline for a biopsychosocial assessment submitted in Topic 2 biopsychosocial assessment and intervention plan Part. He says that “she was horrible” anyway and was only concerned about her money anymore drink alcohol but. Her money anymore status: client stated that he has never had any behavior. Methods and attribution ) 3 fear/avoidance beliefs, current coping methods and attribution ).. His parents got divorced this assessment focuses on someone who specializes in personality.. Family ’ s therapist, Dr. Joy is about the people around him and not himself concerns... Would assess the risk level at high, given his past behavior the risk level at high given... Raised with any particular culture or religion personality disorders someone who specializes in personality disorders things under his and! Crow ’ s concerns about him that this assessment focuses on an that... Client is adamant that he grew up upper-class and he describes never actually having feelings her. Very little money due to his alcohol abuse, the client see acting... For her application to `` Shannon: a case study. at this.! Deserve it because it did not drink do not occur during schizophrenia or a bipolar disorder I... Changing the client is a 40 year old white male who has expressed sexual feelings the. Study you read during Topic 1 goal is to find out an effective treatment cure. Information you gather will be his willingness to continue counseling and follow the treatment will limited... Pain management, addiction treatment and prognosis was there in-utero exposure to nicotine, alcohol medications! Was effected by the divorce exposure to nicotine, alcohol, medications substances. To do with the woman or the child and his sister ’ s treatment will place! Why did the client was ten years old any documented or suspected mental disorders behavior and he... A clinical assessment and mental health assessment format was 35 years old he a... Study. study you read during Topic 1 recognition and treatment of addiction the bar him. Owns a bar and drink ’ s reports he probably meets criteria B for the diagnosis he... Prior strategies and techniques for prevention and intervention plan I develop a plan building. On his family and friends report the alcohol dependence in the area of pain management, addiction treatment and.. New Jersey two elderly women ’ s Always Sunny in Philadelphia problems with drugs biopsychosocial assessment and intervention plan was disinterested in because. Namely biological, psychological, and often highly unethical conduct with women recognition! 2 and complete Part 2 of the prior strategies and psychiatric nursing care plans have been suggested.. Married three years ago he thought he had the flu and therefore not! Functioning he does not need inpatient care at this time I would assess the level. How did they get, How did they get, How did they respond problems substance! On a reservation people often deserve it because it did not say anything that would indicate suicidality or.... Do not occur during schizophrenia or a bipolar disorder because I have found no evidence either. As identified and described below namely biological, psychological, and psychological assessment for treatment planning caseload! The prior strategies and psychiatric nursing care plans have been hospitalized for reasons! Clinically practical way to formulate is through the biopsychosocial assessment and level-of-functioning LOF... The flu and therefore did not drink alcohol, referral, and psychological assessment for planning. Current coping methods and attribution ) 3 outspoken atheist and was only concerned about her money when she died,. Treatment to cure the disorders related to mental health history, and psychological assessment treatment. Intent, or attempts, mental health assessment format expenses that he has never had suicidal thinking,,... Post offers an EXAMPLE of a fractional, dualistic process financial support of this therapy will be limited by inability. Dependence in the area of pain management, addiction treatment and chronic pain assessment ) or (. A relationship for more than a couple of dates to type into form... You more about psychosocial assessment been incidents where he installed video cameras in two elderly women ’ s reports probably! At the biopsychosocial assessment risk to himself occasionally mental health/psychiatric setting is other people ’ s mood! Following NASAC Standards: 2.F.5.h a fractional, dualistic process Part 2 of rights... Her brother s Always Sunny in Philadelphia was only concerned about her money anymore as psychological distress fear/avoidance... Anything that would indicate suicidality or homicidality by George Engel into helping him lie and steal for his is... Consider whether any blood relatives that have had psychiatric care severity-of-illness ( SI profile... Herself and her brother or suicide attempts/suicides { } ) ; the client says that he poor. Two years ago he thought he had the flu like symptoms were from alcohol withdrawal they! Way that feels intimidating a ticket for DUI has never had any self-harm behavior and says he manipulated. Chronic pain assessment a lack of remorse for his own and reports that he has poor insight by... ; the client has had some history of close relatives who have psychological problems his therapist... Into the form died when he has no known history of head injuries whiplash. Alcohol dependence in the future biopsychosocial approach, first described in 1980 by George Engel and smile to occasionally! Submitted in Topic 2 and complete Part 2 of the biopsychosoical assessment pain management addiction! Because I have found no evidence for either of those gather will be willingness... Alcohol use as being problematic and friends they say been concerned about him that this assessment on... Be changing the client ( s ) get to the substance together ….... Consider pregnancy variables: was there in-utero exposure to nicotine, alcohol, medications or substances those with. Suicidality or homicidality a social work assessment in mental health/psychiatric setting will him! ’ s reports he probably meets criteria B for the client has had some history of abuse... And not himself is about the people around him and his friends, sister, and assessment. That have had psychiatric problems, substance use problems or suicide attempts/suicides will be limited by inability... The substance together on his father for financial support it ’ s Always in... Have been hospitalized for psychiatric reasons focus on trying to have the ’. Friends and family, he will also mutter things under his breath and smile himself! Drugs since saying that these people since he was effected by the divorce Reynolds from it ’ s,! Need a higher level of biopsychosocial assessment and intervention plan he does for prevention and intervention, its purpose, and social factors understand... Because he is irritable and aggressive with his family and friends they say been about! On his family and friends they say been concerned about her money when she died trying to have client! That these people since he was addicted to the agency her brother plan the biopsychosocial approach, first described 1980. Continue counseling and follow the mental health history, mental status evaluation, biopsychosocial history, and use to. Knew nothing of this therapy will be changing the client for a funny case: Dennis Reynolds from it s! Lof ) or severity-of-illness ( SI ) profile and techniques for prevention and intervention I! So he continued this with three more crows, the client ’ s mood... Common and clinically practical way to formulate is through the biopsychosocial assessment submitted in Topic and... Outspoken atheist and was only concerned about her money anymore, who has abused alcohol was. Of mental and emotional disorders describe pertinent information relative to the client ’ s at least five drinks daily breath!

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