Before I start with the assignment requirement the uploaded (C8674) is the unfinished assignment that I have started working on so you will be adding to that. I will also upload information that will used to add to what I have already written on the client. I will also upload examples of how the sections are suppose to look and what should go into each section.I will upload an example of what the presenting problem is suppose to look like. I have already completed the client’s genogram but have not added it yet but you do not have to do anything with that section. The comprehensive Eco-Map may need some work on it. Information may need to be added and I am not sure if I did it the correct way. I also will include the client’s identifying information that can be used in the demographics. I also have other information of the client that need to be included in the assignment. I have uploaded it. I am also including notes from team meeting and case worker notes in recent months. The client is on the hud-vash program through the Veterans Affairs. This program allow the homeless veteran a Section 8 housing voucher. He has been on the program for three years and has had some type of issue with the apartment manager and the apartment/area he is living in. Some identifying information has been changed like client’s phone number, last four of social, etc. The last two sections need to be in narrative form: Ethical Issues, Challenges, and Decision-Making and Theoretical Foundations Used to Inform Practice Decisions, Interventions, and Approaches need some update to it. With the Theoretical Foundations Used to Inform Practice Decisions, Interventions, and Approaches here are a few approaches and theories that can be discussed in this section are; Explosive Reaction Disorder, Psycho Dynamic Approach, Systems Theory, Conflict Theory, Cognitive Behavior Theory, and Anti-social Personality Disorder.Please pay close attention to the instructions and what all go into this assignment. I have uploaded important information that can be used. This is a case file that I have to comply on one of my client’s.CASE CONSULTATION GRADING RUBRICWRITTEN ASSIGNMENTCOMMENTSSubmitted timely (.5)Written report turned in 4/16/18All sections addressed (.5)All areas in syllabus included in case consultation reportSections easily distinguished (.5)Either by headings or sectionsSection developmentFor section development, I am looking for information related to the topic that is complete, relevant and thorough and that you have suggested examples includedDemographics (1.5)Basic identifying information about your client whether it is an individual, family, group, program, agency, community, policyEvaluation Summary (2)This section deals with assessment information that you are using to determine needs for your client. Psychosocial evaluation (inclusive of presenting problem, DSM 5 diagnosis if applicable & clinical impressions). You might use a SWOT analysis for macro areas looking at strengths, weaknesses, threats and opportunities associated with your client system.Treatment Planning/Organizational Analysis (2)This section deals with planning for your interventions whether you are providing direct services to a client, family, or group; and also, to more macro areas. It is about the change process. What are your interventions, ideas for change, timelines? Macro areas might look at logic model processCultural considerations (2)This is basically the same for both direct services working with individuals, families or groups; and for organizations and communities. Comprehensive Eco-Map or community mapping (2)Whether called eco-map for individuals & families, or community mapping used with your larger systems, the pictorial tool is looking at resources available to the client system. Genogram, macro diagrammatic chart (2)I am looking for an example of a pictorial tool. The genogram pictures strengths of relationships an individual has. For organizations, you could basically do the same type chart showing strengths of relationship with referral sources or other agency networks; or show a client flow chart as to how clients go through your organization; you might want to organizational chart. If not used in previous sections, you could use another community mapping picture. Here again this topic is calling for a pictorial tool that reflects relationships.Ethical Issues, challenges & decision-making (3)This should be self-explanatory. Refer to NASW code of ethicsTheoretical foundations used to inform practice decisions (3)Theories relating to direct client work are more defined than they are for the macro systems and include such theories as CBT, trauma focused care, MRT, etc. However, there are general theories such as the strength perspective, ecological perspective, evidence based or evidenced informed theory, systems theory that overlay all types of social work interventions. More macro concepts might include networking theory, resource dependence theory, looking at a community as either a resource or change or a target for change. If your client system is a program, you might want to discuss theories applied in providing direct services to clients in the program. PRESENTATIONPresentation 15-20 minutes (2)This includes question/answer. Could be shortened if neededStudent presents professionally (1)Reflective of presenting in a treatment team meeting, budget hearing, employee conversation, United Way presentation, etc.Student demonstrates knowledge of case (2)Student know the case they are presenting, doesn’t read, maintains eye contact, can answer questionsStudent actively participates in other presentations (1)Participates in Q & A for other students. You don’t have to ask questions to every student, but you do have to participate in the question answer period. In real-life treatment team meetings, budget hearings, employee conferences, you have a 2-way discussion. While you are presenting, you are going to want others to ask you questions; so you need to be prepared to ask them some also. Example of what the presenting problem/demographics is suppose to look likehttps://www.socialwork.career/2011/03/first-case-p…Example case: https://www.socialworktoday.com/archive/janfeb2008…More client information:ADHERENCE TO APPOINTMENTS Compliant with Case Management:Yes [ ]Excellent [X]Good [ ]Fair [ ]Poor [ ]Non-Compliant Compliant with PCP appointments: Yes If no, Explain: Physical/Medical Issues: No Compliant with self/safe medication: Yes (includes getting refills/renewals on time) If no, Explain: Last seen by PCP: February 2019 Next Appointment: not scheduled LEGAL ISSUES: Any current/ongoing issues: No If yes, Explain: Probation/Parole: No DISCHARGED FROM HUD-VASH: No Veteran will find other housing. ADDITIONAL COMMENTS: Team meeting on 2/28 with hud vash staff and veteran. Veterans rights, responsibilities, and desired outcomes were discussed. Veteran was in agreement with the plan. Veteran will continue hud vash voucher and be discharged w/o case management when other housing is located due to current eviction at Park Ridge Apartments.
c8674.pdf
assignment__case_staffing_s_are_an_essential_component_of_social_work_practice_and_are_utilized_by_the_vast_majority_of_social_workers_throughout_various_areas_of_social_work_practice__1_.docx
client.docx
Unformatted Attachment Preview
Client: C2869
Age: 51
Birth sex: Male
Race: Black or African American
Ethnicity: Not Hispanic or Latino
Religion: Baptist
Preferred Language: English
Position: Post-Vietnam
Client: C2869
Age: 51
Birth sex: Male
Race: Black or African American
VA: CASE
Ethnicity: Not Hispanic or Latino
Religion: Baptist
CONSULTATION
Preferred Language: English
Position: Post-Vietnam
Laquita Robinson
Demographics
C is a 51-year-old, divorced, Black man with one child, DC, aged 21 years old. Client is a former
veteran.
Evaluation Summary
There are a number of presenting issues:
HUD-VASH Social Work Psychosocial Assessment
Name: C8674
Military History: 1986-1993
Service Connection: Navy, E4
Age: 51
Gender: Male
Phone Number: 731-843-5482
1. Reason for Current Contact: Yearly update
2. Educational/Financial Assessment:
How much education do you have? High school diploma
Vocational training or skills? Military training, aviation ordinates
Currently employed, if so where and doing what: Not employed
How long have you had this job or when did you last work? Unemployed
What type of work do you normally do? Veteran reported numerous skills in
various areas but unable to obtain work
Are you able to work? yes If not, why not? Reported cannot find employment
in the area
How much is your current monthly income? 70% SC
Source if not from employment: SSVF assistance
Do you owe money to any of the following sources:
Landlords: Yes ____ No __x___ If yes, how much: _________
Utility companies: Yes ____ No __x__ If yes, how much ________
3. FAMILY AND SOCIAL ASSESSMENT:
HOUSING: current status: stably housed with hud vash voucher
How long have you been homeless? housed since 2015
What caused you to become homeless? lost job
How many times have you been homeless? 1
Housing goals:
FAMILY:
Marital status: divorced
If married, how many times have you been married?1
Spouse’s name and contact information:
Name of next of kin (NOK):
Phone number to NOK:
NOK relationship to you:
Do you have children? 1
Name and ages of children:
Do you have contact with your children? no
Do you have a significant other that you would like to tell me about? No
Who or what do you consider your support system? Sisters and brothers
4. PERTINENT HISTORY:
ALCOHOL & DRUG:
Do you drink? denies
Do you use drugs? reported past history of THC use If so, what is your drug
of choice? marijuana When did you last use? veteran was unsure
Have you ever been in treatment for alcohol or drug use? If so, when and
where? denies
Have you ever been arrested for DUI? denies any history
Do you attend substance abuse meetings: NO If so, how often? NA
Do you have a sponsor? NO If so what is the name and contact information for
your sponsor? NA
Do you have any special dates or holidays that trigger relapse? NO
MENTAL HEALTH:
Mental health DX: bipolar and depression
Mental health medications: veteran is following medical direction
Where do you receive your mental health treatment? Through VA in Mphs with
Dr. Roderick
Have you ever been hospitalized for mental health treatment: Yes, in 1992 for
12 days while in active duty.
Do you have any special dates or holidays that trigger
suicidality/depression? no
SUCIDIAL IDEATIONS:
Any history of suicidal thoughts? No If so, have you ever been hospitalized
because of this? NO
Are you currently thinking of harming yourself? No If so, what is your plan? n/a
Have you ever tried to kill yourself? No When? How?
Are you aware of the National Crisis Hotline Number? 1-800-273-TALK (8255).
Yes
Do you have any mental health concerns that you need to discuss with someone
today? No
5.HOMICIDAL IDEATIONS:
Any history of homicidal thoughts? No
Are you currently thinking or planning to harm or kill someone? No
If yes, plan? Intent? n/a
How long ago has it been since you had these type of thoughts? Reports some
anger and hostility towards the VA. Veteran believes he has PTSD but reported he
does not have that diagnosis. Veteran was again educated on the crisis hotline
number, reducing episodes of anger.
ABUSE:
Any history of being abused? no If so, what type did you experience?
Any history of abusing others? Veteran reported a simple domestic charge in
2003 through Madison County TN What kind of abuse? veteran did not expand on the
actual events.
LEGAL ISSUES:
Do you have a current legal situation? NO If so, what is it?
Are you currently on probation or parole? NO
Why? For how long? NA
Are you mandated or court ordered to receive any type of treatment? NO If so,
please explain?
Probation/Parole Officer name and phone number: No
(remember to get release of information)
How many felonies do you have, for what reason, and when? 0
Do you have current driver’s license? Yes
MEDICAL ISSUES: High b/p
Current medical diagnosis: Dysthymia, Hypertension
List of current medications: see medical file
Hobbies: Working out and listening to Old School music
Community Involvement: None reported
Religion Preference: Baptist
Do you currently engage in spiritual or religious practices or activities? None
reported
Cultural Preference: n/a
DOMESTIC VIOLENCE/ACCESS TO GUNS ASSESSMENT: no
Has the client ever been in an abusive relationship? NO
Does the client feel safe in current living relationship? yes
Does the client report ever feeling afraid that they or a family member/partner
would resort to physical force when interacting with him/her, a significant
other or his/her children? NO
Are there any guns or weapons in the household? NO
Does the client have needs related to current, recent, or threat of domestic
violence? NO
6. GOALS (must be readdressed in 6 months with follow-up; goals should be
informed choice and directed by individual):
Housing: Maintain hud/vash housing assistance and recertify yearly until able
to purchase own housing.
Employment: na
Financial: Begin college at Jackson State in August and work towards
completing goal of graduation
Education: Begin college in August of 2018
Transportation: na
Crisis Support: has access to crisis support through phone, inpatient, and
outpatient services.
Mental health services: maintain mental health stability within 12 months
Health care services: maintain medical stability
Assistance with housekeeping: na
Assistance with personal hygiene: na
Assistance with the retention and improvement of other skills related to
activities of daily. na
Living: Maintain permanent stable housing through hud vash program until
financially able to live independently without hud vash assistance.
Social skills and adaptive skills: Improve adapting skills and develop better
coping skills to handle daily obstacles encountered.
Support of spirituality: na
Schools: na
Leisure and recreation activities for children and youth: continue and
utilize working out and listening to music to improve relaxation skills within
90 days
Legal/Juvenile Justice Center: na
7.ASSESSMENT/PLAN:
provide case management services
assist with obtaining permanent housing
provide encouragement and support
monitor veteran’s overall functioning status
8. Patient’s Strengths/Weaknesses and Barriers to Obtaining and Maintaining
Housing:
Strengths: veteran is receiving services through VA, has some family support,
is educated and in good health. He is 70% SC
Weaknesses: veteran has a negative outlook and is easily agitated by people
or circumstances.
Barriers: no stable employment, transportation
9. Measurable Objective and Interventions: Client will follow advise of Mental
health staff and track medications outcomes allowing enough time to laps and get
an accurate reading on its effectiveness.
10.Emergency Contact: Brother
Columbia Suicide Severity Rating Scale (C-SSRS)
Date Given: 02/21/2019
Clinician: Laquita Robinson
Location: Jxn Hud-Vash
Veteran: C8674
SSN: xxx-xx-8674
DOB: March 18, 1967 (51)
Gender: Male
Suicidal Ideation in Past Month: None endorsed
Method/Plan/Intent in Past Month: No method, no specific plan, and no intent
Suicidal Behavior: No Past Suicidal Behavior Reported
Key Indicators:
None
Questions and Answers:
1. Over the past month, have you wished you were dead or wished you could go
to sleep and not wake up?
No
2. Over the past month, have you had any actual thoughts of killing
yourself?
No
3. Over the past month, have you been thinking about how you might do this?
Not asked (due to responses to other questions)
4. Over the past month, have you had these thoughts and had some intention
of acting on them?
Not asked (due to responses to other questions)
5. Over the past month, have you started to work out or worked out the
details of how to kill yourself?
Not asked (due to responses to other questions)
6. If yes, at any time in the past month did you intend to carry out this
plan?
Not asked (due to responses to other questions)
7. In your lifetime, have you ever done anything, started to do anything, or
prepared to do anything to end your life (for example, collected pills,
obtained a gun, gave away valuables, went to the roof but didn’t jump)?
No
8. If yes, was this within the past 3 months?
Not asked (due to responses to other questions)
*Columbia-Suicide Severity Rating Scale (C-SSRS) © 2016 The Columbia
Lighthouse Project. Scale may be reproduced without permission.
Information contained in this note is based on a self-report assessment and is
not sufficient to use alone for diagnostic purposes. Assessment results should
be verified for accuracy and used in conjunction with other diagnostic activities.
PHQ-9 Depression Scale Score: 1
The total score may range from 0 to 27.
Total Score Depression Severity
———– ——————1-4 Minimal depression
5-9 Mild depression
10-14 Moderate depression
15-19 Moderately severe depression
20-27 Severe depression
Questions and Answers:
Over the last 2 weeks, how often have you been bothered by any of the
following problems?
1. Little interest or pleasure in doing things
Not at all
2. Feeling down, depressed, or hopeless
Not at all
3. Trouble falling or staying asleep, or sleeping too much
Not at all
4. Feeling tired or having little energy
Not at all
5. Poor appetite or overeating
Not at all
6. Feeling bad about yourself or that you are a failure or have let yourself
or your family down
Several days
7. Trouble concentrating on things, such as reading the newspaper or watching
television
Not at all
8. Moving or speaking so slowly that other people could have noticed. Or the
opposite being so fidgety or restless that you have been moving around a lot
more than usual
Not at all
9. Thoughts that you would be better off dead or of hurting yourself in some
way
Not at all
10. If you checked off any problems, how DIFFICULT have these problems made it
for you to do your work, take care of things at home or get along with other
people?
Not difficult at all
*Information contained in this note is based on a self-report assessment and is
not sufficient to use alone for diagnostic purposes. Assessment results should
be verified for accuracy and used in conjunction with other diagnostic activities.
Copyright 2001 Pfizer Inc. All rights reserved. Reproduced with permission of Pfizer
Inc. PRIME-MD is a trademark of Pfizer Inc$
Treatment Plan
HUD VASH Treatment Plan Updated: 2/14/19
FAMILY INVOLVEMENT: Veteran reports that he does have support from family
COLLABORATION, COMMUNICATION WITH OTHER NECESSARY PROVIDERS
Within VA (current) Hospital: Memphis VA/Jackson CBOC
Within Mental Health service line:
Community Provider: N/A
VA’s Other than current VA: N/A
PRIMARY CARE PROVIDER in VAMC-Memphis/COMMUNITY (CHOOSE ONE)
_X__ Veteran is currently enrolled in PACT and has a primary care provider.
Patient’s physical problems are being managed by primary care.
Nutrition Assessment
Nutrition, weight loss, weight gain, or failure to thrive concern?__X___ No
_____ Yes
If yes, refer to NP with homeless program or PCP.
Pain Assessment
Current pain: __X___ No _____ Yes: if yes and pain is:
1-4, mild, encourage to take medications as prescribed
5-10, moderate to severe pain, encourage to take medications as prescribed
and refer to Primary Care Provider and/or Emergency Department Complete
suicide assessment for severe pain (7-10).
This Veteran’s Principal Mental Health Provider is: Dr. Gregory
Current Biopsychosocial Assessment: See Current Psychosocial Assessment in
CPRS dated:
Relates religious affiliation as: Baptist
STRENGTHS/ABILITIES : Perseverance
NEEDS/PREFERENCES (to include assistive technology and reasonable
accommodations): job training/education
BARRIERS: None identified
RISK ASSESSMENT: Identification of potential risks to myself within the
community are as follows:
Identified risks to my health: none identified
Identified risks to my safety: none identified
Methods by which to reduce these inherent risks (to include those responsible to reduce risks):
My decision to accept or reject these inherent risks :
PROBLEM 1: HOUSING
Short term: Would like to move to other housing when recertification is up in
October 2019.
Long term: Become a home owner and off of the HUD/VASH program.
PROBLEM 2: EMPLOYMENT
Short term: To get a job with the federal government/VA, possibly administrative.
Long term: To maintain employment with the federal government or VA until able to draw SSI.
OBJECTIVE 1: Veteran will apply for opened and qualified positions within the VA.
PROBLEM 3: MENTAL HEALTH
Short term: Utilize MH if needed.
Long term: To socialize in the community.
OBJECTIVE 1: Veteran will take medications as prescribed and attend all MH appts
scheduled in Memphis and JXN CBOC.
PROBLEM 4: EDUCATION
Short term: To attend Jackson State Community College in Fall
OBJECTIVE 1: Veteran will be taking IT courses
OBJECTIVE 2: Veteran will receive tuition and stipend money through
Vocational Rehabilitation program.
This Treatment Plan was developed with the patient’s participation.
Yes
Case manager reviewed rights and responsibilities with veteran and provided
veteran with a copy of the HUD/VASH ORIENTATION if one was not received in
the past 30 days.
Treatment plan update: May 2019
Cultural Considerations
The veteran is a Black American who has embraced separatism after his service in the Vietnam
War. He has no ties to a nuclear family but is connected closely to his 2 brothers and sisters. He
is divorced with a child. This veteran has no ties to his community seeing that he can’t even
secure a job in his area. He is connected to medical care centers for his bipolar and depression
treatment. He only likes working out music.
Veteran’s Comprehensive Eco-Map
Memphis
VA
Community
Jackson State
Community
College
Family
Veteran
Ex-wife and child
HUD/
VASH
Service
Connection
Emergency
care
(Suicide
hotline
Eco-map key
Strong
connec
tion
Weak connections
Ethical Issues, Challenges, and Decision-Making
The main ethical issue in dealing with this case may be fueled by the fact that this is a veteran
who dedicated his life to fighting for the country and it is from this that he has developed many
issues. He is not only homeless but is also unemployed. It could be tempting to assist him at a
more personal level which would violate ethics of professionalism and merit. Also, it would be
unethical to insist that he gets rehabilitated for his alcohol and marijuana use as it may be seen as
coercion for him to get the educational grant as well as the assistance in funds to get a home.
Changes should be voluntary and the timelines should be expanded to accommodate his pace in
making the necessary adjustments.
Theoretical Foundations Used to Inform Practice Decisions, Interventions, and Approaches
This case was majorly worked on using the system theory. The veteran is a client whose current
life is as a result of several intersections of experiences as well as influences throughout his life
and career. He is a divorcee, a father, a sibling and an ex-militant all of which intertwine in one
way or the other to impact not only his health but also his relationships. He is withdrawn and has
a drug problem but is taking his medical care seriously and is compliant with laws as seen with
his having no felonies or ongoing cases. He has been homeless. As such family system theory
may explain some of his situations. All the aforementioned factors inextricably affect his life in
several ways.
Assignment: Case staffing’s are an essential component of social work practice and are utilized
by the vast majority of social workers throughout various areas of social work practice. Social
workers engage in both formal and informal case staffing’s, and case staffing’s serve the primary
purpose of providing an opportunity for social workers to receive consultation from social work
peers and other professionals, as it relates to a given case. Case staffing’s are considered a group
process in which all parties involved work to help identify issues, suggest problem resolution
strategies, and recommend service options, for the given case. For this assignment students will
present a well-developed synopsis of a case/client from their practicum, within a case
conference/staffing of their peers and instructor(s); the 15-20 minute presentation will be
followed by Q & A/discussion from the class, and will mimic real world social work practice of
case staffing and supervision. (I have to give the 15-20 minutes presentation not you) Students
will be evaluated on mastery and analysis of case material at the appropriate levels of social
work practice (micro, mezzo, & macro levels), organization and clarity of presentation, and
evidence of synthesis of master level social work knowledge, skill, ethics, and values.
Please note that the case you chose to present must be based on one individual
(the one I picked), family, group, community or other instructor-approved client system (e.g.
policy advocacy or SW program development) in which significant work was conducted during
practicum; the case chosen should be one in which the student felt significantly challenged to
meet the needs of the client system.
Each student will submit case consultation report that details the information listed below:
Demographics
Summary of Psychosocial Evaluation (inclusive of presenting problem, DSM-5 diagnosis, &
clinical impressions)
Summary of treatment plan with timeline, OR Organizational Analysis, OR Policy Advocacy
Analysis OR Community Development Analysis
Cultural considerations
Comprehensive Eco-map
Genogram, Organizational, Policy, or Community Diagrammatic or Chart
Ethical Issues, Challenges, & Decision-making
Theoretical foundations utilized to inform practice decisions, interventions, and approaches
Professor’s notes: A few things to consider during the presentations:
Do not share confidential identifying information relating to your client
I am the only one who will be reviewing your case study, so you may want to include more
details of the case (change the name) in the actual case study then in your presentation
summarize more generally.
This is not a paper; it is a case file. Even though most agencies maintain electronic files today,
each of the sections addressed in the assignment are important elements in
assessing/planning/and implementing best practices for the clients you serve.
This is not a formal presentation. It is similar to a case staffing when you are providing direct
services and more like an agency presentation if you are providing indirect (macro) services.
The classroom we have is one where we can put tables together so it will be more like sitting
around a conference room table and presenting your information.
While you can use your case study to present, please do not read it word for word.
Make sure that you address all points in the assignment
Attached is the grading rubric I will be using to grade this assignment.
Client
Position: Post-Vietnam
Religion: Baptist
Race: Black or African American
Ethnicity: Not Hispanic or Latino
Preferred Language: English
Primary Eligibility: Service Connected 80% [Tinnitus-10%] [Post-Traumatic Stress Disorde …
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