Case Staffing’s: 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. 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, 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 AnalysisCultural considerationsComprehensive Eco-mapGenogram, Organizational, Policy, or Community Diagrammatic or ChartEthical Issues, Challenges, & Decision-makingTheoretical foundations utilized to inform practice decisions, interventions, and approaches(I will upload full description of the assignment along with the client’s information that will be used to compete the assignment)Also, it would be best if you looked up example of each point that need to be addressed or discussed on a social work level. The comprehensive Eco-map need to be created for the client as well as the genogram..etc.
demographies_sc.docx
treatment_plan_sc.docx
psychosocial_assessment_sc.docx
suicide_assessment_sc.docx
depression_scale_sc.docx
Unformatted Attachment Preview
Client (age 51)
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
Disorder-70%]
Other Eligibilities:
Permanent & Total Disabled: No
Unemployable: No
Health Benefit Plan: Veterans Basic Choice
Active problems:
* Chronic post-traumatic stress disorder (Primary ICD-10-CM: F43.12)
* Secondary Osteoarthritis (Primary ICD-10-CM: M19.93)
* Bipolar affective disorder, currently depressed, mild (Primary ICD-10-CM: F31.89)
(Other bipolar disorder)
* Benign essential hypertension (Primary ICD-10-CM: I10.) [Essential (primary)
hypertension]
* Vitamin D deficiency (Primary ICD-10-CM: E55.9) [Vitamin D deficiency,
unspecified]
* Insomnia (Primary ICD-10-CM: G47.00) [Insomnia, unspecified]
* Nightmares (ICD-9-CM 307.47) is currently inactive (Other dysfunctions of sleep
stages or arousal from sleep
* Depressed/Depressive disorder (Primary ICD-10-CM: F34.1) [Dysthymic disorder]
* HLD-Hyperlipidemia (Primary ICD-10-CM: E78.2) [Mixed hyperlipidemia]
* Allergic rhinitis (Primary ICD-10-CM 477.9) [Allergic rhinitis, cause unspecified]
Allergies:
* Adhesive tape
* Collodion [Collodion, Flexible]
Active medications:
* Amlodipine Besylate 5mg Tab
* Ergocalciferol [vitamin D] 50000 Unt Cap
* Fish Oil 1000mg [500mg Dha/Epa] Cap
* Sildenafil 100mg Tab
* Lisinopril 20mg/Hctz 25mg Tab
* Non-Va Methylprednisolone Inj, Susp 40mg
HUD-VASH TREATMENT PLAN
Date of Treatment Plan Update: 1/23/19
Time spent with veteran for this visit: ___15 _X__30 ___45 ___60
FAMILY INVOLVEMENT:
COLLABORATION, COMMUNICATION WITH OTHER NECESSARY
PROVIDERS
Within VA (current) Hospital: Memphis VA/Jackson CBOC
Within Mental Health service line:
Community Provider:
VA’s Other than current VA:
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
GOAL 1: To own home through the VA homeowner grant program
OBJECTIVE 1: Veteran will continue to abide by the rules/regulations of the
HUD/VASH housing program (paying rent on time, etc)
PROBLEM 2: EMPLOYMENT
GOAL 1: To get a job with the federal government/VA, possibly administrative.
OBJECTIVE 1: Veteran will continue to work with TN Career Center and
Vocational Rehabilitation to create a plan.
PROBLEM 3: MENTAL HEALTH
GOAL 1: To socialize in the community.
OBJECTIVE 1: Veteran will attend weekly groups with the Vet Center at JSCC.
PROBLEM 4: EDUCATION
GOAL 1: To attend Jackson State Community College in Fall 2019
OBJECTIVE 1: Veteran will decide what to study
OBJECTIVE 2: Veteran will receive tuition and stipend money through
Vocational Rehabilitation program.
CRITERIA FOR DISCHARGE:
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 Reassessment Date: 4/2019
(EVERY 90-DAYS OR AFTER A MAJOR CRISIS)
HUD-VASH SOCIAL WORK PSYCHOSOCIAL ASSESSMENT
NAME: Cole, S.
LAST 4: 8674
MILITARY HISTORY: 1986-1993
SERVICE CONNECTION: Navy, E4
AGE: 51
GENDER: M
PHONE NUMBER: 731-513-****
1. REASON FOR CURRENT CONTACT: Yearly update
2. EDUCATIONAL/FINANCIAL ASSESSMENT:
How much education do you have? high school
Vocational training or skills? military training, aviation ordinates
Currently employed, if so where and doing what: no
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: No
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? 2 sisters and 2 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?
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?
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? N/A
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 blood pressure
Current medical diagnosis: dysthymia, hypertension
List of current medications: see medical file
HOBBIES: working out, music
COMMUNITY INVOLVEMENT: none reported
RELIGION PREFERENCE: none reported
Do you currently engage in spiritual or religious practices or activities? none
reported CULTURAL PREFERENCE: NA
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: n/a
Financial: Begin college at Jackson State in August and work towards
completing goal of graduating
Education: Begin college in August of 2018
Transportation: n/a
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: n/a
Assistance with personal hygiene: n/a
Assistance with the retention and improvement of other skills related to
activities of daily. n/a
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: n/a
Schools: n/a
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: n/a
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 60% SC
Weaknesses: veteran has a negative outlook and is easily aggitated 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 lasp and get
an accurate reading on its effectivness.
10.Emergency Contact: client denied any emergency contact people or support
Suicide Assessment
Veteran: Cole, S.
SSN: xxx-xx-8674
DOB: Sep 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.
Patient Health Questionnaire – 9 (PHQ-9)
Date Given: 02/28/2019
Clinician: Robinson,Laquita Shanta
Location: Jxn Lab Clinic Jackson
Veteran: Cole, S.
SSN: xxx-xx-8828
DOB: (51)
Gender: Male
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$
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