Benchmark - Biopsychosocial Assessment and Genogram Assignment

Assessment:

Imagine you are a social worker tasked with completing a biopsychosocial assessment on a client. Compile biopsychosocial assessment (on an imaginary client to avoid HIPAA issues) in a Word document to learn this skill. A biopsychosocial assessment outline has been provided in your readings. You only need to complete sections I-V for your assessment.

These sections include:

I. Referral

How and why did the client(s) get to the agency? Is the client self-referred? Is the client voluntary or involuntary?

II. Description of Client

Who is the client? Briefly document relevant identifying information including: Age, gender identity, marital/partner status, race, ethnicity, sexual orientation, religion, social class, income source(s), disabilities, level of education, prominent health issues, medications, substance use, and legal issues.

III. Presenting Issues and Concerns

What are the client's complaints? What are the larger presenting issues? How does the client view these concerns/issues? How do other people (family, friends, agency, work, school, courts, physicians, religious community, you, etc.) view the concerns/issues?

When did these concerns/issues begin? Is there an identifiable precipitant? Why is the client coming in now?

How has the client dealt with these or similar concern/issues in the past? What would the client most want help with?

IV. Assessment of Relevant Contextual, Historical, and Intrapersonal Factors

a. Current context What are the family, social community, work, and other issues relevant to an understanding of the client and the problem? (An eco- map and/or a family genogram, identifying family, and environmental resources may help clarify these intertwining issues.)

• Are the client's basic needs met? (Housing, food, clothing, utilities, emergency, or situational needs such as diaper services or money for medicine or care of pets while inpatient?) What are the clients' strengths in meeting basic needs? Are these needs met in a culturally appropriate/ sensitive manner?
• What are the clients' income sources? Are they stable? Can they be improved? What are the clients' strengths in meeting basic needs? Is this income obtained in a culturally appropriate/sensitive manner?
• Are there language issues for the client in the services and communities to which they relate? In meeting basic needs? In the school or workplace? Are interpreters available? Is language training accessible if sought? What strengths and challenges does language pose for the clients?
• If the client has disability issues, how adapted/accessible are home, neighborhood, workplace, schools, stores, and professionals? How are communication needs met? How are transportation needs met? Does the client have access to needed equipment for safety and for daily living skills? Does the client have training to use such equipment/devices? How is this disability understood in the clients' cultural context? What strengths are evident related to this disability?
• Are the client's medical and dental needs met? (This includes routine checkups, assessment of illnesses, emergency care, immunizations, dental care, rehabilitation services, access to medications or rehabili- tation equipment, access to nursing help, and access to long-term care, etc,) Are the services culturally appropriate? Accessible?
• Are the client's safety needs met? (Domestic violence, abuse or neglect of children or elders, violence in housing, neighborhood, and specific threats?) Is the client's physical environment safe? (Free of fire hazards, with accessible fire escapes, no lead paint, etc.?)
• Does the client pose a hazard to the safety of self or others; specifically is there suicide risk or lethality risk? Fire setting risk? (If any of these apply, a specific detailed evaluation and documentation is also required.)
• Is domestic, partner, or marital violence an issue? If so, is a safety plan in place? Are there child protective, disability, or elder protective issues for the clients? If so, is there a service plan? What services are involved? What services/needs are ignored?
• Are there legal issues for the clients? Any court involvement, restraints, obligations? Are there obligatory services, costs, or settlements unpaid? What is the client's immigration status? Could this be a source of being unsafe or exploited?
• What is the client's religion or spiritual beliefs? What level of involvement do they have with their religion or spiritual organization, its practices, and its community? Does the client have other connections to spirituality? How do these (religion and/or spirituality) shape the meaning of the client's life?
• What are the client's recreational interests? How and where are these met? Are there barriers to recreational activities? What are the client's key social supports? Are they accessible?

Are there important social policy or social structural aspects to the client's situation and problem? Has (or could) the client joined with others to address these issues? How?

b. Historical influences Summarize, as relevant, past material about

Client's childhood, including developmental history. Relationships with family of origin. School and work history. Previous experiences with social, medical or psychological services.Intimate relationships.

c. Coping strengths and weaknesses

• What are the client's key self-reported strengths? Are there other strengths you observe or can infer?
• How does the client process information? Protect themselves from anxiety and stress? Who do they turn to for support and nurturance?
• How does the client characteristically interact with others? Are these strategies successful in meeting the client's needs? Are they routinely problematic? Can the client show flexibility in style of interaction?
• How do these strengths, challenges, and abilities fit with the client's social and institutional resources? What resources or obstacles facilitate

or inhibit the client's mastering current issues/concerns?

• What role do current life cycle tasks play in relation to the concerns and issues that have been identified?

V. Formulation

Develop a brief, clear, biopsychosocial summary of the above material that integrates relevant developmental, theoretical (i.e., psychodynamic, cognitive- behavioral, P-I-E, family systems, or risk and resiliency), family, and sociocultural issues. How would you state the client's dilemma in easily understood words that capture the key concerns and strengths?

Genogram:

After the assessment, complete a three-generation genogram on a person you know in a Word document. GenoPro.com provides a free online program that is available for your use to assist you with completing your genogram.

For my Genogram, I do not have the software to create one on. I have chosen my information as:

59-Darrell Gregory 58-Stephanie Gregory----Parents

Their daughter is Ashley Esposito -34 her husband is Alfred Esposito-38

And their kids are:

Evelynn Esposito-10 Zachary Esposito-9 Isabelle Esposito-6