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Using the transcript below for, can you assist me with biopsychosocial assessment focusing on Ray? The assessment should be written in professional language and cover the following sections: Presenting issue (including referral source) Demographic information Current living situation Birth and developmental history School and social relationships Family members and relationships Health and medical issues (including biological, psychological, and psychiatric functioning and substance use) Spiritual and cultural development Social, community, and recreational activities Client strengths, capacities, and resources At the end of the document: Include a summary and analysis of the overall challenges experienced by the client and how the social environment has contributed to those challenges. Describe how this analysis of the social environment would be beneficial to treatment and goal-setting. Then, describe two goals that you can work on with this client based on the assessment. Explain why these goals are appropriate and relevant to the case in addressing the presenting issue and challenges. MUSIC PLAYING] 00:07 FEMALE SPEAKER: Meet Ray. 00:08 Ray is a full-term baby of normal length and weight, 00:11 born to working-class Caucasian parents 00:14 living in a suburban area. 00:16 As an, infant he stops breathing on several occasions, which 00:20 the emergency room doctor says may 00:21 be due to the effects of secondhand smoke. 00:24 Both Ray's mother, Mary, and father, George, 00:27 smoke in the apartment. 00:29 In his early years, Ray forms a strong bond 00:32 with Mary, who is loving and nurturing. 00:34 However, she works two part-time cashiering jobs 00:38 to support the family and is not often home. 00:40 George is stern and often yells and loses patience with Ray. 00:45 At age 6, Ray regularly hears his parents 00:48 fighting when he is trying to sleep, usually over money 00:50 and the demands of parenting. 00:52 Ray interprets his father's anger as not wanting me. 00:57 When Ray enters public school, the nurse 00:59 helps Ray get an inhaler for his breathing challenges, which 01:02 have escalated to asthma. 01:04 [MUSIC PLAYING Age: 7-12 [MUSIC PLAYING] 00:07 FEMALE SPEAKER: As Ray grows, the family moves around a lot 00:10 from short-term rental, to hotel, 00:12 to campground depending on the season. 00:15 While this exposes Ray to a diverse set of experiences 00:18 and people, it also leads to lack 00:20 of continuity in schooling and social relationships 00:23 as Ray transfers school districts. 00:26 Ray does well academically, particularly in math, 00:29 but does not engage in after school activities preferring 00:32 to be home when his mother has a brief break in between her two 00:35 jobs. 00:37 Ray and his mother Mary attend Catholic church services 00:40 weekly. 00:41 The family does not have medical insurance or access 00:44 to regular medical care aside from Ray's inhaler provided 00:48 by the school. 00:50 The only affordable and accessible food in their area 00:53 is processed and high in fat and sugar. 00:56 Both of these circumstances affect the physical health 00:59 of a family with Ray being overweight and Mary obese. 01:03 In Ray's early adolescence, Mary develops 01:06 diabetes and cardiovascular disease linked at least part 01:09 to her history of obesity and smoking. 01:11 [MUSIC PLAYING] Age 13-16 MUSIC PLAYING] 00:07 NARRATOR: Ray's mother Mary dies of a heart attack 00:10 when Ray is 14. 00:11 Ray is devastated and retreats further into himself. 00:15 He begins to experiment with his father's alcohol 00:18 and likes how it makes him forget. 00:21 His father George goes from aggressive 00:23 and argumentative to complacent after Ray's mother dies. 00:27 He doesn't care what I do, says Ray, 00:29 who walks to the local park and drinks and smokes at night. 00:33 On one occasion, a police officer on patrol 00:36 escorts him home and warns that if he is out drinking in public 00:40 again, he will be fined. 00:42 Ray does so again and is fined $500. 00:46 When he tells the officer he can't pay, 00:48 he is instead enrolled in an alcohol-awareness class 00:51 and mandated community service. 00:53 A year goes by, and due to the loss 00:56 of income from Mary's death, he and George 00:58 have to move to subsidized housing 01:00 in a different part of town. 01:02 At this point, they are living on Social Security 01:04 and disability income. 01:07 Ray signs up for a woodworking class at his new high school, 01:10 remembering how his father used to make household 01:12 items with wood scraps. 01:14 The teacher sees promise in him and mentors Ray 01:17 in woodworking and cabinetmaking outside of class. 01:21 At the same time, Ray becomes interested in dating girls, 01:24 but he is self-conscious about his weight. 01:27 He starts working out at the school gym. 01:30 Meanwhile, he clashes with George at home. 01:33 He sees his father as useless because he 01:35 hangs around the apartment and drinks and smokes 01:38 all day watching TV. 01:40 Ray has to make dinner for himself, clean, and so forth. 01:44 He also has to get a part-time job. 01:47 One night, Ray says under his breath, 01:49 I wish you had died and not Mom. 01:51 [MUSIC PLAYING] Age 17-18 NARRATOR: Ray gains self-confidence 00:09 from exercising, socializing with the other team 00:12 workers at his part-time fast-food job, 00:14 and honing his woodworking skills 00:17 he graduates high school. 00:19 Ray applies to college with the support of his teacher-mentor 00:22 and gets a full scholarship. 00:25 He would be the first in his family to attend college. 00:28 However, his father George becomes 00:30 sick with lung cancer the summer before his freshman year 00:33 of college. 00:34 Ray doesn't know where to turn. 00:36 He is estranged from his father's side 00:38 of the family due to a fight George had with his brother 00:41 years ago. 00:42 His mother's side of the family do not live in the area, 00:45 and he's never had a close relationship with them. 00:48 He feels a sense of obligation to George 00:50 and guilt for what he'd said about wishing him dead, 00:53 ray never leaves for college, letting the scholarship lapse. 00:57 He stays and cares for his father 00:59 until George dies four months later. 01:03 Now 18, Ray lives alone with a rescue pit bull named Daisy. 01:08 He has maintained his fast-food job, but after George's death, 01:11 he begins to show up at work late, unshowered, and 01:14 occasionally drunk. 01:16 Ray's boss tells him that he understands he's grieving, 01:19 but he can't show up in that state. 01:21 The boss puts him on probation. 01:23 If he is late, skips work, or shows up inebriated again, 01:27 he will be fired. 01:29 If Ray loses his job, his housing 01:31 will be in jeopardy as well. 01:33 Ray's work friends encourage him to see a social worker. 01:37 [MUSIC PLAYING]