Biopsychosocial Summary
Paulette Erwin
University of Pacific
Christina Howell, a 32-year-old Caucasian female in office today for scheduled appointment. Was referred by Child Protective Services Social Worker. Client was dressed appropriate for time of day but clothing had holes and was notably dirty. Client also appeared to have poor personal hygiene. Client reports she feels like a worthless mother after Child Protective Services removed her 6-month-old son from her custody. Client reports she feels depressed and was diagnosed with Manic Bipolar Disorder in 2008. Client talked in a low voice and avoided eye contact. I provided an overview of the assessment tool and why this type of information is important for a treatment plan.
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Client reports she is not currently taking any prescribed or over the counter medications. She reports she drinks alcohol and smokes marijuana daily. Client stated smokes cigarettes but when she was young she hated the smell because her step-grandfather smokes in the house.
Client has one older sister who she stated she lost contact with several years ago. She moved in with her grandmother and step-grandfather when her parents divorced when she was 9 years old. Christina stated she has been estranged from her mother since that time. Client began to pick a sore on arm as she talked about her family. Provided praise for the client taking about such a difficult issue. Client described her father as someone she barely knew and who would occasionally visit her and her sister on holidays. She became nervous as she started talking about her step-grandfather who she report verbally and sexual abused her from the age 9 until she moved out at the age of 18. Client reported she seen Dr. Snow after she moved out for 2 years and felt it was beneficial She stated she told her grandmother about the abuse but her grandmother accused her lying. Client did not become overly emotional when talking
The job of a child welfare worker appears to be a demanding profession that promotes the child’s safety, but also strengthens the family organization around them in order to successfully raise the children. This child welfare workers work in the system known as the Child Protective Services whose initiative is to protect the overall welfare of the child. The short novel From the Eye of the Storm: the Experiences of a Child Welfare Worker by Cynthia Crosson-Tower demonstrates the skills necessary to deal with the practice of social work along with both its challenges and its happy moments. The novel consists of some of the cases involving Tower’s actual career in social work. In reading the book, I was able to experience some of the actual cases in which children dealt with physical and mental abuse from their families that caused them to end up within the system. Also, some of these children had issues in adapting to foster and adoptive families based on the issues they faced earlier in life. As we have learned earlier in the course, the violence that a child experiences early in life has an overall affect on the person they become as they grow into adulthood. When children deal with adverse childhood experiences, they are at a higher risk for abusing drugs and/or alcohol, increased likelihood of abusing their own child or spouse, higher rates of violent and nonviolent criminal behavior, along with several other issues throughout their lifespan.
Walker, S. (2008). Social work and child and adolescent mental health. Dorset: Russell House Publishing Ltd.
Alameda has had a hard life as a young girl growing up, both of her parents were alcoholics. Alameda was a 16 year old minor who had a baby and dropped out of school, and then was unable to care for the infant. A case manager by the name of Barbara LaRosa was assigned to Alameda case. Barbara took on Alameda as her client and made a visit to her parents’ home, while making the visit she found Alameda dad incompetent, and could not get any information from him to help with his daughter well-being.
First of all, this case is associated with biopsychosocial approach which recognizes that, it is the approach that considers human behavior to be the result of interactions of integrated biological, psychological, and social systems. This approach helps us to recognize the ways in which women’s biology, psychology, and their social world intertwine within each other affect their reactions to alcohol and alcohol interventions. In order to explain some of the concepts and theories, we must first sort through the facts that have been presented in the case study. This particular case is concerned with developing a better understanding of the relationship between Casey, and alcoholism.
On June 8, 2016, a child welfare agency conducted a parent/child observation with Ms. Sophia Mendez and her three children. Ashley M. Mosgrove, social work intern, did the intake and completed the biopsychosocial assessment.
Shaniya Robinson arrives at the County Human Services Authority for her monthly appointment with her social worker. Ms. Robinson is a 25 year old African American female who is receiving treatment for schizophrenia from the adult behavioral health services program. During a session the client reports that she is under a great deal of stress because she is having difficulty adjusting to being a new mother. Her five month old baby girl Shanice is teething and cries frequently. Ms. Robinson is also struggling financially because she is currently unemployed; her mental illness makes it difficult to sustain employment long term. And she does not receive support from the child’s father on a consistent basis. The combination of these interactional difficulties is weighing heavily on the client who reports an increase in positive and negative symptoms (i.e. auditory hallucinations and social withdrawal). Because the client does not have insurance she disclosed to her social worker that she self-medicates using marijuana in an effort to manage symptoms. More noteworthy, the client explains that she uses the same method to soothe the baby by blowing marijuana smoke in the infant's face. It is certain that Ms. Robinson divulged such information for several reasons, she wants help and she believes that any information she shares within the context of her sessions are confidential.
Shannon Aydt is a 22 year old white female, born June 11th, 1994. She is a 5th year at Saint Cloud State University studying Social Work. Shannon currently resides at her parent’s home in Andover, MN; however, she lived on/near campus for her first 4 years of college. Though she does not pay rent while living with her parents she would consider herself a “poor college student.”
Mrs. Nancy Hamilton (changed name for privacy) is 95 years old female who resides in a local continued care retirement community (CCRC) located in the Los Angeles County. I decided to interview Mrs. Hamilton for her successful aging. I have known her for 9 years and her aging process has not been an easy ride but she always maintained a positive sprit that kept her going even today. Mrs. Hamilton moved in to a CCRC in 2006, two years after her husband passed away. Mrs. Hamilton has one daughter and one son. Daughter Margaret lives nearby and visits frequently and takes care of personally needs such as transportation to medical appointments or shopping for skin care products or clothes as necessary. Son, David lives in the Northern California and visits a few times a year.
First of all, through this assignment, I have learned that a theory is an interrelated set of concepts and propositions, organized into deductive systems that explain relationships among different aspects. It is an overall explanation of the person in environment configuration, and helps explain why a problem is occurring. It will also provide a social worker with a set of ideas that will help the social worker get a better understanding of the problem. In addition, there are many different theories, and perspectives that are used in the social work field to empower people and to promote a positive society for all. This particular case is associated with bio-psychosocial approach
Formulation of Problem/Needs: The client 's presenting problems are caused by her mother’s emotional verbal abuse. In spite of all, her emotional problems Ana maintains a positive outlook towards her future. Ana demonstrates self-determination as she clearly expresses her current issues. She struggles with overeating because she feels unloved and worthless. Ana is seeking services to overcome the resentment she feels towards her mother. She is requesting help to manage her coping skills and reduce her feelings of depression. According to Ana these feelings started at a young age. Ana’s current challenges are learning to cope with her mother’s verbal abuse. Anna will arrange monthly meetings with her social worker to talk about what methods she’s used to coping with her depression. Ana agrees that she needs to find positive away to communicate with her mother. Ana also stays that she wants to learn to be selfish and break free from the traditional stereotypical life of East LA. Ana would like to begin addressing the following
The model of addiction etiology that best describes why people get addicted and how best to help them is biopsychosocial model. The biopsychosocial model, first developed by cardiologist Dr. George Engel, is today widely accepted by the mental health professions. The biopsychosocial model describes addiction as a brain illness that causes personality and social problems. The biopsychosocial model lets us to make solid and accurate differences between substance use, abuse, and dependence. It also allows the signs of addiction to be recognized and structured into progressive stages.
These children had the worst histories I have seen in mental health nursing. The opportunity to work with this population was the most difficult and honorable thing I have done in my life. Part of my goal as a nurse practitioner will be to work with the underserved and difficult populations that others are not willing to work with. The next four years I spent floating around seven different units at CenterPointe Hospital. Some of the units include adult detox unit, geriatrics, acute adult, chemical dependency residential programs, and adolescent units. Child and adolescents are my passion but working with dual diagnosis, acute adults and geriatric/dementia populations gave me a well-rounded experience. I have also worked the last 3 years PRN as an eating disorder nurse. This vast experience working with every psychiatric population has taught me much about psychiatric disorders and provided me with balanced work history. In addition, I have worked as charge nurse of these units and gained leadership skills. I intent to use the experience and knowledge from my nursing career to help me assess, diagnose and treat, as a nurse
In the video, Whose Records, the client demonstrated frustration with her current counselor and made a request for her medical records in order to transfer to another counselor. During the conversation, the counselor remained calm and respectful to the client regardless of the clients’ disrespectful approach. I do not agree with the challenge approach made by the counselor regarding the client seeing a different counselor every three to four weeks. That seemed to increase the level of tension on behalf of the client. I feel a better approach would have been to allow the client to express her concerns regarding her current treatment. After which, the counselor could explain the process of obtaining her medical records along with requesting the client to sign the appropriate release of information to acquire her records.
Many assessment tools and interviewing skills are available to the clinical social worker within a mental health setting. This paper will examine one such assessment tool, the competency based assessment, and its applicability in a mental health setting. A comparison will be made between this advanced assessment method and a generalist social work assessment. Interviewing people who have mental health concerns can offer challenges for clinical social workers. Several interviewing techniques that can help with some of these challenges will be outlined.
The Psychiatric Mental Health Nurse Practitioner (PMHNP), role and job description is providing primary mental health care services, to those with mental health problems, or psychiatric disorders. The PMHNP is required to assess, diagnose, provide treatment plans, prescribe medication therapy, and offer counsel across the lifespan. The PMHNP provides care in a wide range of settings to children, adolescents, adults, the elderly, and their families. This mental healthcare takes place in the primary care settings, emergency rooms, hospitals, outpatient mental health clinics, senior living communities and in private practices. Being culturally competent to care for the ever changing demographics of the United States is necessary. The PMHNP assess and treats in a holistic manor and utilizes evidenced based practice. Regardless of race, gender, age, religion, sexual orientation, political persuasion, or socio economic standing the PMHNP is there to treat. The PMHNP role also includes establishing a therapeutic relationship, being sensitive to many abnormal behaviors, and caring for those frequently distressed emotionally. Collaboration and the ability to make referrals are essential for the PMHNP. Patients present with undiagnosed problems and establishing the proper diagnosis by a qualified PMHNP begins with the initial assessment interview (Gilfedder, Barron, & Docherty, 2010).