Biopsychosocial Assessment

Assignment title: Bio-psychosocial Assessment on a Case Study
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.

In addition, “Traditional conflict theories propose that oppression and subordinate groups lead to a sense of alienation”. (Pg. 47).

Consequently, there is much stigma associated with being gay. Casey may have reverted to alcoholism to deal with her issues of acceptance. Hence, that may have triggered her association with alcohol: It may have been a coping mechanism for her. In order to make a viable plan, we must discuss the psychosocial and environmental issues that affect alcohol dependent women. According to our book, “There is good evidence that people are likely to reveal more aspects of their situation if they are approached with commitment, an open mind, empathetic attunement, authentic responsiveness and mutuality. “(pg. 23) The information that is obtained via the patient and research will help the social worker formulate a plan. Some of the factors that are related to this situation are as follows: Casey has an alcohol problem, is a lesbian and is experiencing anxiety and depression. If we look at the biopsychosocial model we can conclude that her biological health, psychological and social environment are all interrelated. These are all influencing the very core of her being. The alcohol is influencing her ability to take control of her life and her circumstances. It is affecting her behavior and her relationship with her

partner. In addition, it is also negatively affecting her physical and mental health.
We can also apply the systems perspective. According to our book, “It is perhaps the most useful for understanding human behavior than for directing social work interventions.” (Pg. 43). This perspective deals with the family, friends, school and work. Casey has increased her drinking because of the new social group that she and her partner have joined. Some of new concerns that arise in her situation are her ability to remove herself from that group. In order for the situation to improve, Casey must address her issues with alcoholism. This is where her family and friends could come in and help her see that although she is struggling, she can overcome this problem. They can focus on her positive attributes and strengths which would include the fact that she graduated from college, was able to obtain an apartment, and she maintained a full time job. In addition, there was a point in Casey’s life where she was able to decrease her drinking for a limited amount of time.
Furthermore, our person-in-the-environment perspective can be used to explore the culturally diverse manifestations of the disease, its intergenerational impact, the role and purview of the social work practitioner, its relationship to violent behavior, differential gender response, and more.

In addition, the humanistic perspective theory is yet another that could be situated with this case. According to our book, “It includes humanistic psychology and existential psychology, both of which emphasize the individual’s freedom of action and search for meaning.” (pg. 68). In my opinion, Casey is searching for self worth. Unfortunately, her freedom of choice in this area has been ambiguous. The social worker can help her accomplish that outcome by working with Casey, her family, and her partner as a group. There are at least two issues that must be addressed so that she can change the course of her life in a positive manner. The first would be to put an emphasis on reducing the amount of alcohol she is consuming. The other, would be that she remove herself from the social circle that she is involved with. I would suggest that she surrounds herself in a more positive environment. For example, a positive type of social networking for Casey would involve joining a church or becoming involved in some type of religious participation. If this would be out of her comfort level, maybe another option is joining a group such as Alcoholics Anonymous. They would be able to

discuss the special treatment needs of women with alcohol problems. In addition, they would be able to supply her with the humanity that will enable her to pursue a positive destiny. The intervention goals are to associate Casey with positive physical and mental health, as well as a positive environment. At this point it may be vital to include her family into the interventions as she will need their support. Furthermore, we will have to incorporate the values of Casey’s self esteem. Most women will feel guilty or ashamed and may not admit that they have a problem. Some of the cornerstones of intervention deal with being compassionate towards the client, being sensitive to Casey’s needs, and the most importantly is to show her some respect. Some of the clinical work will have to include attention on her self –perceptions; this would include her past and present life experiences. For example, narrative therapy, in which Casey would recognize that she possesses education, skills and expertise which will guide her through to a better life. Depression does not have to define who she is or articulate the rest of her life. Sometimes treatments for addictions are complicated; therefore, a social worker must be prepared to have several treatment options available. The only way to know if the plan is being implemented adequately is to follow through with all concerned parties. Prevention planning may include personal and family counseling, and having a buddy system in place to keep Casey from falling through the cracks.
Finally, there are several conflicts and theories that can be applied to this particular case. We can conclude that there are many approaches that can be characterized in order to help the client. In addition, we can infer that interactions of integrated biological, psychological, and social systems are all intertwined and have an effect on our life. Although there is no definite theory that can be used, both clinical and community social work skills are needed in prevention work. The focus of our prevention efforts is to enhance human well-being, empower people and to promote a positive society for all.