Using the form below, complete a psychosocial assessment John Nash from A Beautiful Mind Use each topic in the psychosocial assessment form below as a paragraph heading in your paper.
Identifying Information
Reason for Referral
Presenting Problem
Physical Functioning (Include Medical)
Cognitive Perceptual Functioning
Emotional Functioning
Social and Family Functioning
Behavioral Functioning
Motivation
Spiritual/Religious Affiliation
Environmental Systems
Cultural Factors
Strengths
Barriers to Service
Worker’s Impressions of the Client
Be sure to keep in mind the following areas when assessing the client above.
Identifying information: demographics, work, family, prior treatment, home/living
situation
Reason for referral/route of referral
Presenting problem: history of problem, prior attempts to solve problem
Physical/behavioral observations: physical appearance, grooming, indications of
organic problems, mood, unusual habits.
How you relate to each other: communication style of client, nonverbal communication,
emotional state of the client, your feelings about client, including empathic connection or lack, feelings evoked transference/countertransference issues
Developmental history: childhood, adolescence, adulthood, education, relationships,
parenthood or not; divorces/separations; losses.
History of trauma: abuse, violence, substance abuse, traumatic losses, etc.
Factors of diversity: culture, race, ethnicity, gender, age, class, sexual orientation, religion/spirituality; differential physical or mental abilities. Intergenerational factors.
Psychosocial effects of oppression: “violations of clients space, time, energy, mobility, bonding, or identity due to membership in a marginalized population group; alienation from self or others due to institutionalized oppression, stage of identity formation as member of a group; strengths, resources, and sources of personal power in responding to oppression; primary patterns of coping with membership in a marginalized group
Attitudes toward parenting nurturing and development. Joys and problems
Social networks: family and friends, coworkers, etc.; short-term or long; supportive,
draining, conflictual
Home environment: conditions, hazards, supports; source of stimulation, peace,
conflict, etc.
Other relevant information
To what extent does the problem involve stress due to current developmental tasks
(adolescence, parenting, etc.) or current situational stress or trauma?
To what extent is problem result of lack of fit between needs and environmental resources?
What internal and environmental strengths does client have that can be used to work
toward improvement in the situation and/or functioning?
Review the NASW Code of Ethics and consider its application to the assessment phase of the social work practice framework.
Using the form below, complete a psychosocial assessment John Nash from A Beauti
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