Expert answer:Bio-Psycho-Social Assessment
Solved by verified expert:Assessing a client’s biological, psychological, and social history is a holistic approach that is an essential aspect of social work practice. Since one area often affects the other two, it is important to get as accurate an assessment as possible when working with a client. Social workers use the bio-psycho-social tool to communicate specific information, and possible conclusions, about a client to other professionals. It is, at once, a summary of current issues and problems; a listing of past factors that may be relevant to the current situation; and a description of potential issues that may have an effect on the client in the future. In addition to describing the client’s challenges and problems, the assessment identifies strengths and assets that are available to provide support. For this Project you create a bio-psycho-social assessment.Submit a 6- to 9-page paper that focuses on an adolescent from one of the case studies presented in this course. For this Project, complete a bio-psycho-social assessment and provide an analysis of the assessment. This Project is divided into two parts:Part A: Bio-Psycho-Social Assessment: The assessment should be written in professional language and include sections on each of the following:Presenting issue (including referral source)Demographic informationCurrent living situationBirth and developmental historySchool and social relationshipsFamily members and relationshipsHealth and medical issues (including psychological and psychiatric functioning, substance abuse)Spiritual developmentSocial, community, and recreational activitiesClient strengths, capacities, and resourcesPart B: Analysis of Assessment. Address each of the following:Explain the challenges faced by the client(s)—for example, drug addiction, lack of basic needs, victim of abuse, new school environment, etc.Analyze how the social environment affects the client.Identify which human behavior or social theories may guide your practice with this individual and explain how these theories inform your assessment.Explain how you would use this assessment to develop mutually agreed-upon goals to be met in order to address the presenting issue and challenges face by the client.Explain how you would use the identified strengths of the client(s) in a treatment plan.Explain how you would use evidence-based practice when working with this client and recommend specific intervention strategies (skills, knowledge, etc.) to address the presenting issue.Analyze the ethical issues present in the case. Explain how will you address them.Describe the issues will you need to address around cultural competence.* Below I’ve attached documents that will help give you background info on the client I want to use for the paper.
brandon_s_case_.docx
brandon_paper.docx
Unformatted Attachment Preview
Working With Survivors of Sexual Abuse and Trauma: The Case of Brandon
Brandon is a 12-year-old, Caucasian male who currently resides with his mother and her boyfriend. Six
years ago, Brandon disclosed that his father had repeatedly sexually abused him between the ages of 4
and 6. Brandon’s mother called law enforcement immediately after the disclosure, and his father has been
incarcerated since. Brandon has previously participated in therapy to address challenging behaviors,
including physical aggression, difficulty following rules at home and school, and using inappropriate
language with sexual overtones toward female peers. Brandon and his mother report that they ceased
participating in therapy in the past after there was no change in Brandon’s behavior. Brandon’s teachers
have suggested that his behaviors are similar to those of peers with attention deficit hyperactivity
disorder, but his mother has declined educational or psychological testing because she does not want her
son to be labeled and is unsure if she agrees with the use of psychotropic medication with children.
Brandon began attending trauma-focused treatment after demonstrating an increase in argumentative
behavior and minor property destruction at home. His mother reported that the majority of undesired
behaviors were initiated during interactions with her boyfriend. Brandon’s use of physical aggression has
not increased in school; however, a female peer recently reported him for using sexually explicit language
toward her. Brandon admitted to using inappropriate language toward the female peer but appeared to
have a limited understanding of what the phrases used meant. Brandon’s mother noted during intake that
she is concerned that her son will become a violent sexual offender or a pedophile and noted that his use
of sexual language was likely the start of sexual behavior problems.
At the beginning of treatment, Brandon reported that he frequently feared for his physical safety but
often could not pinpoint what made him feel unsafe. He had searched the Internet to find registered
sexual offenders in his neighborhood, and he had begun sleeping with a loaded BB gun under his pillow
in case someone entered the home to assault him again. Brandon had flashbacks when trying to fall asleep
and described feeling like he was floating outside of his body when he thought of his abuse. He had seen
a television show where victims spoke at the parole hearings of their perpetrators, and he spent many
hours thinking about what he would say if he went to his father’s parole hearing in 3 years. Brandon felt
like he loved his father very much and that his father was a great father except for when he hurt him.
Brandon identified wanting to feel less worried, sleep better, and fight less with his mother as primary
treatment goals.
I worked with Brandon in both individual and family sessions to address his symptoms of depression and
post-traumatic stress disorder (PTSD). Utilizing the trauma-focused cognitive behavioral therapy
approach, early sessions focused on coping skills and emotional regulation. As Brandon became more
comfortable with expressing feelings and utilizing coping skills, he began discussing his sexual abuse
history and the ongoing effect this experience had on his life. I met with Brandon’s mother for collateral
sessions in order to help her identify and process her own feelings about his abuse and to develop skills
to support Brandon through his treatment. Brandon’s mother was provided with psychoeducation
regarding childhood sexual abuse, and her belief that her son would become a violent sexual offender as
a result of his experience was challenged through cognitive behavioral therapy. She agreed to meet the
agency psychiatrist, and after the initial consultation she agreed to have Brandon meet with the doctor.
After a psychiatric evaluation, Brandon was prescribed a low dose of antidepressant medication.
Brandon completed a trauma narrative that addressed the details of his sexual abuse experience, his
disclosure of the abuse, and the trial and subsequent imprisonment of his father. Brandon included a
description of his feelings at each point in his narrative, as well as what he learned in treatment about
childhood sexual abuse and coping skills to deal with uncomfortable feelings and impulsivity. Brandon
shared his trauma narrative with his mother, who provided a safe and supportive space during this
experience through the use of skills learned and practiced during collateral parent sessions. Brandon’s
symptoms of depression and post-traumatic stress decreased steadily during the course of treatment.
After 8 months of sessions and the successful completion of his trauma narrative, the family and I agreed
that Brandon was ready to terminate trauma-focused treatment. Brandon continued receiving medication
management with a psychiatrist and transitioned into home- and community-based treatment that
focused on his ongoing impulsive behaviors.
Running head: Child Abuse and Neglect
1
Child Abuse and Neglect
Shondricka Claiborne
SOCW 6200: Human Behavior & The Social Environment
September 24, 2017
Child Abuse and Neglect
2
Child Abuse and Neglect
The social worker could start with understanding Brandon and how he considers himself
in the society. The social worker should evaluate the reasons of the fear Brandon had made him
sleep with a gun. Second, the social worker should evaluate the relationship with other. This is
the social network and support. This is by evaluating how the society is treating him. Does the
society support recovery or create a situation that makes the matters worse for him. Third, the
social worker should understand the way Brandon behaves in the community he is living in. how
students at school consider him and the problem (Cumming, 2011). The social worker should
evaluate if the teachers are supportive to Brandon. This will help in understanding the source of
behavior in the community. The society should also be evaluated to analyze if an environment is
created in a way that encourages or discourages Brandon to act violently. Based on the case
presented, it is clear that the society does not create an environment that discourages violence.
The social worker used the ecological model in understanding Brandon as well as taking
him through therapy. The social worker starts by understanding Brandon and his immediate
family (Roose and De Bei, 2017). The social worker understands that Brandon feared his
security. He had the feeling that he could be abused. This has made him sleeps with a loaded
gun. He also feels bad when he thinks about the abuse. The social worker goes ahead to mezzo
level where Brandon behavior is evaluated at school. According to the social worker, Brandon is
not aggressive at school but he uses abusive sexual language to the female peer at school.
Finally, at macro-level, Brandon went through a supportive community-based treatment to solve
Child Abuse and Neglect
3
the problem. He is also taken to the healthcare organization to receive antidepressant medication.
This indicates the supportive.
One of the strengths that social worker may have missed in dealing with the case of
Brandon is the failure to evaluate and understand the culture of Brandon and his family before
kicking off the therapy. Understanding the culture of the family and the victim could have helped
the social worker deliver services in an easier and better way. Second, the social worker does not
offer the mother the required skills to respond to and support Brandon in future in case
depression attacks him. The social worker only offers the mother the skill to cope with the
emotional distress about the child.
The social worker faces some changed when dealing with Brandon. First, Brandon is not
open in the beginning to explain what he is actually going through. Second, the case had lasted
for about six years. This is an indication that the problem had already penetrated deep into
Brandon’s life. This could only be handled with much care to ensure an effective therapy unlike
in the beginning. If the strengths were not identified by the social worker, Brandon could have
been impacted negatively. Brandon therapy could not have been successful. The trauma and
depression could continue affecting Brandon. Eventually, Brandon could develop a high sexual
aggression and become violent in the society. This could also be extended to school making him
a criminal and hard to handle by the administration of the school.
In conclusion, early intervention to Brandon problems could have avoided most of the
identified social problems. The social worker should understand the patient background before
offering services. However, the therapy choice for Brandon was a success since it helped him
heal from sexual abuse. He reduced physical aggression and reduced the cases of abuse to other
Child Abuse and Neglect
people. The social worker helped Brandon to manage the social issues he faced. The social
worker also helped his mother on how to manage her distress about Brandon. However, the
social worker could have prepared the mother on how to support Brandon when he faces
depression.
4
Child Abuse and Neglect
5
References
Cumming, G. S. (2011). Spatial resilience in social-ecological systems. Dordrecht: Springer.
Roose, R., & De Bei, M. (2016). Children’s rights: A challenge for social work. International
Social Work, 51(1), 37-46.
…
Purchase answer to see full
attachment
How it works
- Paste your instructions in the instructions box. You can also attach an instructions file
- Select the writer category, deadline, education level and review the instructions
- Make a payment for the order to be assignment to a writer
- Download the paper after the writer uploads it
Will the writer plagiarize my essay?
You will get a plagiarism-free paper and you can get an originality report upon request.
Is this service safe?
All the personal information is confidential and we have 100% safe payment methods. We also guarantee good grades