Final Paper Biopsychosocial Assessment This assignment is designed to give you an opportunity to apply theoretical knowledge that you have learned in the course to your diagnostic work with clients. This assignment is worth 30% of your final grade. A grading rubric for this assignment is included below. For this assignment, each student will focus on a client from his or her field placement. Students will gather relevant information from the client (see below) and will formulate a DSM diagnosis based on the client’s information and on applied theory (e.g., ecological perspective, strengths perspective, systems theory) relevant to the client’s case. The student will then write a case formulation according to the specifications below. For the purpose of this assignment, you can select any of the adolescent or adult disorders covered in the DSM-5 (ages 15+). You must develop a specific case study, or detailed descriiption of a person with this problem. Your case formulation can either be based on a client you are currently working with in your field placement, or you can develop one of your own (e.g., based on a character in a film). Instructions: Use the headings and subheadings outlined below in your paper. The completed assignment will be double-spaced, with one-inch margins and 12-point font size, Times New Roman. You must also include a title page for this assignment and separate list of references. This assignment must be submitted. Biopsychosocial Assessment Format I. Identifying Information A. Client name B. Demographic information: age, gender, gender identity; race/ethnicity; sexual orientation; current employment, marital status; language spoken; socioeconomic status: What entitlements does the client receive (SNAP benefits; food assistance, rental assistance, child support services, career services; assistance with utilities; disability services?) C. Brief mental status exam (i.e., appearance, attitude, behavior, speech, affect, mood). D. Referral information: referral source (self or other), reason for referral. Other professionals currently involved. II. Presenting Problem A. Descriiption of the problem: Client’s definition of the problem/need. Use the client’s words. B. History of the presenting problem: Length or duration of the problem (i.e., how long has the problem been going on?) What precipitating stressors or events brought on the current problem? What feelings and thoughts have been aroused? How has the client coped so far? Prior attempts to resolve the problem. Who else is involved in the problem? How are they involved? How do they view the problem? How have they reacted? How have they contributed to the problem or solution? Past experiences related to current difficulty. Has something like this ever happened before? If so, how was it handled then? What were the consequences? Previous involvement with social agencies for assistance with the problem. If client is in crisis or considered “high risk” (i.e., in danger of harm to self or others, you should describe and offer a brief assessment of the risk) III. Background History A. Developmental history: from early life to present B. Family background: descriiption of family of origin and current family. Extent of support. Family perspective on client and client’s perspective on family. Family communication patterns. Family’s influence on client and intergenerational factors. C. Social functioning: Are there any significant friendships, interpersonal relationships, support network? Use of community organizations or resources (e.g., as client, member, volunteer)? Hobbies/leisure involvement D. Educational and/or vocational training: Highest level of education; Degree/s earned; Special school/educational talents, challenges, goals E. Employment history: Occupation, work history, and current status (e.g., employed, unemployed, full-time, part-time; disability). Special training/skills. History of work habits (timeliness, insubordination, ability to fulfill work duties). Reason(s) for leaving (e.g., terminated; history of terminations; relocated) F. Military history (if applicable): Is client a U.S. Veteran? G. Use and abuse of alcohol or drugs, self and family H. Medical history: birth information, illnesses, accidents, surgery, allergies, disabilities, health problems in family, nutrition, exercise, sleep I. Mental health history: previous mental health problems and treatment, hospitalizations, outcome of treatment, family mental health issues. J. Significant events: deaths of significant others, serious losses or traumas, significant life achievements K. Legal concerns (if applicable): Immigrant status, housing, marital issues, domestic violence, parole/probation, DWI’s? L. Cultural background: race/ethnicity, primary language/other languages spoken, significance of cultural identity, cultural strengths, experiences of discrimination or oppression, migration experience and impact of migration on individual and family life cycle. M. Religion: denomination, church membership, extent of involvement, spiritual perspective, special observances IV. Assessment A. What is the key issue or problem from the client’s perspective? From the worker’s perspective? B. How effectively is the client functioning? C. What factors, including thoughts, behaviors, personality issues, environmental circumstances, psychosocial stressors (e.g., bereavement, domestic violence), vulnerabilities, and needs seem to be contributing to the problem(s)? Please use systems theory with the ecological perspective as a framework when identifying these factors. D. Identify the strengths coping ability, and resources that can be mobilized to help the client. E. Assess client’s motivation and potential to benefit from intervention V. Recommendations/Proposed Intervention A. Problem B. Tentative Goals (with measurable objectives and tasks) 1. One Short-term 2. One Long-term C. Possible obstacles and tentative approach to obstacles VI. DSM-5 DIAGNOSIS In this section, provide a diagnosis for the client. In narrative form, defend your diagnoses. Use DSM-5 criteria and your knowledge of the etiology of the conditions to support your analysis of the case. You will need to give very specific details and use the DSM-5 approach to formulating the diagnosis. The paper must include a paragraph of each of the following: ! Type of disorder ! Symptoms ! Illustrate the key aspects of making a differential diagnosis (i.e.) What diagnoses would you rule out and why? VII. CASE FORMULATION (Clinical Summary, Impressions, and Assessment) The case formulation is an attempt to bring together a number of important factors and create a summary of the case and its many facets. This is the most important part of the biopsychosocial assessment, as it demonstrates your ability to synthesize all of the information you have collected during the assessment process. It also demonstrates your clinical assessment of the client’s condition, while taking into consideration all of the biological, psychological, and social factors influencing the client’s overall functioning. These factors ought to include history, functional status, and resource information about the client. The mental status and diagnosis should be consistent with the client’s presenting problem and personal history. This section must also demonstrate your knowledge and application of theory. Specifically, you should demonstrate your knowledge of the strengths-perspective and the ecological perspective (Gray & Zide, Chapter 1) in your understanding of the client. You should cite the course text and 3 peer reviewed journal articles on the topic. For example, if the “client” is diagnosed with Bipolar Disorder, your articles should address clinical practice issues related to Bipolar disorder (e.g., suicide risk in bipolar disorder). Your paper must be written in APA style format. The clinical summary, impressions, and assessment section should: • First give a brief, 3-5 sentence summary of what you have already written: o The client’s chronological age and the developmental stage and task that is appropriate for that particular age. o Identify the primary problem, need, or concern the client is dealing with and contributing factors. o Also, describe the sense of urgency the client has with the problem/s. o Identify secondary problems, needs, or concerns if these are raised. o What resources are available to the client and the client’s support system? • Summarize how the client appeared during the interview/s. o Give an overview of client’s mood, signs of anxiety or depression, problems with memory, speech, sense of reality, judgment, attitude toward their situation/difficulty. o Indicate how the client related to you. Your impressions give important clues to where the client is right now and how the client is handling the problem emotionally and cognitively. • Goals and Recommendations for work with the client o Identify goals for work with client. o Recommendations for service and resources § Modality (what type of treatment?) § Length of time (how many sessions? Long term, short term?) § Next steps • Note the client’s expectations of service. • Note your assessment of the client’s motivation for change and likely use of service
Attached is a copy of the biopsychosocial assignment.
Attached is a copy of a sample peer reviewed journal article for the final paper. You are required to include 3 journal articles in your paper, citing them in the body of your paper and including a reference page in APA style format.
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