Week 09 - Lab Day - Assessments

Location: CBC Campus - SWL 206
Time: Wednesday from 5:30-8:15
Week 09: 10/14/19 — 10/20/19
Reading Assignment: N/A Topic and Content Area: Lab Day - Assessment
Assignments Due: N/A Other Important Information: N/A

College and life is stressful. The following is a short video clip about managing stress by the BBC.

[Whole Class Activity] Watch video clip

• Screeners
• Social histories
• Genograms & Eco-maps

Screener forms are a common assessment tool used by social workers. There are many different types of screeners. The following is a screener regarding stress.

[Whole Class Activity] Have each student work individually to complete a screener. Discuss results.

• Partner discussion
• Whole group discussion

New York State United Teachers (n.d.) Stress assessments. Retrieved from https://www.nysut.org/~/media/files/nysut/resources/2013/april/social-services/socialservices_stressassessments.pdf?la=en

PHQ-9 - Depression Screener

GAD-7 - Generalized Anxiety

GAIN-SS - Internalizing, externalizing, and substance abuse.

Show the various tools at SAMHSA

Social histories vary from agency to agency. The following is the general content of a social history. There are three main parts

• Presenting Problem
• Life Experiences
• Impressions and Recommendations

The beginning of a the social history starts generally with an introductory paragraph.

• Description and history of the presenting problem
• Introductory paragraph / sentence

[Discussion] How to these introductory paragraphs generally read?

The following might be a typical introductory paragraph. Some of the information might be extraneous depending on forms, and method of practice.

Esmeralda, a 32 year old Hispanic married with three children female completed this mental health evaluation at the TCCH BHS Pasco office. She was accompanied by her husband and one child. Her primary language is Spanish, and the evaluation was completed in her native language. Her insurance, Medicaid, has been verified. She was referred by Crisis Response Unit after being hospitalized at Lourdes Medical Center after an attempted suicide. She presented with symptoms related to depression and anxiety.

• Presenting problem
  • Detail major points (as laid out in initial paragraph)
  • Generally the “why are you here today section”
  • My method for mental health evaluations

[Discussion] For each talk about what topics are generally important

Background Information abut the persons life

• Family of origin
• Birth and childhood
• Marriages and significant relationships
• Current living arrangements
• Education
• Military service

Continuation..

• Employment history
• Medical history
• Legal history
• Social and Recreational interests
• Religious activities
• Client successes, Strengths, and resources

[Discussion] For each talk about what topics are generally important

• Impressions
• Recommendations

The following is the mental health evaluation TCCH BHS uses for their intake process. It could be considered a form of a social history.

This evaluation serves a couple of purposes. One to complete an assessment, determine a plan… etc. It is also used as a mechanism to demonstrate compliance with WAC and other legal concerns.

• Dimension I. Client Personal Information
  • General information
• Dimension II. Referral & Admitting Problem
  • Referral and presenting problem
• Dimension III: Client Treatment History, Mental Health/Psychiatric/Substance Abuse
  • History of treatment, and outcomes
  • Substance abuse information
• Dimension IV: Family/Significant Other Mental Health/Psychiatric History
  • Family history (homicide, suicide, mental health)

• Dimension V: Abuse/Neglect
  • History of… location to record report information…
• Dimension VI: Crisis/Risk Assessment
  • Current, history… etc
  • Grief / loss
• Dimension VII: Client Medical History
  • Injuries, diseases, hospitalizations
  • Medical contacts (i.e. PCP)
  • EPSDT
  • Medications
• Dimension VIII: Psychosocial
  • Family, peer, provider supports
  • Ed / employment history
  • Cultural issues
  • Sexual orientation
  • Strengths and interests
• Dimension IX: Legal Issues
  • History
  • Contacts / requirements

• Dimension X: Developmental
  • Milestones
  • Services
• Dimension XI: Environmental Need/Barriers to Treatment
  • Various needs
• Current Mental Status
  • Mini mental status examination
• Admitting Diagnoses
• Inter-agency Services Needed

[Activity] Work with a partner to go through some of the process of completing a social history with them. You can either use real life information, or in a roll play.

• Family of origin
• Birth and childhood
• Marriages and significant relationships
• Current living arrangements
• Education
• Military service
• Employment history
• Medical history
• Legal history
• Social and Recreational interests
• Religious activities
• Client successes, Strengths, and resources

An eco-map is a useful tool that looks at system’s involvement and relationships.

• Generally it shows relationship quality and type between people / families and agencies other people or life events.
• I find them useful when somebody has a lot of services or other professionals involved
  • They sometimes show how interactions go to a specific individual
  • Stressful or not stressful
  • One way to the individual or family system
  • Both ways

A genogram is a useful tool that looks at family structure and relationships.

• Generally they include at least three generations
• They are useful when family relationships are complicated They sometimes show specific traits (i.e. alcoholism, deaths, employment… etc.)

[Whole Class Activity] Work with a partner to to complete create a genogram of their family.