Client Case File : My Client

is 8 year old Caucasian male who has a younger brother. He was taken from his biological parents who was on drugs thus client B. suffers from intense abuse and neglect. He and his brother was left with his father’s mother who had a schizophrenic diagnosis years of neglect and abuse. He had been to five foster homes over a 5 years period and to each he was abused physically, emotionally, mentally and sexually. Client B. has no friends and during the time in the foster homes, his biological mother would only call to say she is trying to getting him back. Client B. is now adopted by a new parents and is now living in a caring environment but he is still struggling with mistrust issues, hurts, and low-self-esteem and anger issues. His adoption parents is very concern and want to see him become less distressed and open to the care and love that they are sharing. Client B. has developed some medical issues which was of concern to the medical provider was called in children services to check in on

Client (AM) is a 20-year-old heterosexual African American female, born in Durham, and currently still resides there. Her primary language is English. She lives with her 13 moth old child (NM) in a one-bedroom apartment. The client is unemployed and currently receives SSI benefits. AM resides in subsidized housing because of her social security income. Client did not finish high school and has no desire to do so.

She got her master’s degree in community organizing from the University of Connecticut School of Social Work.

The department’s intervention plan was to remove the child from the home and place her in a safer environment. My client’s response to this intervention at first was very angry and resentful towards the department. Father especially angry with the department and did not understand why he couldn’t keep his daughter since mother had the drug issue. I realized how difficult it would be to build rapport with them after removing their child. I ensured them that I was there to help; I was very empathic and showed them that I cared about their case. I worked with the parents and helped them to

Social Services: On 12/08/2016, client Lissy Figueroa met with assigned Case Manager Ms. Gilgen for Intake Assessment and Initial Independent Living Plan (ILP). Client is 21 years Hispanic female. Client has a 3 year old son named Maxwell. Case Manager asked client how and why she became homeless. Client stated that she was

The client, Julie*, called into the Crisis Center Hotline looking for immediate shelter for herself and her two young children. At that time, our shelter was not full and therefore had space for the mother and her children. I went through the procedural routine of making sure that she was not in the center’s blue books, a record of clients not allowed to receive shelter and/or services, and seeing if she had an alpha card already completed, this would mean that she was a previous client at the shelter and already had a file. Julie* did was not found in either source. At that point, I began to complete the shelter intake paperwork with her over the phone. The first two pages of the intake are completed first with the client. These pages find out more about the client’s demographics, her current physical and mental health state, how many children she has and if she could be pregnant at the time, her abuser’s demographics, and the presenting primary abuse occurring. I completed these two pages with Julie* and then from that point an approval staff member will tell you if you can complete the rest of the intake or tell the client that at the time we cannot offer them services. Julie* was approved to complete the rest of the intake paperwork. The majority of the rest of the intake paperwork is a more detailed explanation of the first two pages. These pages help the approval staff and I see if the client raises any major concerns and allows us to prepare for her stay

To begin, the counselor described her client and the ethical dilemma that took place. CMB was seeing her client, a 36-year-old white woman, for one and a half years. The client’s reason for attending counseling was to work through family issues, particularly, managing the effects of growing up with an alcoholic father. One day, the client asked CMB if she would take on her sister as a client. Initially, the counselor was hesitant, explaining that she does not normally like to take on new clients who have a personal relationship with her current clients. However, the client pushed, and explained that her sister was going through a very specific situation, unrelated to her own therapy, that would only require short term counseling. Further, the client said that is will not interfere with her counseling experience. So, CMB decided to take on her current client’s sister as a new client.

Claireece P. Jones is female, African American. She is 16 years old. She was born and raised in Harlem, New York. She lived in low income housing with her mother. She has been sexually abused by father starting when she was 3 years old. Client’s father impregnated her at the age of 13. The client gave birth to a baby girl who has Down Syndrome. The bay i snow three and has been raised by client’s grandmother since birth. At 16 the client became impregnated again by father. Gave birth to a baby boy that has no known medical concerns in January 2017. Client moved into halfway house 4 days after giving birth. She has been living at the halfway home since she left her abusive mother. Client’s mother has attempted to

As explained by the Arizona Department of Health Services (2011), “Each behavioral health recipient has the right to participate in decisions regarding his or her behavioral health care, including the right to refuse treatment.” This individual violated multiple NASW (2013), ethical responsibilities throughout the course of professional services provided including the values of informed consent, competence, conflicts of interest, and privacy and confidentiality. Social workers should make every attempt to uphold all social work responsibilities to clients in the course of professional treatment and service. With regard to ethical responsibilities in the practice setting according to the NASW (2013), the values of supervision and consultation, education and training, and clients records appear especially relevant to this case. The individual lacked adequate experience and training in the manner in which he was practicing, however, did not consult with another professional regarding the appropriate course of action to take. In addition, client records were not properly maintained as it appeared several progress notes had not been documented along with records of informed consent, treatment plans, and releases of

Maria yesterday, I met with Ms. Betty Blake, she has two letters from the Dialysis Center that she goes to. One of the letters is from the doctor and the other letter is from the Social Worker. Both letters are addressed to the Department of Homeless Services, requesting for the client to be transferred to a medical shelter. Client refuses for this worker to make a copy of both letters. The Social Worker letter stated that in the past the client was physically assaulted at this shelter and this shelter is not a good setting for the client.

The client displays frustration as soon as the social worker asked the client to fill out an application for services provided through Family Services because the client has filled out numerous applications with various agencies. The client expressed that the agencies should be able to get the information from other agencies. Due to the policies that surround the social welfare agencies, there are confidentiality practices that the agencies are obligated to implement and follow. Granted, collaboration between social welfare agencies is increasing, in contrast the confidentiality of client information must be protected and honored. Additionally, the client appeared overwhelmed and stressed regarding not having the ability to pay her rent, utilities, and provide food for her child. There are agencies and policies that assist people in meeting their needs such as, TANF, SNAP, and other programs that will assist the client with meeting the basic needs of her family. However, the assistance is based on the income a policy establishes and a family

She is currently attending every Thursday to Queens Consultation Center LL to address her mental situation. CM mentioned to the client she will need to see the onsite psychiatrist for an update psychiatric evaluation to identify the proper housing. Client reported she doesn’t want to see the onsite psychiatrist doctor and she prefer to bring a copy of the psychiatric and psychosocial evaluations from Queens Consultation Center LL. CM also mentioned to the client the shelter will like to contact Queens Consultation Center for update information concerning the type of services client is receiving, client attendance and medications. CM provided the client with HIPPA Form to Release information. Client refuses to sign the Release Form and stated “ I will bring you the

She cannot force family to assist in any capacity. She must protect patient’s confidential information while trying to find housing for the patient. The secondary issues are lack strong patient participation, lack of recovery plans, and no concrete measurable tools for long term recovery. The patient’s refusal to accept and acknowledge her psychological disorder was tolerated by those who provided her care.

When interacting with the world of social services applicants are expected to respond with humble gratitude at the opportunity to apply for services that should be available to anyone in need, this creates an unspoken power struggle between providers and recipients of services, this often leads to mistreatment that can be described as “infantilization or objectification” (Hoffman/Coffey, 2008) of those in need of services. It is these types of marginalization that often leads to people opting out of the system altogether and attempting to find an alternative plan for survival. For example, if an applicant is unable to provide a social security card for an infant their award is reduced or revoked until the applicant appeals the decision in court. The assigned social worker often acts as if the applicant is trying to commit fraud, even though the state has access to these records (Bourgois, 2003 pg. 244-245).What is even worse is when that person attempts to re-apply for services, they are often confronted by their social worker opening an investigation into how they were able to pay their bills during their gap in services as evidence of fraud as grounds to deny services. This is the point at which marginalized people loose hope ending up in homeless encampments such as Seattle’s “Jungle” and turning to criminal activities in order to

HOUSING PLAN: client reported she is not open to SRO. Client psychosocial evaluation is not completed because client does not want to disclose any information to staff and she stated she prefer for her psychiatrist to do both psychiatric and psychosocial evaluation. She also mentioned a few days ago she submitted a letter from a psychiatrist stating she doesn’t have any mental disorder. Client met for a conference meeting and in the meeting it was mentioned to the client that the shelter need a more comprehensive psychiatric evaluation. It was also mentioned to the client is for housing purpose. Today in the meeting client was very combative and argumentative. She mentioned to CM she went on the DHS website and she doesn’t see the purpose or the reason of providing psychosocial & psychiatric evaluation.