Social Work Family Assessment Paper

In order to work effectively and appropriately with vulnerable and marginalised groups in society such as individuals with mental illnesses, it is fundamental for a social worker to have a comprehensive knowledge base and proficient skills.

In social work practice, client assessments are important because they allow social workers to gather information from clients. This information helps the acting social worker better understand clients presenting problems. The assessment also helps social workers evaluate a client’s progress and evaluate the effectiveness of interventions used. In this paper, a multidimensional assessment will be performed on a client I have been working with at my internship placement, Urban Ministries of Durham. Once all relevant information is presented, and intervention and treatment plan will be discussed.

Growing up in the household under substances influence can cause severe damage to the child. Parental substance abuse has a significant impact on family function, and it may also contribute to child maltreatment. It heightens the risks to both of the physical and emotional safety of the children, and it generates children’s problematic outcomes. Children who grow up in such families may also experience mental health issues, social isolation, financial difficulties, and exposure to stressful life events and so on.

In order to address the client’s problems and strengths Birkenmaier suggest using a “two compartment model”. “In this approach, the assessment includes a two component model in which the social worker first explores a series of questions with the client to define the problem situation (Component 1). The questions will not only help to identify the client’s strengths, but also their life experiences (both positive and challenging), and strategies for coping with adversity. Gathering this comprehensive perspective on the client’s identity can aid both the social worker and the client in formulating a perception of the client in terms of strengths, versus deficits. (Birkenmaier, 2014, pg.110)”

The systems Perspective sees human behavior as the outcome of interactions within and among systems with interrelated and interdependent parts; as defined by its boundaries. Changing one part of the system affects other parts and the whole system, with predictable patterns of behavior (Hutchinson, 2015). The family system has been a widely used theory of family interventions and assessment. The family systems theory is focused on the family dynamic, involving structures, roles, communication patterns, boundaries, and power relation (Rothbaum, 2004). Many theorist such as Bowen, developed the systems theory that focuses on how a

The majority of children living in a dysfunctional family with a drug addicted parent will not develop a secure attachment with another individual, where the relationship revolves around intimacy and mutual understanding. Parents who are codependent on each other have learned to regard the dysfunction as normal, and their children could be susceptible to numerous scenarios. They could become the target of their parent’s abuse, either sexual or physical. The children of codependent parents could easily gain access to drugs or alcohol since no one is paying attention to the child. The codependent parents are preoccupied with the alcoholic or drug addicted parent, and they might never bother to realize their child is in grave danger. The codependent parent’s children might never recover fully from the trauma, abuse, or neglect inflicted on them. In addition, the children learn to become adults who repeat the vicious cycle of domestic violence or abuse themselves. Children of codependent parent might grow resilient despite

Substance abuse, the abuse of drugs or alcohol, is known to have a lasting impact on members of the abuser’s family (Crosson-Tower, 2013). Ultimately there are two ways in which a family can experience the detrimental effects of substance abuse within the family system itself, and those ways are through either substance abuse on the parent’s behalf or substance abuse by the adolescents or children in the family unit (Crosson-Tower, 2013). Substance abuse can have many negative impacts on a family unit; the negative impacts are known to be emotionally, physically, and mentally damaging (Gruber & Taylor, 2006).

The use of assessment in social work practice is to enable the social worker to reach an early understanding that can “describe, explain, predict, evaluate, and prescribe or suggest interventive methods” (Parker & Bradley, 2003, p. 12). In the early stages of working with a client the social worker will use their interpersonal communication skills of building

Although all sorts of families can be devastated by addiction, but single parent units (the most common lower class structure) are the most obscured. Behavioral Health of the Palm Beaches supports, “In every family unit, each person plays a role (or multiple roles) to help the family function better and to maintain a level of homeostasis, stability and balance. When substance abuse is added to this dynamic, the family roles naturally shift to adjust to the new behaviors associated with drug or alcohol use, and to continue maintaining order and balance.”4 In single parent units there is an inability of a second parent to fill the void role of the addicted parent. The National Center for Biotechnology Information states, “Frequently, children may act as surrogate spouses for the parent who abuses substances. For example, [young] children may develop elaborate systems of denial to protect themselves against that reality of the parent’s addiction. Because that option does not exist in a single‐parent household with a parent who abuses substances, children are likely to behave in a manner that is not age‐appropriate to compensate for the parental deficiency.”2 So a child growing up in a compromised family unit where addiction is present may develop altered norms and mature into an addict themselves.4

In life things do not always go as planned, sometimes we make some tough choices, which may cause burdens to the ones that love us the most our family (Intervention Videos, 2012). I will be conducting a family analysis on twenty- one-year-old Kaylene from Bernardsville, North Carolina (Intervention Videos, 2012). Kaylene has been battling her drug addiction since the age of thirteen where she started using cocaine and marijuana (Intervention Videos, 2012). For five years now she has been addicted to prescription drugs and she also sells them for money. It all began in Kaylene’s childhood she was abused as a child for some of the simplest things by her estranged father who was an alcoholic at

According to NASW standards, advanced clinical practice competency in depression care for social workers requires that clinicians demonstrate knowledge and skill in assessing and managing symptoms, communicating with patients and families, and providing evidence-based interventions (NASW Standards for Clinical Social Work in Social Work Practice, 2005; NASW Standards for Social Work Practice in Health Care Settings, 2005).

Parental substance abuse is something that both directly and indirectly affects a child. Intervention programs have been designed to help eliminate certain risk factors that some adolescents are prone to if they live with at least one parent who has some type of substance abuse problem. Intervention programs vary in many different types and styles. Some intervention programs focus on individuals and others focus on communities or the entire family as as unit. A study done by Lewis, A. J., Holmes, N., Watkins, B., & Mathers, D. (2015) focused on trying to answer whether or not intervention programs aided in reducing the outcomes of parental substance abuse. For this study, the intervention program of focus was named Supporting Kids and

The two key elements in successful practice are the social workers ability to guide clients through the phases of the change process and assist clients in making decisions that will result in enhancement of their social functioning or the improvement of a social condition (Bradford W. Sheafor, 2008, p. 52). Social workers select and use specific techniques that have been individualized to the needs and situation of the client or client group being served, and the resources that are applied to help resolve the client’s problem or concern (Bradford W. Sheafor, 2008, p. 51).

There are many factors that impact vulnerability including social conditions, such as education, environmental factors, nutrition, stress and prejudice along with a family’s poverty level. Vulnerability will be discussed as it relates to adolescent substance abuse. Adolescence is considered a vulnerable time in life for many reasons and it’s the most vulnerable time in life for an individual to develop a substance abuse disorder (SUD). This disorder will be explored through the utilization of the Bioecological Family Systems Theory and will be discussed through each system level (microsystem, mesosystem, exosystem, macrosystem, and chronosystem).

A helping profession is one that nurtures the growth of or addresses the problems of a person's physical, psychological, intellectual, emotional or spiritual well-being.