Conduct a Biopsychosocial-spiritual Assessment and Discharge Follow-up Summary then Reflection

Attachment: Date 09/04/2024 Biopsychosocial DOC is the current paper with details on client.

You will demonstrate competency using the Generalist Intervention Model (GIM) by submitting a completed biopsychosocial-spiritual assessment (BPSSA), action plan, and discharge summary for a volunteer “client.” See the Background Information for Assignment 1 for additional details.

Assessments, sometimes called intakes, come in an amazing variety of formats. In practice, you will use your employer’s format which will likely differ from what we use in class. This Biopsychosocial-spiritual Assessment (BPSSA) outline is very thorough. Preparing for and carrying out this assessment will help you to gain competency in the processes of assessment which you will be able to apply in almost any social work setting.

Biopsychosocial-spiritual Assessment Outline

Client: 

Worker: 

Date of Report: 

Identifying Information: (Preferred Name, Made up Address, Phone, Date of Birth) 

Referral Information: (source of referral; reason for contact, including challenges faced and previous attempts to resolve current concern/issues, other professional or indigenous helpers currently involved) 

Individual functioning: (developmental status, area of needs, and areas of strengths in the following areas)

1. Physical: 

2. Cognitive: 

3. Emotional: 

4. Psychological: 

5. Interpersonal Capabilities: 

1. Cultural functioning: (race/ethnicity, primary language and languages spoken, significance of cultural identity, cultural strengths, intersection with human rights and social justice, experiences of discrimination or oppression)

1. Family information: (names, ages, involvement with clients, including spouse/partner, parents, siblings, children, and relevant extended family members, relational support. Include the genogram created earlier in the course)

1. Natural Support Network: (significant relationships, names and nature of involvement, social supports, create an ecogram as a visual aid to understanding the client’s social network if this would be helpful )

1. Physical Environment: (housing situation, financial stability, transportation resources, neighborhood, assets from the physical environment)

2. Nodal Events: (key situations and watershed events, with client’s response to major life challenges such as deaths of significant others, serious loses or traumas, significant life achievements or breakthroughs)

3. Education: (dates, places, and years of education completed, accomplishments, degrees, and credentials, relationship in general to educational environment)

1. Employment: (current job, type of work, lengths of employment, previous experience, skills, and special training, relationship in general to employment environment)

1. Medical History: (key birth information, record of illness/accidents/surgery, medications used, family medical and genetic issues, physical limitations, special diet, key items that stand out in a medical record)

1. Substance Abuse History: (alcohol use or abuse, drug use or abuse, family history of use or abuse)

2. Religion: (affiliation, denomination, membership, extent of involvement, spiritual perspective, special observances, strengths derived from spiritual worldview)

3. Social activities: (interests, clubs/organizations, preferred recreation, travel, use of free time, strengths from the social environment)

1. Future Plan: (client’s perspective on current referral situation, desired goals in relationship to identified reason for referral, personal and environmental resources to meet goals related to referral reasons, perceived constraints or obstacles to overcome to goal attainment)

Complete Discharge Summary and Plan Instructions

A Discharge Summary and Plan, also known sometimes as a Discharge Plan or Treatment Summary, is written when work with a client is concluding either due to planned termination of services or when the client is leaving or transferring from a social service agency.  In one to two double-spaced pages, answer the following questions.

In general, this document includes:

1. The date of discharge or conclusion of services

2. The reason for the discharge, referral, or ending of services

3. A summary of progress on the goals listed in the Action Plan

4. A statement of any unmet goals or work to be continued

5. A statement of any referrals to be made

A statement of what the client will do if they need to resume services in the future 

BPSSA Reflection Brief

In one to three double-spaced, typewritten pages added to the end of your BPS-SA and 

Discharge Summary, answer the following 

questions about the process of completing your BPSSA and its component parts. 

This reflection should be the final pages of your BPSSA Assignment that includes: 

1) the assessment itself; 2) the action plan; 3) the discharge summary and plan; and 4) this reflection brief.

1. What was the most difficult part of the process for you?

2. What was the easiest part of the process for you?

3. What ethical considerations were important to you in this process?

4. What suggestions do you have for making this assignment a better learning experience?