Biopsychosocial-spiritual Assessment and Sample Ecoscan (ecoscan can be on client or online student can use their own area to analyze). Based this paper from the movie “Precious” film 2009.
● Due: Week 13 before live session
● Pages: 10-12
● References: 6
Minimum 6 citation
The purpose of this assignment is two-fold. First, to orient and accustom you to thinking about individuals and systems as interdependent and to provide you with a three-dimensional lens for understanding your client- clients can be individuals, families, or an individual in a group. In addition, this will be your first introduction to writing a BioPsychoSocialSpiritual (BPSS) Assessment.
A BPSS is the most common tool that social workers use to organize information that you have gathered about your client which ultimately will lead to your conceptualization (or clinical formulation) of why you think your client is experiencing a particular problem at a particular moment in time. This descriptive information and conceptualization are essential for developing an appropriate treatment plan. Most agencies that you work at will require some version of a BPSS; some will be very brief, and others will require a longer, more narrative format. Because we are approaching this as both an academic exercise as well as a clinical intervention, citations are required (minimum of 6). As social workers, the focus of the information we gather should always be strengths-based and rooted in our understanding of how micro, mezzo, and macro factors influence our clients’ functioning.
Write a brief BioPsychoSocialSpiritual assessment, keeping in mind the information you gathered in your Ecoscan. The paper is divided into sections to help you organize your thinking about how the BPSS and Ecoscan are integrated. Please use headings when writing your assignment.
Part I: Ecoscan (Mezzo and Macro considerations)
Begin by walking* or driving* around the neighborhood/community where your client lives and where your agency is located; what do you observe? (If your client does not live in the community where your agency is located, you may study either community or both communities.) * Please note COVID19 safety conditions Questions to think about as you explore the environment:
● What is the physical appearance, noise level, and density of the neighborhood?
● How might your client experience themselves in the context of this community? For example, might your client feel a sense of belonging or a sense of being an outsider?
● What is your experience of walking* or driving* around this neighborhood?
Gather data about the community using websites along with various informants in the agency or neighborhood. You can use government census data, national data for particular populations, and local/community websites around areas of specific interests. The following library link will be helpful: https://simmons.libguides.com/EcoScan.
Answer the following questions that are specifically relevant to your client making sure to appropriately cite the resources that you used to gather the information.
● What is the ethnic, racial, and socioeconomic makeup of the community in which you are placed?
● What is the fiscal budget for public education in this area? How does it compare to budgets of other areas?
● What are the concerns, if any, relative to environmental justice in this community?
● If a client has a medical need, where is the closest health center / hospital? Is this health center / hospital accessible? Does it offer culturally and linguistically appropriate services?
● If a client has a housing and/or food related need, what services are available and accessible? How far would a client need to travel to access fresh food?
● If a client needs to access childcare and/or elder care services, what is available and accessible? Part II: BioPsychoSocialSpiritual (BPSS) Assessment
Introduction
Agency and Student’s Role
Identifying information of client system (consider client confidentiality)
Age, sex/gender, race/ethnicity, relationship status, student/employment status, living situation, environmental context (Please note to include any pertinent information you consider relevant to your client system)
Presenting Problem
Focus on how the client and referring source define the problem
Current and Historical Information
History of the presenting problem, Family History, Social History, Medical History, Psychiatric History, History of suicidality, Sexual History, Gender Identity Issues, Racial Identity, Trauma History, Substance Use, Legal Involvement, Cultural Issues, Religion and Spirituality, Other?
Risk and Protective Factors
· Personal – strengths, adaptability, coping, interests
· Social – family, communities
· Financial, institutional, housing, environmental
Clinical Formulation
Write a formulation/case conceptualization based on the information that you gathered. This section is where you take your descriptive information and present your hypotheses. The formulation should involve your creative thinking including your understanding/conceptualization, pulling all relevant data into an integrated, cohesive statement including how the past affects the present, how the current behavior reflects both past and present patterns of behavior, and how all the systems involved have affected the client’s current functioning.
· Include the following guidelines:
o Do not repeat information you have presented in earlier sections.
o Describe or hypothesize (written in the realm of possibility) why you think the problem is occurring at this moment in time.
o Incorporate both a risk and strength perspective.
o Keep in mind that you should only be writing a case conceptualization that you are willing to share with your client.
(Please note that not all the above data can or should be utilized in any singular formulation but only those factors that are particularly relevant in your client’s situation. Clarity, succinctness, and integration of material are the essential elements.)
Goodness of Fit Analysis:
Using your critical thinking skills, please reflect on how the information you gathered for the ecoscan influenced the information you chose to include in your BPSS. Be sure to include references from your data sources (environmental context) as well as readings to support your ideas.
· Questions to think about:
Did walking around your client’s neighborhood influence your thinking about the etiology of your client’s current challenges?
What is the goodness of fit between the client’s needs and available resources, or lack thereof?
Did the information that you gathered from various data sources raise any questions or concerns for you regarding future intervention
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