Psychosocial Assessment Outline: Use the headings and bullet points from this outline to organize your Psychosocial Assessment paper
I. DESCRIPTION and PRESENTING PROBLEM(S)
a. Identify client system (person, family, group, organization, community)
b. Specify the presenting issues of concern as outlined by the client and significant others .
Suggestions for writing the narrative:
In this section, describe the presenting issue or issues of concern as identified by the client or responsible party (e.g., parent, guardian, judge, researcher, or medical doctor). Clearly identify the source of the information and summarize the origin, development, and status of the issue. Quote significant words and phrases chat help to describe needs, issue, concerns, or goals. In this section, outline how social services came to be sough t or required at this time. Also, if identified, record the initial, desired outcome of the social service as envisioned by the client or responsible party. Unless the situation is of such an urgent or life threatening nature char you are required to take action immediately, postpone your own review of issues and goals until you and the client have under taken a more thorough exploration and assessment. (Cournoyer, pg. 279).
c. Assets and resources available to support the client
Suggestions for writing the narrative:
In this section record information concerning strengths, assets, and resources available within the client system. Competencies, social supports, successes and life lessons may be noted as well as specific resources such as the involvement of concerned significant others, financial resources, optimistic attitudes, or high energy levels. Identify the source of this information about assets and resources. If possible quote specific descriptive words and phrases.
II. DATA COLLECTION on SOCIAL HISTORY
a. Summarize the history of the problem
1) Reasons for and circumstances of referral or request for help as stated by the client, family, and others involved
2) Previous coping efforts and their effect
b. Describe strengths, weaknesses, patterns and characteristics in
1) Person System
· Physical/biological abilities and limitations
· Mental/cognitive abilities and limitations
· Psychological/emotional factors
· Life stages/developmental milestones and issues
· Alcohol/drug use
Suggestions for writing the narrative:
· Work, education or other meaningful roles
· Social support network
· Financial
· Spiritual/religious involvement
Describe educational history, history and/or current legal system involvement, issues of custody or guardianship as relevant, employment and military history or volunteer experiences. Summarize current and past religious and spiritual affiliations and their meaning and significance for the client.
· Critical events
Summarize events or situations that might have been significant in some way. Identify critical liberating, empowering, or growth- enhancing processes and events such as successes, accomplishments, achievements, and experiences that may have enhanced psychosocial functioning. Also identify critical events such as violence, abuse, rape or molestation, suicides or suicide attempts, victimization, oppression, and discrimination chat may have had traumatic effects. Describe how these experiences affected the client.
· Other relevant ecological contexts (e.g., place of employment, faith community, agency setting, rural/urban)
c. Issues of difference as these affect the problem, problem definition, understanding, client worker relationship, resources, attitudes, and acceptance of help
· Ethnic
· Racial
· Cultural
· Religious
· Gender
· Age
· Socioeconomic status
· Rurality
III. ASSESSMENT FORMULATION
a. What problems does the client identify during assessment?
b. What additional problems do you identify during assessment?
c. What bio-psycho-social and environmental factors are causing or contributing to the presenting problem and other identified problems/issues?
d. What strengths or weaknesses exist in the client system(s) that may affect the intervention processes?
e. What environmental and client factors may affect the availability and acceptance of help?
f. What are the problems to be “worked” as mutually decided by the client and worker?
IV. THEORY INTEGRATION
a. In about one-half to one page describe the theoretical approaches that informed your formulation.
Adapted from: Cournoyer, B. (2014). The Social work skills workbook. 7th Edition. Belmont, CA: Brooks/Cole.2
