• This Bio-psychosocial Assessment information provided by a personal interview at Terrell County Department of Family and Children Services with the client. All the information is based on the existing client; however fictitious dates, numbers, names, neighborhoods, and times are noted. This is information has been changed to maintain and uphold the standards of the NASW Code of Ethic of confidentiality and privacy of the client in this assessment.
Client & Intern Confidentiality Consent Agreement
Intern Student Barbara Roberts, in her SOWK 4472, Integrative Field Seminar class and a representative at Albany State University will maintain confidentiality and respect the privacy of the client by changing names and the following information …show more content…
The exact birth date, dates of plans, or referral dates are not given.
The client and family's ages are not noted.
The birthplace, neighborhood, specific places or employment is not disclosed.
I, Ms. Faith, hereby give Intern Roberts my permission to interview and complete her Bio-Psychosocial Assessment for Field Seminar class. I understand Intern Roberts will not disclose my date of birth, name, address or neighborhood, as well as maintaining confidentiality with my family members as well.
_______________________________ _____________________________
Client Printed Name Intern Printed Name
________________________________ ______________________________ Client Signature Intern Signature
________________________________ _____________________________ Date Date
THE BIO-PSYCHO-SOCIAL-SPIRTUAL HISTORY AND ASSESSMENT
Client Name Ms. Faith
Case Number …show more content…
The client describes it as a problem because of her children living in an unsafe environment. The reported stated that Ms. Faith lives at 330 Liberty Avenue, Dawson, Georgia 31774. Ms. Faith resides in an at-risk community on the west side of Dawson, Georgia. There are five people involved in the problem, the client’s mother has custody of two of her kids, and Ms. Faith has custody of her three month old boy. Ms. Faith and her son are currently residing in a one bedroom apartment complex. Ms. Faith presents herself as a caring and motivated single parent, who is willing to accept help from DFCS, to gain custody of her other two children. The client show great determination and strength of soberness for four months before the birth of her newborn. Ms. Faith reported she is thankful for her mother's willingness to care for her two other kids. Ms. Faith stated that she is required to take a drug test randomly and she is not fearful. Some resources that are available at DFCS would be entering a substance abuse counseling service, and parenting classes with an intervention plan and skills to take care of all her children and to maintain a stable home environment. Also, applying for
Client & Intern Confidentiality Consent Agreement
Intern Student Barbara Roberts, in her SOWK 4472, Integrative Field Seminar class and a representative at Albany State University will maintain confidentiality and respect the privacy of the client by changing names and the following information …show more content…
The exact birth date, dates of plans, or referral dates are not given.
The client and family's ages are not noted.
The birthplace, neighborhood, specific places or employment is not disclosed.
I, Ms. Faith, hereby give Intern Roberts my permission to interview and complete her Bio-Psychosocial Assessment for Field Seminar class. I understand Intern Roberts will not disclose my date of birth, name, address or neighborhood, as well as maintaining confidentiality with my family members as well.
_______________________________ _____________________________
Client Printed Name Intern Printed Name
________________________________ ______________________________ Client Signature Intern Signature
________________________________ _____________________________ Date Date
THE BIO-PSYCHO-SOCIAL-SPIRTUAL HISTORY AND ASSESSMENT
Client Name Ms. Faith
Case Number …show more content…
The client describes it as a problem because of her children living in an unsafe environment. The reported stated that Ms. Faith lives at 330 Liberty Avenue, Dawson, Georgia 31774. Ms. Faith resides in an at-risk community on the west side of Dawson, Georgia. There are five people involved in the problem, the client’s mother has custody of two of her kids, and Ms. Faith has custody of her three month old boy. Ms. Faith and her son are currently residing in a one bedroom apartment complex. Ms. Faith presents herself as a caring and motivated single parent, who is willing to accept help from DFCS, to gain custody of her other two children. The client show great determination and strength of soberness for four months before the birth of her newborn. Ms. Faith reported she is thankful for her mother's willingness to care for her two other kids. Ms. Faith stated that she is required to take a drug test randomly and she is not fearful. Some resources that are available at DFCS would be entering a substance abuse counseling service, and parenting classes with an intervention plan and skills to take care of all her children and to maintain a stable home environment. Also, applying for