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Biopsychosocial assessment









A. Biopsychosocial assessment

Wayne State University

School of Social Work

6/12/2013

004262224












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Presenting Problem:
Nicole Kramer (pseudonym) is a 27 year old single Caucasian female who is currently living in the
basement at her parents’ home. She has no children and she feels stressed out about her current
circumstances. She graduated 2 years ago with degree in History and is doing nothing with it and feels
very helpless. She wants to be independent and live on her own and wants to go back to school to get
her teaching degree but she feels like it’s going to take time from her other jobs and that she might
struggle and not able to get her teaching degree because she struggles with a learning disability. Her
mother is very over protective and controls certain situations and she doesn’t want to upset her so she
does what her mother says. Overall, she wants to be able to feel like she is actually doing things on her
own and not depending on other people.
Family of Origin History:
Ms. Kramer’s mother was 23 years of age and Ms. Kramer’s father was 27 years of age when they had
her and her parents were married ( still are) when they had her and her siblings. She has a twin sister
named Nancy who is also 27 years of age and single, who also lives with her parents. She also has two
older brothers; Trevor who is 32 years old is married with two children and currently a school
psychologist, Ty who is 29 years old is married with three children and currently a career advisor at a
college. My client stated that all of her mother’s pregnancies were planned. Her parents have been
married for 33 years and her mother is 50 years old and her father is 54 years old. Her mother was a stay
at home mom and took care of her and the siblings, while her father was a teacher, the men’s varsity
basketball coach and a farmer. But her father still managed to spend time with the family and was a
great father concerning all the jobs that he did to provide for his family. She recalls when she was
younger, that her mother had a shopping problem and would spend money that they didn’t have on

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things that they didn’t need or couldn’t afford. Therefore, it caused a lot of fighting between her parents
and there were times where she couldn’t sleep at night because she was worried about her mother. Her
father had a temper when she was younger and would sometimes witness her father hit her mother
because he would find out that she spent all their savings on things that they didn’t need instead of
paying the bills. My client states that minus all them things, her family is a very strong family and has
grown very close and her father has calmed down as he has gotten older and her mother no longer has a
shopping problem. My client had stated that depending on the holiday, they would celebrate by opening
gifts as a family, then they would go over each grandparent’s homes and exchanging gifts and they
would also have holiday meals together. My client’s mother’s highest educational level is a high school
diploma. Her father graduated from college with a teaching degree, her two brothers also graduated
from college and her twin sister is currently still in college. Currently her father’s health is well and her
mother has diabetes. Her oldest brother had cancer called Leukemia, when he was younger, so she went
through that when she was younger and that was hard on her family but brought them closer together.
He survived the cancer and currently his health is well and so is her other brother and twin. My client
stated that her grandfather had passed away from diabetes, which is her mother’s father and her
mother was very close to him, so she took it pretty hard. Her grandmother on her father’s side had
passed away from a stroke and that was also pretty hard on the family. My client had stated that the
family stayed strong and stuck together during the hard times. They really did not discuss the deaths
after it had happened, all they talk about are memories about her grandparents. My client had stated
that there were no sexual abuse and the only physical abuse went on was witnessing her father hitting
her mother sometimes when they would get into fights and they happened mainly at night when her
and her siblings were all sleep. My client stated that there were no substance abuse in the family.



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Developmental History:
Ms. Kramer had arrived three minutes after her twin was born. She was delivered during a C-section and
she was 7 pounds and was bottled fed. My client had stated that she didn’t have any developmental
delays and achieved walking, talking, and potty training at a normal age.
Health History:
At birth her health was good; my client had her first menstrual cycle was at the age of 11. My client did
not had any surgical surgeries. My client is lactose intolerant, where she can’t have any diary food.
Substance Use/Abuse History:
My client states that there has been no substance use nor abuse problems
Mental Health History:
There has been no Mental Health problems
Legal History:
There has been no legal problems
Immigration History:
My client is not an immigrant
Relationship/Sexual History:
Ms. Kramer has very few close friends and the only close friend that she has and wants is her twin sister.
She has friends but she occasionally speaks to them and there are very few who she keeps in contact
with from high school and college. My client stated that she was very shy and her twin sister is the more
outgoing type. Her longest friendship is with her twin sister. My client states that she is straight and that

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she had begun dating when she was a sophomore in college. Client has never been married and does
not feel comfortable telling me her first sexual encounter.
Family Creation History:
Ms. Kramer has been in two committed relationships, one was when she was a sophomore in college,
which lasted a year. My client stated that the relationship ended because he had cheated on her and
she did not forgive him and broke it off with him. It took her along time to get over him because he was
her first committed relationship. Then her second relationship was when she was a junior in college,
which lasted only 3 months. The relationship ended because he had a sex problem and she would not
give it up to him. Currently she is single and eventually would love to marry someday when she finds the
right one.
Religious History:
Ms. Kramer is a Christian; she believes in God and that when she was younger they attended church
every Sunday but now that everyone is older they don’t really attend church anymore like they use to
but she still loves and believes in God.
Educational History:
Ms. Kramer recalls that in elementary and middle school she would go to a speech therapist and teacher
consultant who would help her get organized and help her do her work, she would receive one on one
help. When she went to high school, she did not receive help because she did not want people to know
that she had a learning disability. When she got to college she did receive help and was enrolled in the
special services where she would have accommodations on taking tests and having a tutor. She played
college basketball and her academic advisor advised her to get her degree in History because she felt
that would be the easiest for her. Now she wants to further her education and get her teaching degree

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so she can do something with her degree, but she does not want to be set back finically because she
does not have the money and she is scared of failing because of her learning disability.
Employment History:
When my client was younger, her chores were to clean up the kitchen, do the dishes and sweep. When
she was in middle school and high school her parents never made her get a job because she stayed
active in sports. When she was in college her job was playing on the women’s basketball team on a full
ride scholarship but when she was done playing she worked on campus as a building maintenance
worker. Then when she had graduated from college, she moved back home with her parents and started
to babysit for her brother. Then she got a job in retail at Macy’s and barely makes enough money to put
in her savings. My client is feeling very down about herself because she wants a good paying job that has
stability where she can move out and be independent. She is very appreciative of her parents letting her
stay with them and living rent free but she wants to be able to do what she wants when she wants,
without her mother making her feel bad about it.
Military History:
My client has had no military experience
Financial History:
During my clients financial growing up, they were middle class, where when they lived on the farm her
dad was the provider where as her mother was the stay at home mom. Then when they moved to the
city, when her brother overcame his cancer, that is when her mom and dad both had jobs. My client
states that when she was growing up they were finance stable and they still are. Currently, my client is
not financial stable and wants to be more independent and be able to live on her own.


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Strengths:
Ms. Kramer states that she has a great heart, honest, personable and hard working. My client states that
she is very athletic and loves to spend time with her family and loves to help people out. Ms. Kramer has
a high school diploma and she has a degree in history. She loves helping out her family and taking her
own time out by watching her brother’s children. She loves her family and has been through a lot
especially during school and has never gave up, and to me she seems very strong and would do anything
for her family. Ms. Kramer is very driven and has goals and wants to be able to further her education.














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Step 1: Working with the Client
Ms. Kramer sat down with me and shared some of her issues that she is dealing with and would like to
work on. The resulting issues are:
1. She wants to be independent to live on her own
2. She wants to be able to go back to school to get her teaching degree but it will take time away
from her other two jobs and she struggles with a learning disability
3. Her mother is over productive and controls certain situations in her life
Step 2: Prioritize the Problems
1. Struggles with a learning disabilityphyiscal
2. Wants to live on her own but Struggles financially
3. Conflict with Mother who is over protective and controlling
Step 3: Translate problem into Need
Problem Need
1. Struggles with a learning disability Intervention to help dealing with a learning disability
2. Wants to live on her own but Struggles finically Help find different career paths
3. Conflict with Mother who is over protective and controlling Relief conflict with her mother




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Step 4: Evaluation Levels of Intervention for Each Need
Goal # 1: Intervention to help dealing with learning Disability
Micro Strategy: Find an agency where she can cope with her learning disability
Pros:
• She will be able to gain more confidence
• She would be able to get proper treatment with an agency where she will be able to cope with her
learning disability
 She has partial insurance that may cover whatever she needs
Cons:
• Client might not have enough money to cover her treatments
• Client may not be able to finish her treatments because of financial reasons
Mezzo Strategy: Find local Learning Disability resource support groups
Pros:
• By attending group sessions, my client will be able to gain support from other peers who are
going through the same thing and so she knows she is not alone
• Attending the support group could give her more confidence so she can go back to school to get
her teaching degree.


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Cons:
• There might not be a local support group in her area/close to her.
• She might have to travel far to find a support group.
Macro strategy does not apply.
Goal #2: Help find different career paths
Marco Strategy- Attend a job fair.
Pros:
• Client will be able to attend the fair and to see who is hiring and what company may best fit her.
• Client will be able to have access to application and apply in person for other jobs
• Client would be able to hand over her resume and talk to the employer in person.
Cons:
• Finding a job fair in her area might be hard and she might have to travel outside of her city.
• Client may not have a resume and not know how to make one.
• Client might feel discouraged if no one interviews her or gets a call.
Micro Strategy- Go back to college and get her teaching degree.
Pros:
• Client would open up more doors with the two degree that she has.
• Client will gain confidence, knowledge and skills.

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• She would be making new friends and doing a lot more networking with students and
professors.
 Client can receive help from the disability offices and receive accommodations because of her
learning disability.
 Client can attend support groups on the campus.
Cons:
• Client may not be able to get out student loans or loans to pay for her tuition.
• Client may get discouraged because of her learning disability.
 Client may have trouble getting into a local college
 Client may have trouble getting into the teaching program
Mezzo Strategy does not apply.
Goal #3: Relief conflict with her mother
Micro Strategy: Set up a meeting with her mother to see me
Pros:
• She can tell her mother how she feels.
• She will feel better about everything on about getting everything off her chest.
• I can be right there while she talks to her mom and I can be there to guide and support and help
through there difficult time.



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Cons:
• Clients mom might get upset and not want me to be there.
• Clients mom might not be open minded.
 They may not be able to work it out
Mezzo Strategy: Find a support group with the same issues and help resolve the conflict
Pros:
• Client and her mother could go and help resolve their problem.
• Be there with other people who are going through the same thing and have that support and
find ways to help their relationship.
Cons:
• Client might have to pay a fee.
• Client and her mother might not be able to go together because of their work schedule.
Macro strategy does not apply.







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I. Goal number one – Intervention to help dealing with a learning disability
a) Objective number one – To locate an intervention for Learning Disability within 4 days.
1. Task number one – Find a specialist that helps someone cope with a learning disability within 2
days.
2. Task number two – Make an appointment within 3 days.
3. Task number three – Show up to the appointment and comply with the intervention.
b) Objective number two- Find local Learning Disability resource support groups within 2 weeks
1. Task number one-Search online to locate local Learning Disability resource support groups
within one week.
2. Task number two-Client will ask Specialist for suggestion while at next meeting within a month.
3. Task number three-Check the internet and newspaper within two weeks.
II. Goal number two – Help find different career paths
c) Objective number one – Find a job fair within 2 weeks.
1. Task number one – Search internet for local job fair within 2 days.
2. Task number two –Check to see if client has a resume, if not help her make one within 1 week.
3. Task number three – Know which employers are attending and do some research and think of
questions to ask within 2 weeks
4. Task number four- Make some business cards to bring within 2 weeks
d) Objective number two – Go to locate a college within 2 weeks
1. Task number one – Find a local college/university that has your major within 2 days.
2. Task number two –Do some research on what college/University is a best fit for you and your
program within 3 days.
3. Task number three – Choose your college/university that you want to attend within 2 weeks.


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III. Goal number three – Improve clients relationship with her mother
e) Objective number one –Find a support group within 2 weeks.
1. Task number one – Search for local support groups on the internet within 3 days.
2. Task number two – Pick 4 local support groups to attend within 2 weeks.
3. Task number three – Call and schedule within one week.
f) Objective number two –Client should talk to mom to set up a meeting with me within 4 days.
1. Task number one –Client should call me to set up a day and time to meet with me within 2 days.
2. Task number two –Client and her mom will meet with me within 1 day.













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Contract for Intervention Plan
Client Name: Nicole Kramer
Description of the Problem:
Ms. Kramer is in need of support with her Learning Disability, needs to explore different career paths,
and to improve her relationship with her mother so that she can be more independent and be on her
own. She needs assistance on when she confronts her mom about her issue with her and help cope with
her learning disability.
Primary Goals:
1. Intervention to help dealing with a learning disability
2. Help find different career paths
3. Improve client’s relationship with her mother
We the undersigned, agree to the objectives in the following plan:
A. To locate an intervention for Learning Disability within 4 days.
B. Find local Learning Disability resource support groups within 2 weeks
C. Find a job fair within 2 weeks.
D. Go to locate a college within 2 weeks
E. Find a support group within 2 weeks.
F. Client should talk to mom to set up a meeting with me within 4 days.

____________________ _________________________
Signature of Client Date

Signature of Worker Date

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