SAMPLE SOCIAL CASE STUDY REPORT

I. IDENTIFYING INFORMATION
NAME:
SEX:
CIVIL STATUS:
RELIGION:
DATE & PLACE OF BIRTH:
PRESENT ADDRESS:
CONTACT NO.:
EDUCATIONAL ATTAINMENT:
SKILL/OCCUPATION:
MONTHLY INCOME:

II. FAMILY COMPOSITION

NAME AGE SEX CIVIL RELATIONSHIP EDUCATIONAL SKILL/OCCUPATION MONTHLY
STATUS ATTAINMENT INCOME

III. Sources of Information

- Primary Information (such as interviews)
- Secondary Information (significant others, reports and others)

IV. Problem Presented

- Describe into 2 to 3 sentences of what the client states as a problem (point of view of the client with regards to
the problem) during the intake which includes physical, social, emotional / psychological condition of the client.
- From the point of view of the case worker (immediate problem to work on and underlying problem anchored on
SWI results)
V. Background Information
A. The Case and the Client
- Describe the problem for which the client came (or was referred) for help. Include client’s definition of
problem/need and expectations of service. Brief history of the presenting problem. Length of duration of the
presenting problem. How long has this problem been causing distress? 1 week, 1 month, 1-6 months, 6 months
to 1 year or 1 year longer. Prior attempts to resolve the problem. History of the problem (when did the
problem start). How long has the client been trying to address the problems? How severe is the problem for the
client? What coping mechanism has the client used? Previous involvement with social agencies for assistance
with the problem.
- Level of physical, health status and medical history.
- Educational History / Academic Performance
- Family relationship, parenting styles, communication pattern, role performances and decision making.
- Socio-economic condition such as access to basic resources and the ability to secure resources and the ability to
secure resources, experience of suppression and discrimination and others.
- Shifts of time and residence
- You can use SWI, ECO-MAP, and GENOGRAM as your tools.

B. The Community / Home Environment

- Economic realities/trends
- Neighborhood characteristics and norms to include employment, housing networks and social service
delivery system such as education and health.
- Socio-cultural, religious practice, values, beliefs and cultural norms about children and family life,
gender bias and others.
 VI. ASSESSMENT STATEMENT
- Identified problems, issues and needs with you and the client.
- What are the Precipitating factors (Personal / Environmental): Immediate issues or events that have
caused the client to present with or experience these problems or symptoms now (recent life
experiences / stressors, etc.)
- What are the Predisposing Factors (Personal / Environmental): Aspects of the client’s background that
make him or her susceptible to presenting with the given problems (history of abuse in the family, low
capacity and the like)
- What are the Perpetuating factors (Personal/Environmental): Factors that cause the client’s symptoms /
problems to continue or to progressively get worse (e.g. conflict in home, low social support, poor
coping and the like? Thoroughly identify the working problem.
STRENGTHS
- What are the protective factors which help to improve the client’s situation?
- Family strengths (pattern of help seeking behavior, information about how a problem would be
handled? Individual and institution that the families may turn to in times of difficulties. Family
capacities, adaptation, hope and aspiration.
- Environmental strengths (resources and opportunities available to client)
THEORETRICAL ANALYSIS
- Have your professional analysis. Choose a theory or concepts of theory to explain your client situation.
Apply each concept to the client’s situation.
 VII. INTERVENTION PLAN
Issues/Problem Objective Strategies / Responsible Time Frame Expected
Activities Person / Outcome /
Agencies Indicator
Start End
 VIII. EVALUATION

IX. RECOMMENDATION

Prepared By:

Noted By:
ECOMAP
GENOGRAM