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Sample Case Study

This document appears to be a social case study report template for social work students at Goldenstate College of Koronadal Inc. in the Philippines. The template includes sections for identifying data about the client, family composition, the problem presented, background information about the client, family, and environment, an assessment statement, intervention plan, and evaluation/recommendation. It provides a standardized format for social work students to document case studies.

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Antonia Ampire
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100% found this document useful (1 vote)
554 views4 pages

Sample Case Study

This document appears to be a social case study report template for social work students at Goldenstate College of Koronadal Inc. in the Philippines. The template includes sections for identifying data about the client, family composition, the problem presented, background information about the client, family, and environment, an assessment statement, intervention plan, and evaluation/recommendation. It provides a standardized format for social work students to document case studies.

Uploaded by

Antonia Ampire
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Region XII
Province of South Cotabato
City of Koronadal
Bachelor of Science in Social Work
GOLDENSTATE COLLEGE OF KORONADAL INC.
Mother Francisca Bldg., Alunan Avenue City of Koronadal

SOCIAL CASE STUDY REPORT

I. Identifying Data

Name :
Age :
Address :
Sex :
Birthday :
Civil Status :
Religion :
Education Attainment:
Occupation :
Family Monthly Income:

II. Family Composition

Estimated
Civil Date of Relation Education
Name Age Occupation Monthly Remarks
Status Birth to Client Attainment
Income
III. Problem Presented

IV. Background Information

A. CLIENT

B. FAMILY
C. ENVIRONMENT

V. Assessment Statement
VI. Intervention Plan

VII. Evaluation and Recommendation

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