Social Work Assessment and Intervention Plan: Melinda – Case Study Example

Download full paperFile format: .doc, available for editing

The paper "Social Work Assessment and Intervention Plan: Melinda " is a good example of a case study on social science. Social work assessment is an integral process in determining the problems and needs of clients service users (or as consumers) of mental health services and in designing effective social work interventions. This essay will provide a report on social work mental health assessment in the case of Melinda, a 30-year-old woman referred to a community mental health service from a local drugs and alcohol services counsellor. The essay will analyse Melinda’ s case and develop an assessment and intervention plan by applying Collingwood’ s three-stage framework or “ Kit” theory for social assessment.

The essay will use Collingwood’ s three-stage framework to discuss issues and concerns for assessment in Melinda’ s situation, highlight the information that needs to be collected for assessment and intervention and outline the theories underpinning the assessment and intervention plan. The essay will also provide a reflective account of some of the social work assessment practice guidelines, professional values and personal values and how they may affect the assessment and intervention plan in the case of Melinda. Case Analysis: Melinda.

Application of Collingwood’ s Three Stage “ Kit” Framework Stage One: Service User Profile The first stage of Collingwood’ s framework is constructing a service user profile which would help identify some of the issues that will be important for current as well as subsequent assessments (Collingwood 2005). It is important for the social worker to have extensive and comprehensive knowledge about the client and the numerous economic, legal, social, interpersonal, religious, medical and psychological systems which may impinge on them (Hepworth et al 2010).

Therefore, the primary concern from the information provided in the referral and from client engagement in Melinda’ s case is that she has been dually diagnosed with co-occurring substance abuse (alcohol) and mental illness (Kessler 2004). She has also provided information that hints at schizophrenia (hearing voices in her head). Therefore, the primary concern is her physical and mental health status due to the combined effects of successive miscarriages and alcohol abuse. Melinda has also been the victim of sexually abused by her uncle and an abusive relationship with her father and has recently experienced a break-up of her seven-year marriage which indicates that she has several psychological problems such as grief and trauma.

Her history of alcohol abuse and her current cohabitation with a friend who is a heavy drinker is also since alcohol abuse appears to have compounded her situation. Another issue of concern is her economic status in terms of employment or employability due to her mental health condition and alcohol abuse which would have to be addressed in the intervention plan. However, the most significant concern is her mental health state as she has been diagnosed with bipolar and borderline personality disorders and has even confided that she harbours suicidal thoughts due to grief and a feeling of worthlessness. These issues of concern as developed in the service user’ s profile are important as the effectiveness of the intervention plan will be determined by the extent to which it addresses the root causes of Melinda’ s problems.

In addition to mental health assessment, other assessments necessary in Melinda’ s case include grief and bereavement assessment in preparation for grief and trauma counselling, alcohol and substance abuse assessment to help identify the most effective intervention strategy and personality and skills assessment to assess her employment prospects, her ability to earn a regular income and subsequently to afford accommodation in a safe and supportive environment (Parrish 2010).

Another assessment that may be required is a medical gynaecological examination to assess the effects of the miscarriages she has experienced. These assessments are also important in determining whether the social worker is suitable or appropriately skilled to meet Melinda’ s needs or whether they need to make a further referral (Parker and Bradley 2007, Hepworth et al 2010).

References

Alexander, P.C. (1992). Application of Attachment Theory to the study of sexual abuse. Journal of Consulting and Clinical Psychology 60 (2), 185-195.

Brennan, K. A., Shaver, P. R., & Tobey, A. E. (1991). Attachment styles, gender, and parental problem drinking. Journal of Social and Personal Relationships, 8(2), 451– 466

Braun, B. G., & Sachs, R. G. (1987). The development of multiple personality disorder: Predisposing, precipitating, and perpetuating factors. In R. P.Kluft (Ed.) Childhood antecedents of multiple personalities. Washington, DC: American Psychiatric Association.

Cole, P. M., & Putnam, F. W. (1992). Effect of incest on self and social functioning: A developmental psychopathology perspective. Journal of Consulting and Clinical Psychology, 60 (4), 174– 184.

Collingwood, P. (2005). Integrating Theory and Practice: The Three-Stage Theory Framework. Journal of Practice Teaching 6 (1), 6-23.

Egan, R. (2009). Developing the Helping Relationship: Engagement. In Maidment, J. & Egan, R. (Eds). Practice Skills in Social Work and Welfare: More than Just Common Sense ( 2nd Ed). Crow’s Nest: Allen and Unwin.

Healy, K. (2005). Social work theories in context: creating frameworks for practice. New York: Palgrave Macmillan.

Hepworth, D. H., Rooney, R. H., Rooney, G.D., Strom-Gottfried, K. & Larsen, J.A. (2010) (8th Edn). Direct Social Work Practice: Theory and Skills. Belmont (CA): CENGAGE Learning.

Kessler, R.C. (2004). The epidemiology of dual diagnosis. Biological Psychiatry 56 (10), 730– 737.

Milner, J & O’Byrne, P. (2009). Assessment in Social Work. Basingstoke, Hampshire: Palgrave Macmillan.

Parrish, M. (2010). Social Work Perspectives on Human Behaviour. New York: McGraw Hill.

Parker, J. & Bradley, G. (2007). Social Work Practice: Assessment, Planning, Intervention, and Review 2nd Ed. Southenhay East (UK): Learning Matters.

Moore, E. (2009). Case Management for Community Practice. Oxford: South Melbourne.

Download full paperFile format: .doc, available for editing
Contact Us