Bio-Psycho-Social and Plan of Change 1

Bio-Psycho-Social and Plan of Change SW 3020 004275554

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Presenting Problem Chris Ross (pseudonym) is a 21 year old single Caucasian male. He has never been married and currently lives with his parents. Chris has been employed as a machine worker at Paslin Co. for the past two years. Chris is coming to see a social worker because of stress resulting from a previous relationship which has emotionally been taking a toll on him as well. Family of Origin History The client reports that his mother and father were 35 and 32 years old, at the time of his birth. His parents were married for 13 years at the time and did not plan on having another child at the time. During his childhood, Chriss father was a tool and dye worker at Paslin while his mother stayed at home taking care of him and his brother. The clients father is now 56 years old. Chris reports that his mother took some college courses while he was growing up but never pursued any type of degree. She is currently 53 years old and works as a manager at the bounce house. The client has 1 sibling from the same marriage. His brother Jason is currently 30 and is physically disabled and cannot work due to an accident while in the Marine Corps. Jason is married with five children, two of which are not his biologically. Chris reports that he loves his brother and they were very close while growing up, but with a 10 year age difference, their relationship is now strained because of their busy lives. The client reports that both his parents never completed college, but they did take some various courses throughout their lives at the local community college. His brother never obtained a degree either because he decided to go into the Marine Corps at the age of 18. Chriss brother is in good health, but has trouble walking around due to his previous injury. Chris reports that while growing up he was a very happy child and his household was happy as well. He was very close to his mother because she was a stay at home mom and was always

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there to play with and talk to. His father was always at work, so his mother was his primary emotional and physical support. The client has a fairly small family. On holidays and other family events, they get together at his house with his brother, his sister-in-law, and their children. The family celebrates major holidays such as Christmas, Thanksgiving, and Easter this way. They would make a lot of food and play various games at these events to keep the kids occupied. On Thanksgiving, they celebrate by having family over and talking about what they are grateful for in their lives. Independence day is also celebrated by going to downtown Mt. Clemens to see the fireworks and having a small get together at their house after. Deaths are usually acknowledged by small funerals and they are very open with their emotions. When grieving they talk about good times of the deceased and never mention any bad times. Chris does not report any physical or sexual abuse within his family. Developmental History Chris was delivered vaginally when his mother hit the full-term mark of her pregnancy. He was 6 pounds 11 ounces at birth and there were no complications as far as he is aware. The client was breastfed for one week and then bottle fed after until he was about one year old. From Chriss knowledge he had no developmental delays and he was more advanced than his brother in walking. He began walking at 10 months while his brother started walking at 11 months. Health History The client reports that he had good health at birth and throughout infancy. As a child, he caught pneumonia for four days and he recalls them being his worst days as a child. Chris also jumped out of a tree at the age of 5 and broke his pinky toe and when he was in the sixth grade he broke

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his pinky finger playing volleyball. Other than that, Chris does not report having any other childhood accidents. Chris reports that he has always been average in size and does not have any issues when it comes to weight or food. The client does not report having any illnesses or surgeries since his childhood. Chris reports that there are no chronic physical diseases on either his mother or fathers side. Substance Use/Abuse History The client reports that he currently smokes cigarettes, but only smokes occasionally, and has done so since he was 16. Chris reports that he smokes marijuana everyday and started when he was 17. He also reports that he was been drinking alcohol since he was 18, but he now drinks more because he just turned 21 a couple of months ago. He drinks about three to five beers after work about three to four times a week. Chris reports that he has also experimented with other drugs within the past couple of months, specifically Aderal and Morphine. He claims to take Aderal to help him stay up throughout his work day and he has only taken Morphine once which was a 50mg pill. The client states that he has never sought out treatment for any type of substance abuse. Mental Health The client states that as a child in the second grade he saw a psychiatrist one time. He states that his second grade teacher wanted his parents to put him on Ridalin but his mom never pursued it after the psychiatrist evaluation. Other than that one time, Chris reports to have no other Mental Health treatment. Relationships/Sexual History

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Chris reports that he had a lot of friends as a child. He mainly hung out with his next door neighbor Jake, but they no longer talk. Due to his previous girlfriend, he stopped hanging out with most of the friends that he has but he still has one good friend that he has kept in contact with. He states that because of losing his friends, he feels alone and fears that he will always be alone. The client is heterosexual and began dating in middle school. In his teenage years, he began hanging out with some bad influences and began dating some of the girls within the group. Chris states that he started having sex at the age of 17 and was in a committed relationship with that girl for three and a half years. They then broke up and he began randomly having sex with random girls to try to get her off of his mind. He states that he can have orgasms and is fully functioning at that level. The client reports that he has never used any method of birth control with any of his partners because he believes that it is not needed. He wants children in the future but not currently at this time. He currently has no sexually transmitted diseases and never has as well. Chris reports to continue to randomly have sexual relationships while looking for a committed relationship, but all attempts have failed so far. He explains that he has never felt the same way about another girl since his breakup with his first love. Family of Creation History The client has never been married, but has been in one committed relationship. He states that he has no children but plans on having children in the near future when he finds his soul mate. Chris states that his committed relationship went bad because his girlfriend had cheated on him with his best friend. He is now emotionally torn because he cannot move on from it but he still

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loves her and wants to be with her. They are currently broken up but are still communicating and trying to make it work. Military History The client denies having any military experience. Financial History Chris states that while growing up his parents were financially stable. He had everything he needed and they lived comfortably. The client states that now his finances are bad because he spends most of his money on marijuana Legal History The client denies any legal history. Immigration Issues Chris denies any immigration issues. Religious History The client reports that growing up he was raised Baptist. He reports that he would only go to church once a year with his mother and father which was always on one of the major holidays. Chris reports that at this time he does not attend church and it is not because of any problems with the Baptist religion. Educational History Chris claims that he was always good in school. He never struggles in elementary, junior, or high school and was a pretty average student. The client had no behavior problems and never was marked down for any behaviors. He graduated high school and started going to Macomb Community College at the age of 18. Chris states that he took basic core classes for three semesters but then decided to stop going due to work. The clients states his desire to go back to

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college to become a nurse because he believes that he is generally smart and is confident to do well in the program. Employment History The client reports that growing up he had basic chores such as cutting the grass, taking out garbage, and plowing snow. Currently Chris pays rent to his parents and does not have to do any chores while living there. In December of 2009, Chris reports that he started working at Burger King and ended up leaving in July of 2011 for another job opportunity. He reports that now he works for Paslin Co. and has been since July of 2011. Chris states that he generally does not enjoy working and he changed jobs because Paslin offered him triple the amount of money that he was making at Burger King. The client reports that he now makes $40K a year and has never been trained at Paslin for the job that is required of him. Strengths Chris reports that his only strength is being very athletic. By interviewing him, I have found him to be very closed off and not very proud of his strengths. I have noticed that one strength of his is that he can talk to anyone. Chris can start a conversation and talk about a topic with someone for a long time. Family wise, the client states that he has a very good support system. If he needs something, he says that he just asks and they are there for him. He is more close to his father now because they work together, but his mother is always emotionally and physically there for him. His relationship with his brother is strained because he has his own life going on, but when they get together, Chris reports that they get along and they can talk about anything.

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As far as friends go, Chris did state that he has one very close friend. He reports that this one friend is there for him emotionally and physically and he knows that he can talk to her about anything. The client seems to keep his friends and family dear to his heart. He seems to be happy and healthy and he is very open to the idea of me helping him with his emotional problem.

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Step 1: Working with the client Mr. Warnez discussed with me some of the issues that he is experiencing at this time and he would like to address and work on. The client describes the issues as the following: Issues: 1. The client is experiencing a lot of conflict with his ex-girlfriend regarding their relationship. 2. He is experiencing persistent stress related to a previous relationship break-up. 3. He wants to get this addiction to marijuana under control but does not know how to approach it. 4. He is falling into a lonely of mind because he has no friends. Step 2: Prioritize the Problems 1. Conflict with his ex-girlfriend 2. Presistent stress 3. Uncontrolled addiction to marijuana 4. Lonely state of mind Step 3: Translate the Problem into Need Problem 1. He is having conflict with his ex-girlfriend 2. He is having persistent stress 3. Addiction to marijuana 4. Feeling lonely because he has no friends Need 1. To decrease conflict with his ex-girlfriend 2. Reduce stress 3. Get addiction under control 4. Increase friends

Step 4: Evaluate Levels of Intervention for Each Need Need #1: Decrease conflict with his ex-girlfriend Micro Strategy: Recommend a book about couple relationships from a book store. Pros: He can learn new ideas to help manage the conflict with his ex-girlfriend

The book may be a fast way to obtain help regarding their conflicts

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Cons:

It is proven to be a great couples book and it is available at a low cost

The bookstore may not have the book He will have to make time to read the book between work and his other things

Mezzo Strategy: Obtain couples counseling Pros: Cons: He may not know where to look to find a counselor He will have to get his ex-girlfriend to go to the meetings He will have to find time to attend sessions His ex-girlfriend and himself may have to pay for the sessions if insurance does not cover the cost A professional may help them discuss their issues with less fighting He may learn effective ways to deal with the fighting The services should be free because they both have insurance

Macro Strategy: Macro strategy does not apply because these resources are already available. Need #2: Reduce Stress Micro Strategy: Find different ways to reduce stress in his life Pros: Client could talk to a professional about how he feels and get help on how to fix it He could receive treatments to help relieve his symptoms

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Cons: The clients insurance may not cover seeing a professional The client does not want to be put on medication, so it may be difficult for him to obtain some treatments

Mezzo Strategy: Find a class that teaches strategies on managing stress Pros: Cons: The client may not have time to attend some of the meetings every week He may be too embarrassed to talk to others about his problems He may not benefit from the sessions at all The client may benefit from interacting with others that feel the same way There are many resources he can use to find a group Many places in his area offer group sessions regarding stress He may be able to alleviate some of his stress symptoms

Macro Strategy: Macro Strategy does not apply because this support is already available Need #3: Getting addiction under control Micro Strategy: Make an effort to change Pros: Quit smoking marijuana all together Not be influenced by friends/family that want to smoke with him Finding a better crowd to hang out with

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Cons: The client may feel even more lonelier than before by not hanging out with anyone he used to The client may get more stressed by not smoking at all

Mezzo Strategy: Attend substance abuse classes Pros: Cons: Some people may not be open to letting him into their lives He may have to pay for meetings if they do cost money He has to find time to go to several meetings a week Client will learn how to manage addiction He can meet people that also share the same addictions Most meetings are free so he may not have to pay anything for help

Macro Strategy: Macro strategy does not apply because the substance abuse classes already exsist. Need # 4: Increase friends Micro Strategy: Put fourth en effort to get out and meet new people Pros: Cons: Certain bars and clubs may be closed and not available at times Many places such as bars and clubs are always available to go to Some people enjoy meeting new people and are friendly

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Some people may be rude and not want to talk

Mezzo Strategy: Join a club such as a sports club or gym Pros: Cons: Some people may not want to associate with anyone He most likely has to pay for a membership to a gym/club He can meet new people that enjoy some of his same interests He can feel comfortable in his own element and enjoy doing something he loves He can reduce his stress by working out as well as meeting new people

Macro Strategy: Macro does not apply because gyms and clubs already exsist. Goals, Objectives, and Tasks Goal # 1: Improve relationship with ex-girlfriend A. The client will obtain a book about relationships from a list of suggested titles. 1. Locate a bookstore in your area within 2 days. 2. Visit the bookstore and check if they have it within 5 days. 3. Purchase the book if it is available within 7 days. 4. The client will read the book and use one strategy to cope with the arguing for the next week. B. Obtain couples counseling within 1 week 1. Locate a couples counselor within 3 days. 2. Schedule an appointment within 5 days. 3. Attend appointment and begin using strategies given by counselor.

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Goal # 2: The client will reduce stress. A. He will find different strategies to reduce stress 1. The client will find different strategies to cope with stress on the internet within 3 days. 2. The client will begin to implement strategies within 5 days. B. He will get professional help 1. The client will search for a professional nearby that works with patients and stress within 3 days. 2. The client will schedule an appointment within 5 days. 3. The client will begin to use strategies learned to manage stress within 7 days.

Goal # 3: The client will not abuse any drugs, mainly marijuana. A. He will make an effort to quit smoking marijuana. 1. The client will stop buying marijuana within 3 days. 2. The client will not hang out around people that smoke marijuana within 5 days. 3. The client will not let anyone influence him to smoking marijuana within 7 days. B. The client will attend substance abuse classes. 1. He will search for substance abuse classes in his area within 3 days. 2. He will attend the required meetings within 7 days. 3. He will use strategies learned to quit smoking within 3 weeks. Goal # 4: The client will feel less lonely. A. He will make an effort to get out and meet new people. 1. The client will search different clubs and gyms to join within 3 days.

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2. The client will join a gym or club within 5 days. 3. The client will be friendly and try to mingle with people of the same interests within 7 days. B. He will try to be more outgoing with people in public 1. The client will start a conversation with 3 strangers within 5 days. 2. The client will go to at least one public bar or club within 7 days. 3. The client will hang out with someone new within 2 weeks.

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Contract for Intervention Plan Client Name: Chris Ross Description of Problem: Mr. Ross is in need of conflict resolution skills and treatment of stress disorders. He needs to get out and meet new people to become less lonely and quit smoking marijuana to avoid health concerns. Primary Goals:

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1. Improve relationship with his ex-girlfriend. 2. Reduce stress. 3. Quit smoking marijuana. 4. Feel less lonely.

We, the undersigned, agree to the objectives in the following plan: A. Obtain and read a book about relationships from a given list. B. Obtain couples counseling within 1 week. C. Locate a professional that specializes in stress disorders. D. Obtain treatment for stress. E. Quit smoking marijuana. F. Go to substance abuse meetings. G. Make an effort to meet new people H. Join a gym or club of choice. I. Have one new friend within 3 weeks.

Signature of Client

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Signature of Worker

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