SOC 449 Week 2 Assignment 2 | Grand Canyon University | Assignment Help
- Grand Canyon University / SOC 449
- 13 May 2021
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SOC 449 Week 2 Assignment 2 | Grand Canyon University | Assignment Help
Intake
Form & Questions
Access and complete the “Intake Form & Questions Worksheet.”
While APA style is not required for the body of this assessment,
solid academic writing is expected and in-text citations and references should
be presented using APA documentation guidelines, which can be found in the APA
Style Guide, located in the Student Success Center.
This assignment uses a scoring guide. Please review the scoring
guide prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit
this assignment to LopesWrite. Refer to the LopesWrite Technical Support
articles for assistance.
Turn in the completed assignment to the folder at the end of Topic
2.
Intake
Interview Form 1
I’ve been having
trouble sleeping and focusing at work lately. My boss suspects I might be
addicted to pain meds, so she said I had to meet with you or be fired. I think
she’s threatened by me and wants me out of her department, but I can’t prove
that. I was in a car accident a year ago and had surgery on my shoulder. I was
put on Percocet for the pain. I went through physical therapy but my shoulder
never healed right. My doctor stopped prescribing painkillers even though I’ve
had pain every day since the accident. I turned to heroin because I could no
longer get painkillers. Heroin is cheap and it works. That’s so unlike me. I
never used drugs before when I was younger. I’ve never even smoked a cigarette.
I was able to continue working until I failed a random drug test at work. I was
suspended until I could pass the test again. I did and now I am back at work. My
coworkers talk about me behind my back. I tend to work and eat alone more than
I used to. My family says they are worried about me because I am losing a lot
of weight. My mom and older sister taught me how to take care of myself. They
instilled in me a strong work ethic. We’re Italian, so family is important to
me. They’re all I have. They keep me centered. I’ve always been independent, so it’s been
hard for them to see me so thin and weak. I want to get better so they won’t
worry about me. I’m here for suggestions on what to do. I no longer use heroin,
but I am still in constant pain. I can’t lose my job even though it’s very
stressful. I have to sit and listen to court proceedings all day. I have 10 years
left before I can retire and I can’t lose my pension. I need help.
Any Family History of Mental Illness: Not that I know of__________
Possible Services Desired:(Circle all that apply)
Diagnostic Evaluation |
Development of personal goals |
Individual or
Family Therapy |
Sensitivity Training |
Development of a Problem
Assessment Plan |
Anger Management Classes |
Social services |
Social skills (group or individual) |
Medication review/Prescriptions |
Other: |
Legal assistance |
|
**This client may be passive atfirst and may become combative if
pressed about addiction issues. She may appear lethargic and depressed due to possible
drug abuse or withdrawal. The interviewer will need to use effective engagement
strategies to obtain more information. The interviewer will need to be ready to
suggest social services to the client.
Intake
Interview Form 1
1.
None__________________________________________________________________________________________________________________________________________________________________________________________________
Specific concerns: (Provide reasons for today’s visit. Please be specific
about work life, school, and family influences):
I’ve been
having trouble sleeping lately. My stomach has been bothering me. I think I may
have an ulcer. I make myself throw up and my stomach feels better. I recently
broke up with my girlfriend and think I may be depressed but I’m not sure. I
don’t socialize much anymore. I work out a lot at CrossFit. My girlfriend
complained that I work out too much and obsess about food, but physical fitness
is my passion. I’m working on an Exercise Science degree because I want to be a
personal trainer. She always said my body was fine but I want to be bigger and
stronger. I was extremely thin when I was a kid and people made fun of me. My
own father teased me a lot when I was in high school because I couldn’t play
sports. He would hate it if he knew I was here asking for help. That goes
against the family way. I have a strong work ethic and am very disciplined when
it comes to exercise and school. My mom taught me to be disciplined. She raised
us as a single mom and showed us how to work hard. She inspires me. I have
goals that are important to me. I guess I’m here to figure out what those goals
are.
Any Family History of Mental Illness: Not that I know of. I think my grandmother
suffered from depression and was on medication.
Possible Services Desired:(Circle all that apply)
Diagnostic Evaluation |
Development of personal goals |
Individual or Family Therapy |
Sensitivity Training |
Development of a Problem Assessment Plan |
Anger Management Classes |
Social services |
Social skills (group or individual) |
Medication review/prescriptions |
Legal assistance |
Other: |
|
**This client may be passive at first. He may show signs of discomfort or
irritability like shifting in his seat, tapping fingers or feet. He may avoid
talking about the breakup with his girlfriend. He may become combative if
pressed about a possible eating disorder, so the interviewer will need to use
engagement strategies that stimulate discussion in order to find the identified
problem. The interviewer must be prepared to suggest social services to the
client.
SOC-449
Intake
Interview Form 1
Name of Client: Derick Dawson
Age: 22DOB: 7-4-1995 Date:____________
Marital Status: (circle) Single
Married Separated Divorced
Email:[email protected]
Address:25 N. 19th Street, apt. 2122 Los Angeles, CA 90210
Phone:(212)555-5556
Work Status: (Circle all that apply)
1. Currently employed as aTeacher’s assistant at school_______________
2. Looking
for employment as _________________________________________
3. Involved
with local government agency to find employment
4. Going to college at University of Los Angeles online________________
5. Obtaining
vocational training at_________________________________
Any formal diagnoses: None. I am perfectly healthy.
Any medications (dose and frequency): None__________________________________________________________________________________________________________________________________________________________________________________________________
Specific concerns: (Provide reasons for today’s visit. Please be specific
about work life, school, and family influences):
I’ve been
having trouble sleeping lately. My stomach has been bothering me. I think I may
have an ulcer. I make myself throw up and my stomach feels better. I recently
broke up with my girlfriend and think I may be depressed but I’m not sure. I
don’t socialize much anymore. I work out a lot at CrossFit. My girlfriend
complained that I work out too much and obsess about food, but physical fitness
is my passion. I’m working on an Exercise Science degree because I want to be a
personal trainer. She always said my body was fine but I want to be bigger and
stronger. I was extremely thin when I was a kid and people made fun of me. My
own father teased me a lot when I was in high school because I couldn’t play
sports. He would hate it if he knew I was here asking for help. That goes
against the family way. I have a strong work ethic and am very disciplined when
it comes to exercise and school. My mom taught me to be disciplined. She raised
us as a single mom and showed us how to work hard. She inspires me. I have
goals that are important to me. I guess I’m here to figure out what those goals
are.
Any Family History of Mental Illness: Not that I know of. I think my grandmother
suffered from depression and was on medication.
Possible Services Desired:(Circle all that apply)
Diagnostic Evaluation |
Development of personal goals |
Individual or Family Therapy |
Sensitivity Training |
Development of a Problem Assessment Plan |
Anger Management Classes |
Social services |
Social skills (group or individual) |
Medication review/prescriptions |
Legal assistance |
Other: |
|
**This client may be passive at first. He may show signs of discomfort or
irritability like shifting in his seat, tapping fingers or feet. He may avoid
talking about the breakup with his girlfriend. He may become combative if
pressed about a possible eating disorder, so the interviewer will need to use
engagement strategies that stimulate discussion in order to find the identified
problem. The interviewer must be prepared to suggest social services to the
client.
Any formal diagnoses: High blood pressure/hypertension.
Any medications (dose and frequency): ___Lisinopril for high blood pressure
Specific concerns: (Provide reasons for today’s visit. Please be specific
about work life, school, and family influences):
I’m here
because my boss says my work is suffering lately. He said I’m coming in late
and leaving early and that “something must be wrong” with me. I put in my
hours, so I am only here to satisfy the requirement by Human Resources.
Everything is fine. I haven’t been sleeping well, lately, so I’ve been staying
up later than usual. They’re moving me to a new department next month, so I
won’t be working with my group. I have a feeling it’s racial. I’m the only minority
in our small department. I’m not happy about that but I have no say in it. My
father taught me and my brother how to handle racism. We lived in a poor
neighborhood as kids and had to defend ourselves against the upper-class kids.
I know how to handle racism, but this is different. I don’t feel comfortable
speaking out at work. I value my job and am committed to working hard. I want
to earn a manger promotion someday. I’ve been here long enough to be a manager.
My ex-wife has been complaining a lot lately about my anger issues. She said
our kids (boy age 13 and a girl age 15) have expressed some concerns, but I
think she’s making it all up. So, I’m here to fulfill the HR commitment and not
get fired from my job. I guess I wouldn’t mind talking to someone about things
now and then as long as it’s confidential.
Any Family History of Mental Illness: My mother suffered from depression, but
she’s on meds now and everything is fine.
Possible Services Desired:(Circle all that apply)
Diagnostic Evaluation |
Development of personal goals |
Individual or Family Therapy |
Sensitivity Training |
Development of a Problem Assessment Plan |
Anger Management Classes |
Social services |
Social skills (group or individual) |
Medications review/prescriptions |
Legal assistance |
Other: |
|
**This client may be passive at first and the interviewer will need to
use engagement strategies to make him feel safe enough to share. If pressed too
hard about anger issues, he could become combative during the interview. Because
he is cautious, he may not be able to hide his discomfort and may wring his
hands, tap his foot, glance at his watch, or shift in his chair frequently. The
interviewer will need to know how to handle this behavior and use engagement
strategies to stimulate discussion in order to uncover the identified problem.
SOC-449 Intake Form & Questions Worksheet
First, you will find a person to partner with for this mock interview. It can be a friend or family member or classmate.
Important Consideration:Make sure you make it very clear to your partner that they are simply playing a role. They should not add to the information in the intake form or use any experiences from their personal lives when acting out this role. They should also not choose a character situation that might remind them of any traumatic or difficult experiences they have had. This interview has nothing to do with them, it is just about acting out a role they have been provided in the case study.
Next, provide the selected person with all four of the “Intake Interview Forms.” This person is to select only one intake form “character” to play in your mock intake interview scenario. In other words, it’s a chance for them to perform a scene like in one of the videos you watched for this course. This person is NOT to discuss or disclose with you how they are planning to act in the mock interview. They are to simply tell you which client they are going to portray prior to the mock interview so you can prepare the corresponding Intake Interview Questions with the little info you do have on that character before you conduct the interview. They may refer to the intake form information at any time during the mock interview.
Keep in
mind the engagement strategies and the
culture/subculture issues of the client when drafting your questions. Try to utilize
these questioning techniques:
o Empathy and compassion
o Suggestions/solutions
o Guiding the discussion
o Affective words & phrases
o Furthering responses
o Reflective listening
o Client expectations
o Eliciting essential information
o Emphatic communication techniques
o Ending the interview
SOC-449Topic
2:Intake Form & Questions WorksheetScoring Guide
REQUIREMENTS: Find a person to role
play with. Have them choose a character to play. Answer the prompts to assist
with the intake process and questions for your interview. |
POSSIBLE |
ACTUAL |
In this section, briefly explain the person in the selected intake form you
will use to conduct your mock interview (50 words): |
10 |
|
Describe possible culture/subculture
influences on the client (50-75 words): |
10 |
|
Describe the presenting problem (30-40 words): |
5 |
|
Explain the possible identified problems. (30-40 words): |
5 |
|
Next, after reviewing the selected intake
form, write 10 questions, based off the information presented in the selected
intake form, for your client to answer. |
20 |
|
TOTAL |
50 |
|
Instructor
Comments: