Social Work-Assessment

Please Note this is a Social Work Assignment- USA standard and References

NB: Due date 12/6/20 by 11pm eastern time

Work should be free of errors that detract from the overall message, in APA format. A minimum of 5 scholarly sources for each question and all literature cited must be current, with publication dates within five years of 2020. Paper must be 5 pages long double-spaced using times Roman, 12-point font. Each paragraph MUST have at least one citation and any stats must be cited. Each question must be answered chronologically. No extra spacing between paragraphs and numbering of paragraph.

Using the attached case study, complete the following:

1. Use the case study to complete a Modified ASI

2. Interpret results for each section, according to the Modified ASI

3. Indicating the client problems, strengths, resources, and potential barriers to treatment.

4. Analyze the assessment data to develop a diagnosis based on the DSM-5 criteria.

5. Analyze the assessment data and develop initial treatment recommendations for the client in the chosen case study?

6. Create two treatment goals for the client in the chosen case study based on the completed ASI data.

7. Identify any legal and ethical issues associated with use of the assessment for diagnosis and treatment planning.

For this portion, identify a different screening or assessment tool that measures current mental health symptoms that can be added as supplemental information to the primary assessment (ASI). Discuss the instrument and provide the following:

8. Name of instrument.

9. Why did you choose the instrument?

10. What information is collected from the client when using this information?

11. How will this instrument compliment the primary assessment for substance use disorders?

12. Intervention strategies.

13. Treatment strategies.

14. Post-treatment strategies.

15. Identify the most important problem areas in the client life and discuss how the data from the assessment helped identify these problems. Provide specific detail on the problems in the client’s life and indicate how these problems might be addressed in treatment.

Case Study:

Hi, Rose. I’m going to ask you some questions. Can you tell me how old you are?
I’m 50.

Can you tell me about your living situation?
I live in Brown Trout Bay. That’s a little town about 45 miles from here. Paul and I have been married for 31 years. 31 long years. We had a farm when we first got married but we couldn’t keep it up. So I work at the Mall-Mart now. My husband does odds and end jobs and we make ends meet, sort of. Our son Matt is 28 and our daughter Amanda is 26. I guess I have a decent relationship with them, but we hardly ever see them because they live in different states. Amanda texts me at least. We hardly ever hear from Matt. Not that I blame them for never wanting to come home.

Can you tell me more about that?
Paul and I barely speak to each other anymore. If we talk, it’s just about bills or stuff like that. I guess that’s better than it used to be. We fought all the time when the kids were teenagers. We don’t even eat dinner together much anymore, since I work 50 or 60 hours a week and he’s out doing odd jobs or Lord only knows what else. He’s a drunk.

I’m sorry to hear that. How often does he drink?
I don’t even know anymore. Like I said, I hardly see the man. He’s always been a drinker, but it got really bad after we lost the farm.

I’m sorry to hear that. Can you tell me about your job?
It pays the bills. It’s not worse than any other job I’ve had, and at least I can get a lot of hours. There aren’t a lot of jobs around Brown Trout Bay, so I feel lucky to have it. Especially since all I have is a GED. I went to community college for a while and I wanted to be a nurse, and maybe I should have stuck with it because when I wasn’t drinking, I was actually a good student. But then I got married and started helping out on the farm, and that was that.

So, you say that drinking got in the way of your studies. Can you tell me about that?
Look, I live in a dumpy little town. There’s nothing to do but drink. Literally. So that’s what I did when I was in high school. That’s why I dropped out, because my grades were so bad.

And now? Do you still drink?
Well, yeah. Look, can we talk about something else? I know I drink a lot, but it’s not a problem, okay? I don’t want to stop. It’s what I do to socialize and it’s the only thing that relaxes me.

Okay, Rose. Why don’t we talk about something else, and maybe we’ll talk a little more about that later, okay? I have some other questions I need to ask you. How would you describe your health?
My health is okay. I’m hot all the time from menopause, but I guess there’s not much I can do about that. I finally quit smoking five years ago. My blood pressure was kind of high the last time I was at the doctor, so I might have to start taking meds.

Have you ever been hospitalized?
Both of my kids were C-sections. And I had my gall bladder out two years ago. I was in the hospital overnight for that.

You said you might be taking blood pressure medication. Do you take any other prescriptions?
Just allergy meds. I’m allergic to all kinds of stuff. That’s one thing Paul is mad about. I’m allergic to dogs, so he can’t have one.

So, I’d like to ask you about your education and work history. You mentioned that you have a GED, and that you went to community college for a while. It sounds like you didn’t earn a degree correct?
Yup. No degree.

What was your longest full time job?
I don’t even know. Maybe my current one, and I’ve only been there for a year and a half. Before that I was unemployed for a couple of years. I’ve done everything – cashier, lunchroom assistant, factory worker, you name it. I guess you can say I’ve bounced around from job to job? Most of my jobs have been part time.

Are things going well at work?
I guess. My boss is kind of a jerk. He’s not happy with how often I’ve been late. Which is on me, I guess. I don’t think I’m going to get fired or anything. At least I hope not.

Why are you late?
<laughs> Mostly because of hangovers. But my boss drinks more than I do, so it’s not like he can say anything. Like I said, there’s nothing to do in this town.

Okay, Rose. I need to ask you just a few specific questions about drug and alcohol use. Is that okay?
I guess that’s your job, huh? I don’t do drugs at all. My brother died of a heroin overdose when I was a teenager and I won’t touch the stuff.

I’m so sorry to hear that.
Thanks. Addiction kinds of runs in my family, I guess. My sister was taking opioids a few years ago. She’s been in treatment and I think she’s stopped. I hope so. She was in rough shape. Ever since she got hooked on painkillers I’m really careful about taking that kind of stuff too.

I’m sorry to hear that too. Have other family members been heavy drinkers?
My dad. Most of my uncles too. I guess it kind of runs in my family, huh?

So, if you don’t mind me asking, how old were you when you first started drinking?
I don’t know. Maybe 12 or 13? Like I said. There’s nothing else to do.

Have you ever tried to stop drinking, or gone to an alcohol treatment program?
Nope. Never. I’ve been doing it for so long that I can’t imagine myself not drinking. It’s what I do with my friends—I go down to Gary’s Pub and we drink and try to forget about how messed up things are.

Would you say that alcohol causes problems in your life?
Well, I lost my license for six months awhile back for a DUI! But I’m careful about that now.

Have you had any problems in the last 30 days related to alcohol use?
No. I mean, other than showing up late to work, I guess. Can we talk about something else? You’ve asked me a lot of questions about drinking.

Sure, Rose, but if you don’t mind, I’d like to ask you about your husband’s drinking. Does he use drugs or take prescription pills?
Not that I know of. He’s just a plain old drunk. He’s bring drinking for as long as I’ve known him, and like I said, he became an all-out drunk when the kids were teenagers.

OK. I have just a few more questions. Do you have close friends, Rose? People you can confide in?
Yeah, I guess. I’ve lived here all my life, so we’re all kind of stuck with each other. I would say I’ve got three women who I call close friends. They know everything about me. That’s one reason why I don’t want to stop drinking. We get drunk together and we all talk about our messed up marriages and jobs and stuff like that.

Have you ever been in trouble with the law, Rose? You mentioned a DUI, Rose. Has there been anything else?
A couple of public intoxication charges. And I got caught shoplifting, but that was a long time ago.

Rose, has anyone ever abused you in any way? Physically, emotionally, sexually?
I guess. My dad used to hit us when he was drunk. I mean, not like bad enough to put us in the hospital or anything. And I got raped when I was a teenager. I don’t like to talk about that… most of my friends don’t even know. I was dating him and it happened more than once. I was so stupid to keep seeing him.

Sounds like there were some extremely difficult times in your childhood, Rose.
Thanks. It’s no big deal. It happened a long time ago.

Rose, have you ever been treated for emotional or psychological problems?
Nope. Maybe I should have been. I have a ton of anxiety. And depression too, I guess. Like I said, I drink because it makes me feel better.

Do you ever have trouble concentrating or remembering?
<laughs> Only when I drink!

Did you ever have a hallucination?
<laughs> Again, only when I drink!

Have you ever thought about hurting yourself?
I used to cut myself when I was a teenager. Especially after I was raped. But I’ve never been suicidal or anything like tha