Biopsychosocial Assessment and Intervention
Description of Client- Identifying Information
Client: Crystal Wallace
Age: 35 years old
Family Composition: Nuclear family
Race/Ethnicity: African American
Legal issues: None
Sexual Orientation: Heterosexual
Level OF Education: College.
Social Class: Low social class.
Income Source: Secretary.
Residence: Rental apartment
Prominent health issues: Gender-based violence, Depression.
She lives with her partner Beau and her two children
Substance use: None
Presenting Issues and Concerns
Ms. Wallace’s most concerning issue is living with an alcoholic and abusive partner who seems to suffer from PTSD. She is a victim of gender-based violence, which leads to the fatality of her two children and emotional disability, and depression. The client views these issues as worrying that she tries to keep her children from her partner and also refuses to marry her partner on the same issue. Her neighbor is worried about her situation and for her safety. She calls social welfare services. Her work colleagues never realized the problems she had at home. It could be because it was a busy workplace, with an unfriendly boss and a strong victim. Her friends resonated with her feeling of loss and violence at home. However, they engaged her as much as possible after the loss of her children and provided her with the social support she needed. I felt like Ms. Wallace’s issue was worrying, and she ought to seek help before it led to more severe issues.
The issues of gender-based violence and feeling of unhappiness began following the return of her partner Beau, a veteran who returned home from war with PTSD. The issue was precipitated by the fact that he had not received his veteran’s benefits, when the social worker came to conduct a home assessment for the safety of the children, when his wife refused to marry him, and later saw her come from a car being driven by a man. Additionally, Beau was angered by Ms. Wallace, wanting to keep his children away from her. These situations arouse a feeling of rage, resentment, and anger that lead him to physically and verbally abuse his partner, Ms. Wallace. Previously, she would keep silent on the issues affecting her. She never sought help. She contemplated and attempted suicide at some point but was rescued by her neighbors. The client would need help with her mental and physical health.
Assessment of Relevant Contextual, Historical, and Intrapersonal Factors
The client’s source of income is her secretarial job. Ms. Wallace cannot meet all her basic needs. For instance, even though she had a home and could afford food, utilities, and clothing, she did not have safety for herself and her children. Her husband is an ex veteran who keeps reckoning on his unpaid veteran benefits. The source of income is not enough. Various aspects can be improved regarding Ms. Wallace’s income. This involves assisting her partner in getting mental health help and later a job to support the utilities and other bills. Ms. Wallace is a secretary at a company, a decent job she would report to every morning. Her family needs were met in a culturally appropriate manner.
There is no evidence of a language barrier affecting Ms. Wallace. Mrs. Wallace communicates in English. The primary language is English spoken in the community, workplace, and health facility. Therefore, there are is no need for interpreters in her care. The strength language pose to the client is that she can openly communicate with her family, friends, work colleagues, and healthcare providers without confusion, conflict, and misunderstanding.
Ms. Wallace’s medical needs are not met. She does not seek routine checkups, assessment of illness, or access to medications and rehabilitation services. Her problem with mental health has never been cared for or addressed. Lack of medical access is also seen in her partner, who has PTSD and rather stays at home drinking alcohol instead of seeking professional help. The services at the healthcare facility are culturally appropriate. However, lack of finance makes it inaccessible due to insufficient funds.
Safety needs are not met. She encounters domestic violence, physical and verbal abuse, and child neglect. The physical environment is not safe. She lives with her children on the fifth floor of a multi-storeyed building. Domestic violence is an issue for Ms. Wallace. It is the sole source of unhappiness, depression, and fatality of her children. Additionally, there is no safety plan incases of emergencies.
There are child protection issues for Ms. Wallace. She lives with a partner who is an alcoholic and abusive. They constantly fight in front of the children. When Ms. Wallace reports for work, she leaves her children with a partner, a sign of child neglect and unwarranted child safety. There was a service plan by the social work services. However, there were no reports on the unsafety of the home for the children by the social worker, and no attempt was made to find them a safer place. There are no legal issues for the client.
Ms. Wallace is a US citizen. She is a Christian. She has a moderate level of involvement with religion, spiritual organization, practices, and community. Spirituality gives her a purpose and a reason to bounce back from her previous issues. She believes in a second chance in life God has given her. The client enjoys worshipping God and spending quality time with her family. However, she spends most of her time at work and caring for her children and partner. These interests are hindered by limited time, financial barriers, and violence at home. Ms. Wallace’s essential social support is her neighbors and friends. She has strong ties with her neighbors, who are easily accessible.
In the social structural aspect, she currently has no family. Her partner was jailed for murder. She has great support from work, friends, and neighbors. The client has joined other women with psychological issues to help redeem them from violence and depression. This is through providing emotional support and advocating for the same.
Ms. Wallace has two children. She can perform her activities of daily living. She arrives late to work, which causes her employer to complain. However, she has a good relationship with her colleagues. Her work performance also seems to decrease. She carries work home and forgets important documents supposed to be used by Joanna, her employer. Her previous encounter with child welfare services was uneventful. She has a weak relationship with her family of origin. Her intimate relationship is unfruitful. She has constant fights with her partner.
Coping Strengths and Weaknesses
The client’s strengths are a strong support system, a stable job, and good physical health. The client is also strong-willed and eager to participate in her care. The client adequately processes information and involves in group meetings to minimize the stress. She has a constricted relationship and communication with others but is flexible to accommodate everyone.
Ms. Wallace is a 35-year-old African American female with complaints of emotional disturbance and gender-based violence for over three months. The client has difficulties acquiring community resources such as healthcare and daycare. She has a history of suicidal ideation and attempt. Her strengths are good physical health, a stable job, and a support system. She is employed with a stable, decent job and has good social support from her neighbors and friends. However, the income is insufficient to cater to the family’s needs because her partner is unemployed and abuses alcohol.
Plan for Intervention
Immediate Goal: Ms. Wallace to gain knowledge on stress management.
Long-term Goal: Ms. Wallace to change her behavior on seeking help and call a support group when in need.
I would recommend an for Ms. Wallace to receive holistic care. First is Crisis Focus therapy to support problem management and cognitive-behavioral therapy to help her gain knowledge and skills in stress management. I believe that opening up to a person about her problem might be uncomfortable.
The Best Research Evidence
St John and Walmsley state that cognitive-behavioral therapy and psychological counseling improve the psychological health of the victims of gender-based violence. Additionally, these strategies equip women with knowledge and skills in self-protection and stress management. These services are available to underserved clients free of charge. These treatments are likely to be accepted by the client
Values and Ethics
Culture is an important aspect that impacts an individual’s health. Culture influences how individuals think and perceive health and their health-seeking behaviors. African Americans are known for communality and the strength of a woman. They appreciate togetherness, and this might impact the services I might offer.
My agency can shape further service delivery. Most importantly is creating awareness among healthcare providers on cultural competence. Organizational factors such as availability of favorable hospital policies, good leadership, and availability of resources promote successful services. Barriers, in this case, were a low socioeconomic status with a lack of medical insurance, thus limiting the minimum number of care the patient might need.
Social Change Goals
Promoting social justice is a social change goal related to my work with the client. I would link the patient to a financial support group, mental health, and . I would create awareness in communities about the services available for mental health and gender-based violence (Marmot). Additionally, I would educate women on the importance of speaking up in situations of violence and abuse.
Marmot, Michael. “Social justice, epidemiology and health inequalities.” European Journal of Epidemiology, vol. 32,7 (2017): 537-546. doi:10.1007/s10654-017-0286-3
St John, Lily, and Rebecca Walmsley. “The latest treatment interventions improving mental health outcomes for women, in : a mini-review.”Frontiers in Global Women’s Healthvol. 2 792399. 2021, doi:10.3389/fgwh.2021.792399.
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