Case summary 800 words
Format
Summary Report on First Interview
format
Basic data – Name (Code), sex, age of client
Date, time, place of interview/contact
Source of referral (can be self-referral)
Problem(s) identified by the source of referral and request for service
Psychosocial history
– family background / composition (a genogram/family map is suggested to be
drawn)
– family relationship
– school / work life
– peer relationship
– other significant information (e.g. financial condition, health history, physical
appearance, emotional state, criminal record, etc)
Initial assessment
Recommendation/ Follow up work
Objectives for next interview
Evaluation of worker’s performance (This part focuses on the performance and skills
application of the student worker, it may not be required in each recording. Student
should discuss with his/her fieldwork supervisor)
Student social worker’s name
Date of report written
*Summary Report on First Interview* (Please paraphrase the information. Don’t copy as I use AI to write before information)
*Basic data*
– Name (Code): B, 56 years old, male
– Date, time, place of interview/contact: Not provided
*Source of referral*
– Self-referral
*Problem(s) identified by the source of referral and request for service*
– Needs to pay a fine of HK$11,600 to the court shortly, or else he may face imprisonment again
– Experiencing anxiety and inability to sleep due to the impending fine
– The original money was given to his son for business, and he needs to communicate with his son and daughter to seek help
*Psychosocial history*
– *Family background/composition*
– Father passed away 20 years ago
– Mother is 83 years old, in good condition and can handle daily life
– Lives with his mother, sometimes cooks for her
– Divorced due to crimes of burglary and smuggling, weak bonding with ex-wife, no contact
– One 31-year-old daughter with an 8-year-old child
– One 29-year-old son with a 2-year-old child, both married
– *Family relationship*
– Closer bonding with his mother
– Mild connection with son and daughter, but they are busy with work life, sometimes meet for dim sum
– Has seven siblings, including one older sister (he is the second child) and one younger brother who passed away a few years ago
– *School/work life*
– Worked as a fisherman since the age of 18, obtained a boat license, found driving at sea to be relaxing and comfortable
– Parents were also fishermen when he was young
– Unable to work now due to a hernia repair surgery (open/laparoscopic)
– *Peer relationship*
– No specific friend network mentioned, but willing to talk with social workers or call the mental health hotline
– *Other significant information*
– Had a criminal record of burglary and smuggling, sentenced to 9 months in prison
– Suffers from minor depression, takes medication for mental health and depression
– Needs to undergo a minimally invasive surgery, causing anxiety
– Tries mindfulness and listens to music to help with breathing
– Had a hobby of playing dragon boat racing and won prizes for the Tai Po team in the past
– Financial condition: Needs to pay a fine of HK$11,600 to the court shortly
*Initial assessment*
– Facing financial difficulties due to the impending fine
– Experiencing anxiety and sleep issues
– Seeking support from family members
– Dealing with mental health challenges and the need for surgery
*Recommendation/Follow-up work*
– Assist the client in communicating with his son and daughter to seek financial support
– Provide counseling and coping strategies for managing anxiety and depression
– Explore available resources or assistance programs for paying the fine
– Refer the client to appropriate mental health services or support groups
– Prepare the client for the upcoming surgery and provide post-operative support
*Objectives for next interview*
– Discuss the progress in seeking financial assistance from family members
– Evaluate the effectiveness of coping strategies for anxiety and depression
– Identify any additional support needed for the upcoming surgery
– Explore long-term plans for financial stability and employment
*Evaluation of worker’s performance*
– Not provided
*Student social worker’s name*
– Not provided
*Date of report written*
– Not provided
Case plan 800 words
Format
Interview Plan
Basic data – Name (Code) of client
Date, time, place of interview/contact
Objective(s) of the interview/contact (Be specific!)
Proposed agenda (should be logical with the planned objectives and assumptions towards
the response of client):
– steps/tasks /possible questions/special issues/format of interview, etc.
All necessary preparation
Anticipated difficulties
Student social worker’s name
Date of report written
Case plan (Please paraphrase the information. Don’t copy as I use AI to write before information)
Given that B’s primary and urgent concern is settling the court fine to avoid imprisonment, the priority for the social worker should be addressing that issue first through a solution-focused approach. Here’s how the sessions could be structured:
*Session 1:*
– Use solution-focused techniques to explore all possible options for paying the $11,600 fine on time.
– Help B identify his strengths, resources (e.g., family support, vocational skills), and past successes in overcoming challenges.
– Set a specific, achievable goal for this issue, such as negotiating a payment plan with the court or raising funds from family/community.
*Session 2:*
– Brainstorm concrete steps B can take towards the goal, considering different scenarios and their potential outcomes.
– Discuss the pros and cons of each option, empowering B to make an informed choice that aligns with his values and capabilities.
– Use scaling questions to assess B’s confidence and readiness to take action.
*Session 3:*
– Support B in implementing the chosen solution, whether it’s communicating with authorities, seeking legal aid, or reaching out to family for assistance.
– Celebrate small wins and adjustments made along the way.
– Address any emotional barriers or self-doubts that may hinder progress.
*Sessions 4-6:*
– Once the urgent legal issue is addressed or a clear path is established, shift the focus to exploring B’s personal narratives and building resilience.
– Utilize narrative therapy techniques to reframe his life experiences, highlighting his resilience, courage, and meaningful roles (e.g., fisherman, dragon boat racer, caring son/father).
– Introduce emotion regulation strategies, such as mindfulness and creative expression, to help B process and release underlying emotions like sadness, anxiety, and stress related to his upcoming surgery and past legal troubles.
– Develop a comprehensive stress management plan incorporating various coping mechanisms and support systems.
Throughout the process, maintain a collaborative and non-judgmental approach, validating B’s efforts and empowering him to take an active role in problem-solving. Regular reviews and adjustments to the intervention plan may be necessary based on progress and emerging needs.
Please review if the plan is valid and easy to execute.
