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Welcome
To
Greenway
Elementary
CASE ANALYSIS PORTFOLIO 2
Dana Burch
Dr. Townsend
March 2, 2017
TABLE OF CONTENTS
Mission Statement
Informed Consent
Precipitating Factors
Clinical Diagnosis
Development stage
Strengths/ Limitations
Systems
Plan of Action
Ethical Issues
CASE ANALYSIS PORTFOLIO 4
Evaluation Plan
GENOGRAM
JOURNAL/PROGRESS NOTE #
TERMINATION
CASE ANALYSIS PORTFOLIO 5
Agency
Greenway Elementary School staff knows that all children can learn and succeed. As
learners with a passion for touching lives. You find true differentiation as we meet the
academic needs for all of our children. We welcome our students and their families
Mission Statement
for all students to achieve to their maximum potential in all aspects of life- academic,
social, emotional and physical for the purpose of educating the whole child. To focus our
institution and resources to equip students with skills and character that will serve as
building blocks to become effective leaders. To promote instruction and support to meet
the needs of diverse learners in our school community. To educate every student with
respect-maximizing their strengths and talents, honoring their beliefs and working
All students will successfully complete rigorous and relevant coursework that will
prepare them for their future. Through increasing opportunities for choice, students will
be able to customize learning opportunities to meet their unique needs and develop
creative thinking. Provide a safe and supportive environment for all, with an emphasis on
CASE ANALYSIS PORTFOLIO 6
positive, strong, healthy relationships. Empower families and the community to be full
by providing a quality education based on local standards, while meeting state and federal
targets.
social work services to students, school staff and parents. The role of the school social
worker as outlined in the SSWAA School Social Work National Practice Model includes:
• Group counseling
• Social skills
• Individual
(SSWAA, 2013)
CASE ANALYSIS PORTFOLIO 7
Theoretical Framework
School will utilize is the Cognitive Behavior Theory also known as CBT. The CBT
is about recognizing how unhelpful behavior and patterns of thinking destroys ones
modes of thinking and seeks to replace them with helpful thinking patterns
This theory focuses on how negative thoughts results in negative feelings and
negative behaviors. The application of this theory can be seen in how a school
social worker tries to identify the thoughts that trigger certain behavior and feelings
in this client and how well they can replace those emotions with positive ones
The CBT will be used to assess and intervene by the School Social Worker to work
together with the client to identify unhelpful patterns of thinking and behavior
(Phetrausuwan, Miles & Mesibov, 2009). For example, the client noticed the
negative things such as getting into his Aunt Jo face and screaming, “You’re the
meanest person in the world and I hate you! Client doesn’t notice the positive
things. Client has difficult sitting still, constantly moving around, by getting out of
his seat, talks excessively without permission during class, and often has a quick
temper. Client often hits and shove others when he become anger or frustrated.
Using CBT, the Social Worker and client will look at how thoughts and behaviors
impact his feelings. For example, the client believes that nothing will work out for
him in life, he withdraws from others which lead to feelings of anxiety and anger.
CASE ANALYSIS PORTFOLIO 8
A technique used to help the client in CBT is to focus on changing the client’s
behavior by changing his thoughts and feelings. For example, deep breathing
Medical Conditions & History: Ct. was born at 37 weeks, weighed 6lbs, and
substance extensively.
school.
peers.
Client was referred to school social worker by a DSS worker, Crystal Chambers. Client
was referred because he reportedly has behavioral issues at home and school. To
behaviors include: suspension for disrespecting the teacher by using profanity and being
disruptive in class, by talking out loud and getting out of his seat without permission.
Client often hits and shove others when he becomes anger or frustrated. Client is
interrupting others and has trouble waiting for his chance to undertake a task. Client
Confidentiality Guidelines
Your confidentiality as a student is important to us! In our school office, what is said
here, stays here, with the following exceptions, as required by law and/or ethical
standards:
1. Harm to self or others This could include things like a suicide attempt or plan, cutting
illegal behaviors, threats, etc. -- anything that puts your health or safety, or someone
2. Abuse or neglect If you talk with one of us about abuse (physical, emotional, verbal,
sexual, or other abuse), whether to yourself or to another minor, we are required by law
to report it to Child Protective Services, and possibly the police. If you tell us about an
abuse case that's already been addressed by CPS or the police, we still may need to make
attend a hearing or other court proceeding), we cannot guarantee that your information
will be kept confidential. We will always do our best to reveal as little as possible in a
legal setting, but we must cooperate with the police, CPS, and the courts.
If there is ever a need to reveal information, we will let you know in advance, and work
with you to handle the situation in a way that respects you, your feelings, and your needs.
I have read and I understand the department’s confidentiality guidelines and exceptions.
Parent/GuardianSignature___________________________Date _______
CASE ANALYSIS PORTFOLIO 12
Confidentiality Guidelines
Your confidentiality as a student is important to us! In our school counseling office, what
is said here, stays here, with the following exceptions, as required by law and/or ethical
standards:
2. Abuse or neglect
If there is ever a need to reveal information, we will let you know in advance, and work
with you to handle the situation in a way that respects you, your feelings, and your needs.
CASE ANALYSIS PORTFOLIO 13
Client states it’s difficult at times to understand when things are explained to him because
it’s hard to focus in class because the other kids picks on him. He stated, that he is
embarrassed that he cannot read as well as other students or fully understand the teachers
when they speak to him so he just tunes them out and lose focus. Client stated he
Precipitating Factors:
Client is an 8 year old male, in the 3rd grade at Greenwood Elementary School. Client
reportedly has behavioral issues at home and school. For example, at school client is
disruptive, out of seat, lack of productivity, rudeness, and disrespect toward teachers. At
home the client fails to bring home homework, rarely initiated homework, client bit, hit
and kick’s his Uncle Lou. When Aunt Jo attempt to discipline him, client screams at his
Aunt Jo and then would do the opposite of what she told him to do. Client is reported to
make up stories about other kids and gets into fights with other students. Client is getting
bullied at school, has concertation problems, and doesn’t make good eye contact. Client
has difficult learning and would get frustrated easily. Client will say things like ‘I don’t
The client’s problem have the potential to be long term as a result of his clinical diagnosis
problems and don’t follow instructions and would get distracted easily. Client has a
supportive Aunt who is willing to provide both emotional and financial support.
CASE ANALYSIS PORTFOLIO 14
Clinical Diagnosis:
The most commonly diagnosed childhood disorder among students is Attention Deficit
Hyperactivity Disorder, also known as ADHD (Kronenberger & Meyer, 1996). ADHD is
presence of socially disruptive behaviors, either attentional or hyperactive, before the age
of seven, which persist for at least six months (Sue, Sue, & Sue, 1997). Characteristics of
children who suffer from ADHD primarily include inattention, impulsivity, and deficits
in rule-governed behavior, not the restlessness or squirminess that has often been the
focus of adults’ concern. Those identified as having ADHD may show difficulty in
Client was first diagnosed with Attention Deficit Hyperactivity Disorder at the age of six
years old. Client often became overwhelmed and frustrated with others by hitting, kicking
and shoving others. The client is also easily distracted by irrelevant information when
undertaking tasks and is always forgetful when on instructions given within a short
duration of time. The client is interrupting class by not raising his hand to speak out loud
and has trouble waiting for his chance to undertake a task. Client’s current diagnosis of
Attention Deficit Hyperactivity Disorder seeks to explain client’s lack of interest and
Client was born at 37 weeks and weighed 6 pounds 13 ounces via C-Section. When he
was born he had jaundice and was kept in the hospital for a week for treatment. Client
was breast fed until he was nine months old without issues. He first walked at 16 months,
talked at the age two and potty trained at age three. Client was not told by anyone
whether he was delayed or advanced in his development that he can remember. Client
thinks that his development is normal. During this stage of life, client express his
independence by talking back and being disobedient and rebellious. Client is able to
count to 30 and can read simple sentences. Client is still working on spelling and
grammar. Client is able to tie his shoe laces and enjoy playing his video games and
building Lego’s. Client development is not normal for an eight year old due to his
learning disabilities.
Strengths/Limitations:
Client enjoys his own company, and can spend time alone. Client is slow to warm up to
others and doesn’t feel comfortable interacting with new peers. Client is the fastest kids on
the playground when it’s time for recess! Client can run, jump, climb, and disappear quicker
than any kid in the 3rd grade. Client likes to play video games and build Lego’s. Client’s
limitations are being able to communicate/interact with others and eye contact.
CASE ANALYSIS PORTFOLIO 16
Client Systems
Aunt Jo & Uncle Lou – Provide emotional and financial support for client.
Action Plan
Social Worker and client have identified the following problems and have determined that
these were the areas that we need to address in order to empower the client to achieve his
Client Problems
2. Behavior issues at home and school, examples such as screaming at Aunt Jo when not
getting his way, being disruptive in class, getting out of seat without permission.
Needs
Goal # 1
Objective: Client will count to 10 before reacting, Client will take deep breaths when
he feels himself getting angry. Client will follow directions and listen.
Goal #2
Client will learn and use social skills to improve communication with others
Objective: Client will provide eye contact to others, Client will initiate
Action Steps
behavior class.
client by empowering, motivating and providing free resources. Social justice is the view
that everyone deserves equal economic, political and social rights and opportunities
(NASW, 2008).
Integrity means acting honesty, responsibly and ethically at all times (NASW, 2008).
Integrity relates to social work because as a social worker this value will make the social
worker capable to establish a good rapport with the client. The client will trust and be
more likely to divulge information that can be helpful towards his assessment. Also it
will facilitate the process of properly following and implementing privacy and
Competence means that you're continually striving to improve your knowledge and to
important personal value that is congruent as it relates to social work and the NASW
Code of Ethics. The Social Worker strive to be competent by absorbing and sharing
Ethical Issue
Possible ethical issue that may arise in this case is the school social worker being aware
of their cultural biases and values and not imposing them on the client. Social worker
should develop an understanding of how cultural biases can impact the client and his
family. Also, another ethical issue that may arise is confidentiality. The school social
where the law or professional ethics require it. They may also breach confidentiality to
the best interests of the client or when they are required to do so by law. For instance, if
the client is threatening to harm him or others medical authorities may have to be
notified.
CASE ANALYSIS PORTFOLIO 21
Evaluation Plan
Task-Achievement Scale
Percent = 90%
Key
4= Completely Achieve
3=Somewhat Achieve
2=Somewhat Achieved
Genogram
Grandparents Grandparents
Mother Aunt
Ann
Aunts/Uncles Father Aunt
Died 2016 Betty
living
Aunt Jo Uncle Barry
Lou died
Living Living unknown
Living
L
Cousins Patient Sibling
Cousin
Jeffrey
living Brother
Cousin Joseph (Client) Antonio
Tommy
living living living
Male
Female
Dead
Alive
CASE ANALYSIS PORTFOLIO 24
Date: 1/23/17
Progress Notes
Social Worker met with client Joseph Perry for intake assessment. Client is an 8 year old
African American, male in the 3rd grade. Client was referred to Greenway Elementary
School Social Worker, by DSS worker, Crystal Chambers. Referral was initiated because
client is having behavioral issues at home and school, such as yelling, screaming, being
Social worker discussed agency services with client and it was decided that the social
worker could meet client’s needs. Social worker discussed client expectations of services
and agency expectations with client. Client was informed of confidentiality policy and all
required paper work was signed by client and Aunt Jo. Client will return on 1/30/2017, at
Journal Note
Before the conversation with the client, I was nervous. However, shortly into the first
conversation I realized that this would be much easier than expected. I learned how to
effectively interact with the client. I discovered that the most important aspect of the
conversation was not what I had to tell the client, but rather it was to listen carefully to
what the client had to say. During the first session, I wondered how I was supposed to
empathize with the client whose situation I could not relate to, but I found that it was easy
.
CASE ANALYSIS PORTFOLIO 26
Date: 1/30/17
Progress Note
Client and social worker met and discussed client current needs such as behavior issues
displaying at home and school. Social worker worked with client to identify the problems
such as, screaming at home when not getting his way, getting out of his seat in class,
being disruptive in class problems. Together client and social worker devised a plan of
Social worker and client decided that the client needed to decrease anger by counting to
10. Client and Social worker also decided that the client needed to work on healthy social
skills by providing eye contact to others and to ask questions when needed.
Journal Note
I feel more relaxed than the first meeting. I was anxious to get the session over because I
Date: 2/6/17
Progress Note
Client made significant gains during the course of each session and reported being
satisfied with his progress. Early on, he came to appreciate and value his capacity to
express his behavioral thoughts and feelings when feeling entitled to do so. The client
was also able to use the space of the CBT to explore the factors that had been preventing
him from making decisions in this regard. The behavioral and cognitive interventions
appeared to adequately address the client’s difficulties with anger management and social
interactions with peers, both of which were fully resolved by the end of treatment.
Overall, the client’s behavior and social skills appeared to improve over the course of
sessions.
CASE ANALYSIS PORTFOLIO 28
Journal Note
I was feeling a sense of pride and accomplishment over a “job well done,” as well as
some sadness over the fact that the client and I, were no longer going to be working
together.
CASE ANALYSIS PORTFOLIO 29
Date: 2/13/17
Progress Note
The client experienced significant improvement and gains throughout each session. He
expressed the wish to terminate treatment based on feeling satisfied with his level of
improvement. A termination date was set for February, 13 2017. The client express his
appreciation for our work together and said good-bye as he walked out the office door.
Social worker will follow-up in 6 months, the client was informed he is free to contact
Journal Note
I had the feelings of peace and happiness while completing this session. Satisfaction is
the feeling!
CASE ANALYSIS PORTFOLIO 30
Termination
Based on the Task Achievement Scale client has achieved 90% of objectives as outlined
in action plan. Client a social worker discussed at beginning of plan implementation that
they would meet for at least 6 weeks as long as the client had accomplished at least 85%
Client has demonstrated success by decreasing anger outbursts. Client stated his anger
has improved, he was no longer scream at his aunt when didn’t get his way. Client stated
he was much calmer. Client is able to interact with peers by using healthy social skills
such as eye contact, and able to communicate with others positively by using verbal and
nonverbal communication, such as waving his hand, nodding his head and saying uh
Social worker will follow up with client in six months to identify the areas of continuous
growth.
CASE ANALYSIS PORTFOLIO 31
References
Kronenberger, W.G., & Meyer, R.G. (1996). The child clinician’s handbook. Needham
http:www.socialworkers.org/pubs/code/code.asp
Phetrasuwan, S., Miles, M., Mesibov, G., & Robinson, C. (2009). Defining autism
Rosenhan, D.L., & Seligman, M.E.P. (1995). Abnormal psychology (3rd. ed.). New
Sue, Sue, & Sue. (1997). Understanding abnormal behavior (5th ed.). Boston, MA:
Houghton Mifflin.
Thies, K. M., & Travers, J. F. (2009). Growth and development through the lifespan (2nd
.
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