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Running head: CASE ANALYSIS PORTFOLIO

Welcome
To
Greenway
Elementary
CASE ANALYSIS PORTFOLIO 2

Case Analysis Portfolio

Dana Burch

Dr. Townsend

March 2, 2017

Johnston C. Smith University Metropolitan College


CASE ANALYSIS PORTFOLIO 3

TABLE OF CONTENTS

PART 1 WORKER’S PROFILE

About our School

Mission Statement

Goal of the School

Service School Provides

Clientele School Serves

Position /Role of the Social Worker

Theoretical Framework Worker Utilize

PART 11/ CLIENT ASSESMENT

Client’s Identifying Information

Reason for Referral & Referral Source

Informed Consent

Client View of the Problem

Precipitating Factors

Clinical Diagnosis

Development stage

Strengths/ Limitations

Systems

Plan of Action

Social Work Values

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

avenues to that success, we provide high-quality instruction while simultaneously

creating a classroom environment that engages students. We build a community of

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

maximizing the opportunity to build relationships!

Mission Statement

The mission statement of the Greenway Elementary School is to promote opportunities

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

collaboratively to overcome their challenges.

Goals of Greenway Elementary

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

partners in students’ educational success. Demonstrate accountability to our community

by providing a quality education based on local standards, while meeting state and federal

targets.

Service’s Greenway Elementary Provides

At Greenway Elementary School we provide high-quality instruction while

simultaneously creating a classroom environment that engages students.

Clientele Greenway Elementary Serves

Grade levels: K-6 Number of students: 410

Position/Role of Social Worker

At Greenway Elementary, the School Social Worker position is to provide extensive

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)
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Theoretical Framework

The Theoretical Framework the School Social Worker at Greenway Elementary

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

(Phetrausuwan, Miles & Mesibov, 2009, p. 206).

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

(Phetrausuwan, Miles & Mesibov, 2009, p.206).

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.
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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

relaxation techniques can significantly reduce feelings of anxiety/anger

(Phetrausuwan, Miles & Mesibov, 2009).


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Client Identifying Information:

Identification: 8 year old, African American, Male

Medical Conditions & History: Ct. was born at 37 weeks, weighed 6lbs, and

was born with jaundice.

Current Medications: Aunt Jo to email list

Substance Use: N/A However Biological Mom used

substance extensively.

Family History: Client has experienced a loss of his

Biological Mother & Grandmother

Social History: Client has been bullied extensively in

school.

Educational History: Currently on 3rd grade level in elementary

school but in self-contained classroom.

Client has documented learning disabilities

especially in reading. He has extensive peer

issues at school and seems to need

assistance in appropriate skills relating to

peers.

Legal History: N/A

Other Information: Client supposedly gets bullied extensively

by kids at school. Aunt Jo reports that kids


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put salt in his food and milk. Symptoms

include: intermittent aggressiveness,

concentration problems, school problems,

peer problems, problems going to sleep, puts

nonfood items in mouth, issues with

socialization, doesn’t make good eye

contact, isolates in his room at home. Client

was adopted via DSS in a relative placement

situation due to his Biological Mom issues

with drugs while pregnant with this child.

Reasons for Referral:

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

screams at Aunt Jo at home if he doesn’t get his way.


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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

or other self-injury, eating disorders, addictions, fighting or other physical violence,

illegal behaviors, threats, etc. -- anything that puts your health or safety, or someone

else's health and safety, at risk.

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

a call to double check.

3. Court or other legal proceedings. By law, if we are subpoenaed (required by law to

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.

Student Signature ____________________________ Date

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:

1. Harm to self or others

2. Abuse or neglect

3. Court or other legal proceedings

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’s view of the Problem:

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

becomes angry at home and school because no one listens to him.

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

want to go to school because I don’t like it”.

The client’s problem have the potential to be long term as a result of his clinical diagnosis

of Attention-Deficit/Hyperactivity Disorder. In addition, the client has concertation

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:

314.01 Attention-Deficit/Hyperactivity Disorder (ADHD)

The most commonly diagnosed childhood disorder among students is Attention Deficit

Hyperactivity Disorder, also known as ADHD (Kronenberger & Meyer, 1996). ADHD is

marked by developmentally inappropriate inattention, impulsiveness and motor

hyperactivity (Rosenhan & Seligman, 1995). In general, ADHD is defined by the

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

focusing and sustaining attention, controlling impulsivity, and showing appropriate

motivation (Kauffman, 2001).

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

inability to achieve the highest level of functioning.


CASE ANALYSIS PORTFOLIO 15

Development Stage of Client

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.

Brother - Provide emotional support for client

Cousins - Provide emotional support for client

Teacher - Provide a safe and learning environment for the client

Pastor - Provide spiritual and emotional support for the client

School- Provide emotional support for client


CASE ANALYSIS PORTFOLIO 17

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

highest level of following:

Client Problems

1. Interaction with others

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

1. Client needs to learn healthy social skills.

2. Client needs anger management.

Pros Cons Strengths

Mico Patterns of Can be treated Inability to Good physical


behavior, over a period adjust to health
interaction with of time. others.
peers.

Mezzo Support group Emotional Willingness to Aunt Jo


of support assist. involved in the
teachers/family. treatment.

Macro Advocate for Passion for Fewer Attend school


more special each student resources daily and client
need teachers. with behavioral like’s recess.
issues.
CASE ANALYSIS PORTFOLIO 18

Goal # 1

1. Client will decrease anger outburst

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

communicative interactions with others by asking questions. Client will engage in

conversational turn taking with others.

Action Steps

Who Will do What By When Evidenced by

Client Decrease weekly Not yelling, screaming at home, ask

anger for permission to get out of seat at

outburst school, and will not be disruptive in

behavior class.

Client Lean healthy Weekly Provide eye contact to others in

social skills conversations, ask questions when

needed, client will engage in turn

taking with others.


CASE ANALYSIS PORTFOLIO 19

Social Work Values

As a Social Worker at Greenway Elementary School, we provide social justice to the

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

confidentiality in the NSAW Code of Ethics.

Competence means that you're continually striving to improve your knowledge and to

make meaningful contributions to the profession (NASW, 2008). Competence is an

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

important information. Competence allows the social worker to provide appropriate

services by exercising careful judgment and making responsible measures to ensure

competence and protect the client from any harm.


CASE ANALYSIS PORTFOLIO 20

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

worker need to develop trusting relationships with clients, and an understanding of

confidentiality in communications and discussions helps built trust. However, school

social workers are sometimes obligated to break confidentiality under circumstances

where the law or professional ethics require it. They may also breach confidentiality to

family members or appropriate third parties in instances where it would ultimately be in

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

Task Degree of Achievement Rating

Decrease anger behavior Client has been completing 3


deep breath techniques and
counting to 10.

Client has been keeping a 2


diary (journal) and writing
about negative emotions.

Learn healthy social skills Client has been providing 3


eye contact to others, client
has been asking question
when needed.

Attend Social skills training Client has been attending 4


group at Greenway social skills group training
Elementary School for one hour on a weekly
provided by Social Worker basis for six weeks, to
reduce disruptive and
negative behaviors.
CASE ANALYSIS PORTFOLIO 22

Total Points =12

Percent = 90%

Key

4= Completely Achieve

3=Somewhat Achieve

2=Somewhat Achieved

1=Not likely Achieved


CASE ANALYSIS PORTFOLIO 23

Genogram

Grandparents Grandparents

Peter died Kathy


Billy Joe Mary died in
in 2000
died in Ann Died 1998
2010 2016

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

Genogram Key Symbol Relationship is Poor/Distant


Relationship is Close/Best Friends

Male

Female

Dead

Alive
CASE ANALYSIS PORTFOLIO 24

Client Information Provider Information

Name: Joseph Perry Name: Greenway Elementary School

Record Number: 9805552212 Worker Name: Dana Burch

Worker Role: Social Worker

Date: 1/23/17

Time: 11:00am- 11:45am

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

disruptive in class, hitting and shoving others.

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

12pm for a full assessment.


CASE ANALYSIS PORTFOLIO 25

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

to do if I just listened to client.

.
CASE ANALYSIS PORTFOLIO 26

Client Information Provider Information

Name: Joseph Perry Name: Greenway Elementary School

Record Number: 9805552212 Worker Name: Dana Burch

Worker Role: Social Worker

Date: 1/30/17

Time: 11:00am- 11:45am

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

action to address these needs.

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

was hungry and ready to go home to relax.


CASE ANALYSIS PORTFOLIO 27

Client Information Provider Information

Name: Joseph Perry Name: Greenway Elementary School

Record Number: 9805552212 Worker Name: Dana Burch

Worker Role: Social Worker

Date: 2/6/17

Time: 11:00am- 11:45am

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

Client Information Provider Information

Name: Joseph Perry Name: Greenway Elementary School

Record Number: 9805552212 Worker Name: Dana Burch

Worker Role: Social Worker

Date: 2/13/17

Time: 11:00am- 11:45am

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

the social worker in the future if needed.

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%

of stated goal tasks and service will be terminated.

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

hmm when someone speaks to him.

Social worker will follow up with client in six months to identify the areas of continuous

growth.
CASE ANALYSIS PORTFOLIO 31

References

Carlson, N. R. (2007). Physiology of Behavior (9th ed.). United States of America:

Pearson Education, Inc.

Kronenberger, W.G., & Meyer, R.G. (1996). The child clinician’s handbook. Needham

Heights, MA: Allyn & Bacon.

National Association of Social workers. (2008). Retrieved March 2, 2008, from

http:www.socialworkers.org/pubs/code/code.asp

Phetrasuwan, S., Miles, M., Mesibov, G., & Robinson, C. (2009). Defining autism

spectrum disorders. Journal for Specialists in Pediatric Nursing, 14(3), 206-209.

Rosenhan, D.L., & Seligman, M.E.P. (1995). Abnormal psychology (3rd. ed.). New

York, NY: Norton.

School Social Work Association of America. (2013). SSWAA’s organizational mission

statement. Retrieved February 5, 2017 from http://www.sswaa.org/


CASE ANALYSIS PORTFOLIO 32

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

ed.). Sudbury, Massachusetts: Jones and Bartlett.

.
CASE ANALYSIS PORTFOLIO 33

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