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SOCW 6500 Assignment 2: Process Recordings SOCW 6500: SOCIAL WORK FIELD EXPERIENCE I WALDEN UNIVERSITY Process Recording Template Student Name: Kiewanna A. Hills Date of Contact: 1-06- Session/Contact # and Location: 1). Description of Client(s): Mr. D is a 62-year-old Black American Male with Stage 4 Pancreatic Cancer. Client was diagnosed in 2019 with this cancer, but progressed to the final stage in November 2020. This is my 2nd^ contact with this patient. He started his journey with Cancer Treatment Center of America in 2019. He attends all of appointments alone. He receives support from his family, but mostly from his older sister. Client has never been married and has no children. He as criminal and drug history but has since overcome all of those barriers. He lives alone in a one-bedroom apartment. He receives SNAP benefits and Social Security benefits. Client is unable to drive due to how the chemotherapy treatments make him feel once he is done. He has no energy. He has Medicaid transportation to help ensure he attends all medicals appointments in a timely manner.
1). Presenting Problem: This meeting was held at Cancer Treatment Center of America in one of the interview rooms. Client meets his Behavioral Health team every visit at CTCA. He wanted to meet with the Social Worker to receive knowledge of any resources available to him. Client receives Medicaid. He wanted to know what benefits his insurance provider offers. Client wanted to know if he could receive home health care. He at times can not cook meals for himself. Client states that he does not live in the same city as his family, so having them cook for him is a problem. 2). Purpose of Session (why is the client being seen): Client will be seen today to help find a solution to his presenting problem: Seeking Home Health Care. 2). Objectives/Goals of this session: The goal today is to find resources for the client by helping to obtain a healthy quality of life while at home in providing nutritional options. Process Recording 2 Week 8 For the sake of this process recording and for reasons surrounding confidentiality, all names used are pseudonyms. Client information and presenting issue: Suzie Carmichael, a 31 y/o white female, was recently admitted. Mrs. Carmichael was admitted for suicidal and homicidal ideations. Patient has been diagnosed with Psychosis, Bipolar, and just recently Border Line Personality Disorder. According to the patient’s intake application, patient was verbalizing a sincere wish to die, and potentially harming others. Patient denies and believes that the referral agency falsified information to get her admitted sooner, because they could not see her until later in the current month (over a period of 2 weeks). Patient has 3 children with her abusive ex-husband. Patient states that she just wants to
this about girl? I’ve been here before, I don’t remember seeing you, I don’t remember doing this. Teaira : Yes Ma’am. You may not recall me because I have only been here a couple of months. I am a Social Work student. The questions that I am going to ask you are a part of CrossRoads Behavioral Health protocol. A Behavioral Psychosocial Assessment has to be conducted on every patient within their first 24 hours of admission. All of my work is monitored by my supervisor, a licensed clinical social worker that has been with the agency over 2 years. I assure you everything is confidential, and
what you share will only be shared between approved officials. Is it ok if we continue with the assessment? I’ll try to make it as less painful as possible. Short & Sweet. Suzie Carmichael : (*Notices writer has the same color nails as hers) Oh yes honey, you have Firecracker Red like me, let’s do this. Teaira : Ok, great! We can start by you telling me how you’re feeling today. Do you know why you’re here? Suzie Carmichael : Well I’m feeling a lot better than when I arrived last night. I was able to finally sleep. Teaira: Have you not been able to sleep? Suzie Carmichael :
worthlessness and or anxiety? Suzie Carmichael : Well I am a little depressed today. Today is my mom’s birthday Teaira: Have you been experiencing hopelessness, maybe about the future or do you still feel as though you want to take your life? Suzie Carmichael : I don’t want to die, but my mama’ death still bothers me. influence that social relationships have on their development and environment. (Turner, F.J.,
Suzie Carmichael : My mom’s death still feels like yesterday. She was only 43, and she died on her birthday. We were so close, and I know my life wouldn’t be like this if she was here. Using the Psychosocial Framework determines the evaluation of mental, physical, and emotional health. (Turner, F.J., 2017)
Teaira: You mentioned that this marks the 10-year anniversary of your mom’s death. Do you typically start to feel very depressed or experience extreme anxiety around this time of year? Suzie Carmichael : I mean yes. It’s normal right? Teaira: From my personal experience, grief has no time limit. I am not, however, at liberty to tell you if your grieving process is normal or abnormal. You mentioned that it is normal to feel like this around this time. So how long do you feel like this? Is this an ongoing feeling? Are these feeling just Using the Vulnerable State of the Key Concepts of Crisis Theory helps to identify the patient’s immediate and longer-term response to the hazardous event. In this scenario, the hazardous event would be Suzie’s depression and morning the loss of her mother. (Turner, F.J., 2017,
Suzie’s mood has altered from being loud and lively, to being withdrawn and guarded. Suzie has become visibly sad. Suzie appears to be lost in thoughts. Suzie is managing to stay on topic but is struggling to maintain upbeat mood. Suzie may also be aware of her pattern of depression around the time of her mother’s death and birthday.
Suzie Carmichael : I’m not going to lie to you, I know I have not been myself for a long time. I haven’t been taking my meds like I need to, and I’ve just been stressed out. I can’t catch a break. I feel so worthless and weak. Teaira : Being able to acknowledge that you haven’t been yourself is not a sign of weakness, it’s actually a strength, and is an indication that you’re aware of what’s going on with you, so that the professionals Using the Empowerment Theory or the Empowerment Approach to Social Work acknowledges the patient’s strengths and provides support. Using this approach helps to build rapport and Suzie acknowledges that she hasn’t been herself and she hasn’t been taking her medicine. Suzie continues to stay on topic. Patient has managed to shift to a slightly positive move, due to the mention of the writer acknowledging what she feels is a weakness as a strength. here will know what services to provide for you. That’s actually very brave of you.
Teaira: When you feel stressed, or the loss of your mother becomes overwhelming, what do you usually do? How do you cope? Suzie Carmichael : Well about 5 years ago, I would just cut myself to relieve the pain. I was also doing about 4 grams of Meth and Cocaine every other day. Teaira: What do you do now? Do you still feel the urge to get high or cut? Suzie Carmichael : All the time. Teaira: Well, what stops you? Suzie Carmichael : I just don’t do it. Teaira: What do you do now? Suzie Carmichael: I just shut down and shut everybody out. I
6). Summary Assessment/Analysis of the Session A. Identify the stage of work with client/client system (i.e., pre-engagement, engagement, assessment, intervention, evaluation). Why? B. What did you learn from the session that adds to your understanding of the client? C. What were the major themes of the session? D. What were the challenges presented during the session? E. What was accomplished during the session? During the session, the client’s demeanor had changed. He was calmed and his barriers were eliminated by using solution-based perspective.
F. What concepts or theories or interventions did you apply? And what were the results--what worked and what didn’t given the socio- cultural context of the client's presenting problem(s) and underlying issues? G. Explain how your interpretation of what occurred in the dialogue relates to the week’s lesson (ie. Week #2 – Engagement, Week #
- Assessment, Week #6 – Intervention, Week #8 – Evaluation) This patations H. A summary of the student’s impression: I. Questions for Supervision: 7). Future Plans
