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Final Exam Part 1 - Case Study Analysis

Case Scenario Selection

there is no requirement for the assignment pages make sure this is in mla format or apa

Please open this document in Word, and respond to each question after the prompt. Make sure to fill out your name, class and section number, and to upload your completed document, with Part 1 and Part 2, to the Final Exam Part 1 and 2 Dropbox. Part 3 is to be completed in eLearn.

 Please choose one of the following three case scenarios and answer the questions that follow. Make sure to note which case scenario you’ve selected.  (45 pts)

Case Study A 

Sarah is a 78-year-old widow who lives alone in an apartment building of a retirement community. Sarah has macular degeneration and cannot drive because of visual impairment. Sarah’s husband died 15 years ago, and she has one daughter, Michelle, who lives close by but is married and has two children and works full time. Michelle is involved with Sarah’s care as much as she can be; however, she often feels lost about where to go for help or what services are available to improve her mother’s quality of life.

Michelle is referred to Jewish Family Services by a friend. With her mother’s permission, Michelle calls and arranges for a social worker to complete a biopsychosocial assessment with Sarah. Laurie, the social worker visits the home to completes the assessment.  She notices that Sarah’s home is extremely cluttered, with boxes and laundry baskets full of items around the house that could impede Sarah’s ability to get out of the house.  There is a back entrance to Sarah’s home which is completely blocked by household items stacked up.  Laurie also notices that Sarah’s stove is on, but nothing was cooking.  Sarah says she fixed herself eggs for breakfast and must have forgotten to turn it off.

Case Study B

Stephanie is a 16-year-old sophomore who is a member of the National Honor Society, the school’s math club, and the junior varsity soccer team. Having recently observed a significant, concerning change in Stephanie’s behavior, Stephanie’s teacher refers her to the school social worker. According to the teacher, Stephanie is generally very outgoing and a top student; however, after spring break, Stephanie began acting withdrawn during class, and recently forgot to turn in her homework all week. Additionally, Stephanie was absent from math club meetings and soccer practice all week.

Stephanie visits the school social worker and immediately breaks down crying. Stephanie reports that she is scared because she and her boyfriend had sex and she just found out that she is pregnant. Stephanie tells the counselor that she needs help getting information about her options, such as an abortion, because there is no way she can keep this baby. She also asks the social worker to promise not to tell her parents.  Stephanie reports being fearful of her father because if he finds out, he might hurt her boyfriend.  She reports that her dad has been physically abusive to her mom in the past, and that he told her if he found out she was sexually active, he’d “beat ‘her’ senseless”. Stephanie was raised in a devoutly Catholic home, and she repeats several times that she is terrified of her parents’ reaction if they found out she was pregnant. While talking to Stephanie you notice that she has some marks on her wrists that appear self-inflicted and are congruent with cutting.

Question 1: Safety Threats

Case Study C

Lisa is a 23-year-old woman who is five months pregnant with her first child. Today is Lisa’s first visit to the comprehensive health clinic where she will receive prenatal care. During the health assessment portion of the visit, the attending physician asks Lisa whether she smokes or drinks. Lisa reports that she does not smoke but does consume one or two drinks a day after work to unwind from the stress of her job. Lisa further reports that there are often social events on weekends with family and friends that typically involve light to moderate drinking, and she has not stopped attending or participating in these events or the drinking since finding out that she was pregnant. While conducting the health assessment, the physician smells alcohol on Lisa and at times her speech seems slurred.  The physician become concerned that Lisa is currently intoxicated, and you are aware that she drove herself to the clinic.  Lisa has limited support as her boyfriend, the father of the baby, is currently incarcerated, and she’s been estranged from her family for quite some time. She names one support person, an aunt who lives about an hour away.  Lisa reports that her aunt lives alone and does not abuse any substances.  She helped to raise Lisa when she was young and has always been a positive influence.



Chosen Case Scenario:

1. What safety threats exist in the scenario.  Be specific and explain yourself.  Are the safety threats emergent? Do you need to refer to Child Welfare, Adult Protective Services, the police? (5 pts)

2. Choose any two (2) of the following theories/perspectives to apply to your chosen case scenario.  Discuss how the theory would enlighten the social worker about the client’s circumstances.  (5 pts each)

a. General Systems Theory

b. Ecological Systems Framework

c. Strengths Perspective

d. Diversity Perspective

e. Human Development

f. Cognitive Development

g. Social Learning Theory

h. Psychosocial Theory

3. Draw your client’s Eco-System.  You can do so in the form of an Eco-Map or a System (as depicted in Figure 1.1 of your textbook (pg. 9).  Please include at least 8 elements. (5 pts)

4. Choose three (3) ethical guidelines from Part 1 of the NASW Code of Ethics to apply and discuss.  As part of your response please describe the guideline and discuss the meaning of that guideline as it pertains to your chosen case scenario. (5 pts each)

5. Discuss both a Micro and Macro level intervention that you might make with regard to the client described in your chosen case scenario. Please be specific.  Don’t simply say “I would advocate”. Instead, what specifically would that look like?(10 pts) 

Short Answer – Please complete Part 3 in eLearn by clicking Mid-Term Exam Part 2. (30 pts)

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