SWK205- MODULE 3 ASSIGNMENT

TOPIC: Lesson 5 Assessing Older Adults

Lesson 5 Discussion

Please review the readings and consider the following in your discussion response:

· What techniques would you use to engage an older adult during your first meeting?

· What areas do you need to consider relating to the Mental Status Exam when meeting with an older adult during the assessment process?

· What types of questions would you want to ask during the assessment?

· What are some ways you could assess for cognitive impairment when meeting with an older adult during the assessment process?

· What assessment tools did you learn about that could be helpful as a part of the assessment process?

Lesson 5 Assignment

Teresa is a 77-year-old, Hispanic female who has been referred by her doctor to the Orange Crest Senior Center. You are meeting with Teresa for an intake case management session. Teresa’s presenting problems including isolation and difficulty obtaining regular food/basic needs due to her limited ability to walk and drive. Teresa also mentioned it is hard for her to move around her home because of all her personal belongings and she has difficulty throwing anything away. Teresa also discussed concerns about her limited income though she thought her husband left a significant amount of money when he died. Teresa explained that her children have control of the finances and although they pay her bills, they often tell her when she asks for something, that the money has been spent for the month.

 

Using this vignette and the assessment form, please find a friend, family member, or colleague who can role-play this scenario with you.  Please consider what you have learned about how to engage a client and complete an assessment.  As the Social Worker, you will want to ask the client questions and not provide them the assessment form to complete on their own.  After you have completed the assessment, please ask your role-play partner for feedback about their experience (your strengths and areas for growth). Please consider the following questions for your paper:

· What techniques did you use to engage the client?

· What assessment strategies did you use in your roleplay (what specific questions did you ask)?

· What feedback did your partner provide about this experience (your strengths and areas for growth?

For this assignment, you will submit the completed assessment form, mental status exam form, and a one-page paper with your responses to the above questions.

The paper should be approximately 1-2 pages and include high-quality writing. Please include a title page and double-check all spelling and grammar before submitting. Also, please make sure to cite all relevant information and include references as appropriate.

Please use one of the ATTACHED assessment forms. You can type in the Word document or print out the PDF form and write your responses.

Reading Resources

Cognitive Assessment- https://www.alz.org/professionals/health-systems-clinicians/cognitive-assessment

CSWE Differential Mental Health Assessment- https://www.cswe.org/Centers-Initiatives/CSWE-Gero-Ed-Center/Initiatives/Past-Programs/MAC-Project/Gero-Innovations-Grant/Saint-Louis-University/Mental-Health-Course-Materials.aspx

Mental Status Examination I Definitions- http://www.columbia.edu/itc/hs/medical/psychmed/1_2004/mental_status_exam.pdf

Lesson 6 Mental Health in Older Adults

Lesson 6 Discussion

Please review the readings and consider the following in your discussion response:

•    What are your thoughts after reviewing the readings? •    Why is it important that a Social Worker be aware of the mental health needs of older adults? •    What do you need to consider regarding suicide prevention and assessment in older adults? •    As a Social Worker, what questions would you want to ask an older adult client you are working with to determine if there are any mental health concerns?

To receive full credit, you will need to fully answer the discussion questions and provide two substantial responses to your classmate’s posts. These responses should also be substantial and provide thoughtful reflection.

The discussion post should be a minimum of 250 words or one page.

Reading Resources

Understanding Depression and Aging: Guidance for Social Workers- https://www.socialworktoday.com/archive/JF18p10.shtml

Older Adults and Mental Health- https://www.nimh.nih.gov/health/topics/older-adults-and-mental-health

10 Facts About Mental Health and Aging- http://www.lifeseniorservices.org/seniorline/10_Facts_About_Mental_Health_and_Aging.asp

Discover the Top Symptoms and Risk Factors of Mental Illness in the Elderly- https://www.aplaceformom.com/caregiver-resources/articles/mental-illness

Depression and Older Adults- https://www.nia.nih.gov/health/depression-and-older-adults

Depression and Alzheimer’s- https://hms.harvard.edu/news/depression-alzheimers

The State of Mental Health and Aging in America- https://www.cdc.gov/aging/pdf/mental_health.pdf

Suicide Prevention Resource Center: Older Adults- https://www.sprc.org/populations/older-adults#:~:text=Suicide%20is%20an%20important%20problem,any%20group%20in%20the%20country.&text=Suicide%20attempts%20by%20older%20adults,death%20than%20among%20younger%20persons

Anxiety and Older Adults: Overcoming Worry and Fear- https://www.aagponline.org/index.php?src=gendocs&ref=anxiety

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CLIENT ID # Intake Date

Brief Intake – Assessment

Referral Date Referred by:

(Date Referred to Case Management Program)

Last Name First Name M.I.

Does client prefer to be referred to by any other name?

Street/Apt. Number

City

State _______ ZIP

County

Phone ( )

Cell phone ( )

Emergency Contact Number ( ) Name/Relationship

Is Emergency Contact aware of client’s HIV status? Yes No

Client can be contacted (check all that apply)

At Home By Mail By Phone

Is discretion required?

PRESENTING PROBLEM/IMMEDIATE CASE MANAGEMENT SERVICE NEEDS:

NON-MEDICAL SERVICE PROVIDERS:

(i.e. Advocacy, Intensive Case Management, Housing, Food, Support Groups)

Agency	Contact Person	Phone	Service

Are case management services provided through another agency?  Yes  No

Case Management Standards Brief Intake/Assessment 3.9.06

Date of Birth: Age:

GENDER:  Female  Male

 Transgender-ID as Female  Transgender-ID as Male

Ethnicity: Hispanic?  Yes, specify:  No

Race:  Asian  Black or African American  Native Hawaiian/Pacific Islander

 White  American Indian or Alaska Native  Other:

Relationship Status:  Single  Single-living w/partner  Married  Divorced

 Separated  Widowed

Person describes self as:  Heterosexual  Homosexual  Bisexual  Transgender

Primary language spoken:

English: Read?  Yes  No Write?  Yes  No

Other Language: Read?  Yes  No Write?  Yes  No

Does the client have difficulty understanding English?  Yes  No

Does the client have difficulty using English to navigate the health and social service systems?  Yes  No

Citizenship/Immigration Status:

Is the client an undocumented U.S. resident?  Yes  No

Does the client have pending immigration issues?  Yes  No

Living Situation:

 On street  Shelter  Transitional  Group Home  Drug Treatment Residence

 SRO (specify)  28 Day  Permanent

 Rental  Own Home

 Other

Living Arrangement:

 Relations/Friends  Alone

 Temporary  Permanent

Does the client have temporary, unsafe, and/or inadequate housing?  Yes  No

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HOUSEHOLD COMPOSITION

Number of people in household (including client):

Adults

Name	Relationship	HIV Status (+ , – or unknown	Age	Aware of Client’s HIV+ Status? (Y/N/NA)

Children

Name	Relationship	DOB	Sex	School Grade	Aware of Client’s HIV+ Status? (Y/N)	Aware Of Own HIV+ Status? (Y/N/NA)
		/ /	M	F
		/ /	M	F
		/ /	M	F
		/ /	M	F
		/ /	M	F

LIVING OUTSIDE OF HOUSEHOLD (partners, children, other close supports)

Name	Relationship	HIV Status (+ , – or unknown)	Age	Aware of Client’s HIV+ Status (Y/N)	Whereabouts

Do household members, children or close supports have needs that impact client’s ability to access or maintain treatment or care?  Yes  No

Are there disclosure issues that can be assisted by case management?  Yes  No

Does the client have a functioning support system?  Yes  No

PRIMARY INSURANCE

Indicate all that apply:

 Medicaid: Number with Sequence # ( ) Is there an exception – 35?  Yes  No

Is there a spend-down?  Yes, in the amount of  No

 Medicaid Managed Care  Medicare  Private Insurance  HMO/Managed Care

 ADAP PLUS  Self Pay  Military  Other:

SECONDARY INSURANCE  None or  Yes, (check below)

 Medicaid Managed Care  Medicare  Private Insurance  HMO/Managed Care

 ADAP PLUS  Self Pay  Military  Other:

Effective Date of Secondary Insurance:

HASA # (NYC only)

Does the client need assistance with insurance for medical care?  Yes  No

MEDICAL (This section is optional in medical settings where this information is readily accessible to the case manager.)

A. Primary Medical Care

Provider Name:

Address:

City: State: Zip: Main Phone:

Case Manager/Social Worker: Phone:

Primary Physician: Phone:

Recent Hospitalizations:

Last time saw doctor: CD4 Count: Viral load:

B. Other Medical Conditions

C. Pharmacy (Specify):

Client restricted to us of a specific pharmacy?  Yes  No

D. Medications (List all taken currently, e.g., HIV, TB, HCV, Psychotropics, etc.):

Does the client have difficulty keeping appointments or problems taking medications?  Yes  No

Are there debilitating symptoms requiring assistance (i.e., homecare, home delivered meals)?  Yes  No

TOTAL MONTHLY HOUSEHOLD INCOME SOURCE & BENEFITS

Employment		HIV/AIDS Service Administration
Social Security		Short Term Disability
SSI		Survivor Benefits
SSD		Rent Supplement
Child Support		Veteran's Assistance
Public Assistance		Pension
Disability Ins. Inc.		Long Term Disability
Alimony		Unemployment Insurance
Workman's Compensation		Food Stamps

Other:

Total Personal Monthly Income:

Additional monthly income from household members:

Total monthly household income:

Annual household income (for URS) :

(Monthly income x12)

Does the client have a regular source of income?  Yes  No

Does client have difficulty meeting monthly expenses?  Yes  No

Is the client linked to income sources they are eligible for?  Yes  No

Does the client need assistance/advocacy in accessing entitlements?  Yes  No

MENTAL HEALTH

Is client currently receiving mental health counseling?  Yes  No

Clinician: Phone: Has client ever received mental health counseling?  Yes  No

When For how long?

Ever hospitalized for a psychiatric condition?  Yes  No

Most recent date: Where? Reason:

Does client mental health treatment include medications? Yes  No (if yes include on medication list – pg 5, Section F)

Client’s assessment of mental health/emotional support needs:

Comments:

Does client have a need for mental health services?  Yes  No

Does the client have difficulty keeping mental health appointments?  Yes  No  NA

Does the client have difficulty taking psychotropic medication as prescribed?  Yes  No  NA

DOMESTIC VIOLENCE

Has the client ever been in an abusive relationship?  Yes  No – If yes, explain

Does client feel safe in current living arrangement?  Yes  No – If no, explain:

Does client ever feel that they or a family member/partner would resort to force when interacting?  Yes  No – If yes, explain:

Does the client have needs related to current or recent domestic violence?  Yes  No  NA

SUBSTANCE USE

Does client have a history of drug/alcohol use?  Yes  No Is client currently using?  Yes  No

If Yes, how long? days/weeks/months/years

Drug(s) of choice:

Frequency of use: Is client currently in SU treatment program?  Yes  No

If Yes, how often? Per day/week/month/year

Program Name:

Contact Person: Phone:

If not in treatment, is client interested in SU treatment, syringe exchange, other supports?  Yes  No Does client want assistance to quit smoking?  Yes  No

Is the client experiencing problems as a result of alcohol or drug use?  Yes  No

Is the client seeking treatment for alcohol or drug use?  Yes  No

OTHER NEEDS

Does the client need assistance obtaining Nutritious food?  Yes  No Appropriate clothing?  Yes  No Transportation?  Yes  No

Legal services?  Yes  No

Education/training/employment?  Yes  No

SUMMARY PAGE

Summarize client status, presenting needs, and assessed needs. Elaborate on any questions in the shaded boxes indicating unmet needs.

CASE DISPOSITION

Client ID#: Client Name:

Case management recommended?  Yes  No

Model?  Supportive CM  Comprehensive CM

(Explain recommended model to client)

Case Management accepted?  Supportive CM  Comprehensive CM  Declined

If not case management at agency, where referred?

IMMEDIATE REFERRALS MADE: (include contact name)

Hospital/Clinic: For: Agency: For: Agency: For: Internal: For: Internal: For:

CM Consent form signed?  Yes  No Given copy of “Client Rights”?  Yes  No

Intake/Assessment Completed by: Date:

Reviewed by: Date:

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