SOC-449: Intake Interview Form Analysis Assignment Solution

SOC-449 Intake Interview Form Analysis Assignment

Knowing how to analyze an intake form is essential in social work. The intake form provides the information social workers will use to determine possible identified problems. This assignment will help you learn this concept.

Read the intake form and then use it to answer the prompts below:

__________________________________________________________

Name of Client: Martin McNowhere

Age:    35    DOB:      7-4-1982           Date:  __________________

 

Marital Status: (circle)   Single    Married    Separated    Divorced

Email: M.McNowhere@yoohoo.net

Address: 89 E. Idunno Drive Apt 1100 NYC, NY 56789

Phone: (928)555-2222

Work Status: (Circle all that apply)

1. Currently employed as An assistant Principal
2. Looking for employment as ______University professor____________________________________
3. Involved with local government agency to find employment
4. Going to college at NYU_______________________
5. Obtaining vocational training at_________________________________

Any formal diagnoses:    None.

Any medications (dose and frequency):   None_______________

Specific concerns: (Provide reasons for today’s visit. Please be specific about work life, school, and family influences):Intake Interview Form Analysis Assignment

I’m here because I’ve been having trouble sleeping. I drink a lot of energy drinks to help me work all day and then take night classes at NYU. I find it hard to focus at work and on my homework reading assignments. Because of my lack of focus, I’ve been scoring low on a few assignments. This causes me a lot of anxiety because I need to graduate soon. I have many financial aid loans out.  

I’m not used to dealing with failure. I grew up in a poor family that stressed success in school, sports, and career. I’m the oldest of three and feel obligated to succeed. Both our parents are now college professors after struggling through racism and poverty all their lives. Their success motivates me. The stress from work and school made me lash out at my boss, the principal at the school where I work.

I felt badly about what happened. I haven’t been very social lately. I stay home most weekends doing homework. My boss told me to make an appointment here. I’d like help in time management skills, coping with stress and anxiety, and focus.

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Any Family History of Mental Illness: Not myself, but my mother suffered from depression, but she’s on meds now.;SOC-449 Intake Interview Form Analysis Assignment

Possible Services Desired: (Circle all that apply)

 

SOC-449 Intake Interview Form Analysis Assignment__________________________________________________________________

After reading the above intake form, use the information to answer the following prompts:

SOC-449 Intake Interview Form Analysis Assignment

SOC-449 Intake Interview Form Analysis Assignment