Substance Abuse Assessment
Assessment #1 Case Study
Substance Abuse Assessment/Case History Format
Client Name: Susan Boyle (Suzie) Date of 1st Contact: 1-31-13
Social Worker: Date Completed: 2-28 -13
Dimension 1: Client description, presenting problem, and context of referral.
A. Brief description of client:
Suzie presents herself as a 45-year-old Caucasian unmarried female with short hair and was wearing male-typical professional attire and glasses. She came across apathetic, chewing bubble gum and seemed to have a very relaxed attitude. Suzie later identified that she had a long-standing partner, Samantha, who whom she resides and does not have any children. Suzie graduated from a community college and is currently employed with Steelcase, where she works on the line. She did not describe herself as religious or spiritual, however is trying to find a local church willing to accept her sexual orientation.
B. Chief complaint and symptoms by client and others present (at beginning and at latter time):
According to Suzie, her partner, Samantha has asked her to cut back on her drinking multiple times, which Suzie does not foresee being a problem. Suzie stated that she does not have a ‘drinking problem’. She claimed that she wanted her working conditions to improve, as she states she is viewed at as the ‘trouble maker’ at work. She is eager for a promotion up for dibs at Steelcase and hopes her coworkers can stop starting fights with her and keep their thoughts to themselves.
C. Context of the referral, precipitating events, facts, and dates:
Suzie initially reported that Steelcase referred her to get an assessment and seek help after she got in a quarrel with a coworker, and then had to drop. It was then that Suzie was caught and dropped dirty for alcohol and marijuana while at work. According to Suzie, the union agreed to let her get help and get clean instead of firing her. Suzie stated that her co-workers “talk shit” and call her a ‘dike’ behind her back
Substance Abuse Assessment/Case History Format
Client Name: Susan Boyle (Suzie) Date of 1st Contact: 1-31-13
Social Worker: Date Completed: 2-28 -13
Dimension 1: Client description, presenting problem, and context of referral.
A. Brief description of client:
Suzie presents herself as a 45-year-old Caucasian unmarried female with short hair and was wearing male-typical professional attire and glasses. She came across apathetic, chewing bubble gum and seemed to have a very relaxed attitude. Suzie later identified that she had a long-standing partner, Samantha, who whom she resides and does not have any children. Suzie graduated from a community college and is currently employed with Steelcase, where she works on the line. She did not describe herself as religious or spiritual, however is trying to find a local church willing to accept her sexual orientation.
B. Chief complaint and symptoms by client and others present (at beginning and at latter time):
According to Suzie, her partner, Samantha has asked her to cut back on her drinking multiple times, which Suzie does not foresee being a problem. Suzie stated that she does not have a ‘drinking problem’. She claimed that she wanted her working conditions to improve, as she states she is viewed at as the ‘trouble maker’ at work. She is eager for a promotion up for dibs at Steelcase and hopes her coworkers can stop starting fights with her and keep their thoughts to themselves.
C. Context of the referral, precipitating events, facts, and dates:
Suzie initially reported that Steelcase referred her to get an assessment and seek help after she got in a quarrel with a coworker, and then had to drop. It was then that Suzie was caught and dropped dirty for alcohol and marijuana while at work. According to Suzie, the union agreed to let her get help and get clean instead of firing her. Suzie stated that her co-workers “talk shit” and call her a ‘dike’ behind her back