Case Work Report

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    Case Work Report

    Submitted By:

    Nitin VargheseB.A. Social Work Honours

    3rdSemester

    Submitted To:

    Ms. Richi SimonAssistant Professor

    Department of Social Work

    The Bhopal School of Social SciencesHabibganj, Bhopal

    2014

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    Table of Contents

    AcknowledgmentDeclaration

    Certificate

    Introduction

    Purpose of Social Case Work

    Social Case Work Process

    Case 1

    Case 2

    Case 3

    Conclusion

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    Certificate

    This is to certify that Nitin Varghese, student of B.A.

    Social Work (Honors) 3rdSemester has successfully

    complete casework under the guidance of Ms. Richi

    Simon, Assistant Professor, Department of Social

    Work. The trainee gained knowledge about case work

    practice and completed the case work report well.

    Richi Simon

    Assistant Professor

    Department of Social Work

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    Declaration

    I, Nitin Varghese, student of BA Social Work (Honors)

    hereby declare that the work entitled Case Work Report

    submitted to Ms Richi Simon is an original work done by me

    for the partial fulfillment of the requirement for graduation in

    Social Work (Honors).

    Nitin Varghese

    B.A. Social Work (Honors)

    Semester-III

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    Acknowledgment

    I would like to thank my teachers for giving me an

    opportunity to practice casework and apply the theoretical

    knowledge that I had learnt in class in real-life situations. I

    would also like to thank the clients and their families who co-

    operated with me all through the casework process. I would

    also like to express my gratitude to all my classmates and

    friends who helped me in completion of this case work report.

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    1

    Introduction

    Social Case work may be defined as the art of doing different things for and with different

    people by cooperating with them to achieve at one and the same time their own and societys

    betterment. Mary Richmond (1915)

    Social Case Work, a primary method of social work, is concerned with the adjustment anddevelopment of individual towards more satisfying human relations. Better family life,

    improved schools, better housing, more hospitals and medical care facilities, protected

    economic conditions and better relations between religious groups help the individual in his

    adjustment and development. But his adjustment and development depend on the use of these

    resources by him.

    Sometimes due to certain factors, internal or external, he fails to avail existing facilities. In

    such situations, social caseworker helps him. Thus, social casework is one to one

    relationship, which works in helping the individual for his adjustment and development.

    Every individual reacts differently to his social, economic and physical environments and as

    such problems of one individual are different from those of another. The practice of caseworkis a humanistic attempt for helping people who have difficulty in coping with the problems of

    daily living. It is one of the direct methods of social work which uses the case-by-case

    approach for dealing with individuals or families as regards their problems of social

    functioning. Case work, aims at individualized services in the field of social work in order to

    help the client to adjust with the environment.

    Definitions

    Mary Richmond (1917): Social case work is the art of bringing about better adjustments inthe social relationship of individual men or women or children

    Jarrett (1919): Social case work is the art of bringing an individual who is in a condition of

    social disorder into the best possible relation with all parts of his environment.

    Raynolds (1935): Social case work is that form of social work which assists the individual

    which he suggests to relate himself to his family, his natural group, his community.

    Bowers (1949) Social case work is an art in which knowledge of the sciences of human

    relations and skill in relationship are used to mobilize capacities in the individual and

    resources in the community appropriate for better adjustment between the client and all or

    any part of his total environment.

    Gordon Hamilton (1956) Social case work (which is both a tool and area of work) consists

    of those processes which develop personality through adjustment consciously affected,

    individual by individualbetween man and his social environment.

    Perlman (1957): Social Case work is a process used by certain human welfare agencies to

    help individuals to cope more effectively with their problems in social functioning.

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    2

    Purpose of Social Case Work

    The basic of social work is to enable the client to enjoy with some degree of permanency,

    more satisfying, effective and acceptable experiences in the social situation in which the finds

    himself. to achieve this goal efforts are made to bring effective changes in the clients

    environments or social living situation through clarifying the clients possibly distorted

    perception of its or strengthening his capacities for coping with it.

    Its essential task is the facilitation of social relationship. According to Witmer the chief aim

    of social case work is that of helping people to mobilize their capacities for the solution of the

    problems that brought them to attention of social agencies.

    The purpose of social case work is not only to help those troubled in their immediate present

    but to help in such a way that each client will, from the experience, be better able to meet

    future difficulties with a more effectively, organized personal strength.

    In general, the purpose of social case work is to help an individual client to solve his psycho

    social problems in such a way so that he finds himself capable of dealing with these

    problems at present and also may solve in future if such problems arise. Thus social case

    work has the following objectives.

    1. To understand and solve the internal problems to the individual.

    2. To strengthen his ego power.

    3. Remediation of problems in social functioning

    4. Prevention of problems in social functioning

    5. Development of resources to enhance social functioning.

    Remediation entails the elimination or amelioration of existing social problems. Many

    potential clients in this category are referred by others such as the school system, family

    members, neighbours and doctors who have perceived the need.

    Prevention involves the timely provision of services to vulnerable persons, promoting socialfunctioning before problems develop. It includes programs and activities such as family

    planning, well-baby clinics, parent education, premarital and pre-retirement counselling, and

    marital enrichment programs.

    Restoration seeks to restore functioning that hasbeen impaired by physical or mental

    difficulties. Included in this group of clients are persons with varying degrees of paralysis

    caused by severe spinal injury, individuals afflicted with chronic mental illness, persons with

    developmental disabilities, per-sons with deficient educational backgrounds, and individuals

    with many other types of disability.

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    3

    Social Case Work Process

    I. Intake

    This starts with first encounter and ends with usually the second interview with the intake

    worker. This phase requires a very skilful probing into the clients problem, mopping up all

    the relevant areas of the person-in-his-situation.

    During one or two skilfully conducted interviews with the would-be client, the caseworker

    (sometimes called as intake worker) is able to assess (i) what are the needs/problems of

    applicant person, and (ii) how and where his needs can be best met.

    This obviously requires that the caseworker finds out the nature of need, if it can be met in

    the present set-up of agencys policies, procedures, services and personnel, and what sort of

    competence and provisions will be helpful and is required to tackle his problems.

    II.

    Psycho-Social Investigation

    Social study is the initial assessment of clients current, relevant pastand possible future

    modes of adaptation to stressful situations and normal living situations.

    Perlman has given the following contents of the case work study:

    1. The nature of the presenting problem

    2. The significance of the problem.

    3. The cause(s), onset and precipitants of the problem.

    4. The efforts made to cope with problem-solving.

    5. The nature of the solution or ends sought from the case work agency.

    6. The actual nature of the agency and its problem solving means in relation to the client and

    his problem.

    III.

    Psycho - Social diagnosis (Assessment)

    Perlman (1957)Diagnosis helps in determining the focus of treatment, further collection of

    facts and deciding the best course of action to solve the problem.

    Content of the Social Diagnosis:

    1. The nature of the problem brought and the goals sought by the client, in their relationship

    too.

    2. The nature of the person who bears the problem and who seeks or needs help with the

    problem, in relation to.

    3. The nature and purpose of the agency and the kind of help it can offer and/ or make

    available.

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    4

    IV.

    Intervention / Treatment (Problem-solving process)

    Hamilton, Treatment is the sum total of allactivities and service directed towards helping an

    individual with a problem. The focus is relieving of the immediate problem and, if feasible,

    modifies any basic difficulties whichprecipitated it.

    The objectives of Social case work treatment are:

    1. To prevent social breakdown.

    2. To conserve clients strength.

    3. To restore social functioning.

    4. To provide happy experiences to the client.

    5. To create opportunities for growth and development.

    6. To compensate psychological damage.

    7. To increase capacity for self-direction.

    8. To increase his social contribution.

    V. Monitoring and Evaluation

    Monitoring provides crucial feedback to case worker and the client regarding

    1. Whether the treatment program is succeeding as desired,

    2. Whether established goals have been achieved,

    3. Whether modifications in the program are necessary and

    4. Whether the client is being helped in real sense.

    VI. Follow-up and Termination

    At the end, i.e. termination, the worker should discuss the original as well as revised goals

    and objectives, achievements during the helping period, factors helpful or obstructive in

    achieving the objectives, and the efforts needed to maintain the level of achievement and the

    feelings aroused by disengagement.

    It is neither wise nor necessary for the termination to be an abrupt one and it is best to discuss

    termination and its ramifications (implications) several times before the final interview.

    Follow-up is done to help client maintain the improvement. During follow-up, the client is

    helped to discuss the problems he faces in maintaining the improvement. If required, he is

    referred to the proper source for needed services and help.

    The follow-up should be planned on a diminishing basisafter two weeks, then a month,

    then three months, six months and a year following the termination of the formal program.

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    5

    Case 1

    Objectives of Social Case Work:

    To enable the client to cope with his social maladjustment in his environment

    To enable the client to develop and maintain good relationships with his parents and

    teachers.

    To enable the client to quit smoking.

    Principles of Social Casework applied:

    1. Principle of Individualization

    2. Purposeful Expression of Feelings

    3. Principle of Acceptance

    4.

    Principle of Confidentiality5. Principle of Self-Determination

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    6

    Identifying Information about the client

    Name: Sanjay Sharma

    ContactDetails:

    26, Mahendra Township, E-8 Extension, Bhopal

    Phone: 9425899803

    Date of Birth:22ndMay 1999

    Educational Qualification: 9thStandard

    Gender: Male

    Referred problem:Isolation, Maladjustment, Indulgence in bad habits (smoking)

    Referred person:Daksh Sharma (Brother)

    Personality of the client: The client acts aloof, does not want to interact with familymembers and is very irritable. The client is moody as well, fluctuating between sad isolation

    to angry stubbornness.

    History of problem: The problem started after the client moved to a new place and new

    school, being unable to adjust to his new surroundings. Sanjay had always had difficulties in

    adapting, but never had any problems like this before.

    Family Composition

    Sr.

    No

    Name Age Relationship

    to client

    Educational

    Qualification

    Occupation

    1 Ravindra Sharma 47 Father M. Tech Engineer

    2. Uma Sharma 42 Mother B.Com Finance

    Executive

    3. Daksh Sharma 19 Brother B.Tech (2n Year) Student

    Problem to be studied:

    From the View Point of Client: Addiction to Smoking

    From the View Point of Case Worker: Social Maladjustment, Isolation

    Background of the client: Sanjay, a young boy coming from a well settled and happy

    middle-class family used to be a lively and happy boy prior to moving to his new address, he

    was close to a specific group of friends and had good relationships with all his family

    members.

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    Diagnostic Summary Statements:

    Symptoms:

    Isolation

    Smoking Cigarettes

    Effects:

    Depression

    Moodiness

    Deteriorating academics

    Causes:

    Lack of support from parents

    Peer Pressure

    Loneliness

    Treatment Plan:

    Dealing with the problem of smoking

    Guiding the client in self-determination of the root cause of his problems.

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    8

    Visits

    Visit No. 1

    Day and Date: Monday, 30thSeptember 2014

    Time Spent: 3:00 PM - 3:40 PM

    Venue: Clients home, E-8 Extension, Arera Colony

    Purpose of the Visit: To familiarize with the client and to plan the future course of action.

    Introduction: Sanjays brother, Daksh referred Sanjay to the case worker after the latest

    exam results showed that Sanjays performance was continuously deteriorating and Sanjay

    did not seem to care.

    Problem: Client was reluctant to talk about his problems and his perceived weakness about

    himself to a stranger, often lashes out and is stubborn.

    Profile of Activities: The caseworker met with the client for the first time and talked heardabout the problems from his family members. The caseworker tried to open up the client to

    know what the client thinks of his problems; Sanjay reluctantly said a few lines and went

    back to sulking.

    Principles/Tools/Techniques of Social Case Work applied:

    Principle of Acceptance: Inbeing calm and accepting to clients behaviour.

    Effective Communication: In communicating properly with the client and his family

    members

    Active Listening: By listening carefully and actively taking part in the conversation

    Interviewing: By individually talking to the client.

    Observation:

    Client was very resentful of having to listen to his problems being told to a stranger hence the

    client was reluctant to open up. Positive persuasion helped the client to give the case worker a

    chance to talk with him.

    Action Plan for Next Visit: To successfully intake the information regarding the problems of

    the client.

    Conclusion: The client is very reserved and needs to open up to someone. The client is also

    clearly frustrated but has been unable to express himself so far. The client also feels that his

    family has been unsupportive.

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    Visit No. 2:

    Day and Date:Wednesday, 1stOctober 2014

    Time Spent:3:30 PM4:00 O.M

    Venue: Clients home, E-8 Extension, Arera Colony

    Purpose of visit: To continue the intake process of social case work.

    Introduction: During the initial visit, the client reluctantly agreed to accept help from the

    caseworker, agreeing to try to talk with the case worker openly.

    Profile of Activities: The caseworker and client talked in the clients own room, in privacy.

    The client was in visibly a better mood today and it seemed that he had time to think about

    things and with some supportive persuasion from his brother, was ready to open up to the

    caseworker. The caseworker listened intently to what the client had to say.

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Acceptance: By being calm and accepting clients behaviour.

    Principle of Confidentiality: By not revealing anything personal the client and caseworker

    talked about to anyone.

    Catharsis/Venting: By allowing the client to express his emotions freely.

    Observation:

    Client needed to vent his problems to someone. Client was relieved to get things off his chest.

    Action Plan for next visit: To meet clients family and interact with them.

    Conclusion: The client was able to vent out most of his frustration which improved his

    temperament and mood to quite an extent. The visit also allowed the caseworker to gain a

    much better idea of the clients problems and help in the progress of the casework process.

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    Visit No. 3:

    Day and Date: Saturday, 4thOctober 2014

    Time Spent: 5:32 PM- 6:00 PM

    Venue:Clients home, E-8 Extension, Arera Colony

    Purpose of visit:To continue with the intake process by meeting with clients family.

    Introduction: After hearing the clients views on his problems, it was time to hear what his family

    members had noticed and perceived as problems.

    Profile of Activities:The caseworker talked with every family member individually as well as all of

    them together. It was understood that though the family wanted to support Sanjay and help him, they

    felt frustrated at times and may have had heated confrontations and arguments which caused Sanjay to

    isolate him from them.

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Acceptance: By not being judgmental of any of the family members behaviour.

    Principle of Confidentiality: By keeping all that the family of the client said private and confidential.

    Principle of Purposeful Expression of Feelings: By making sure that feelings were being expressed

    properly and the discussion did not deviate from the goal.

    Observation:

    Arguments caused due to lack of proper communication pushed family and client away from each

    other, and client did not feel as if his family was supportive enough and hence felt very lonely. Clientfelt bad to recall all the arguments and fights between him and his family.

    Action Plan for Next Visit:

    1. To complete the assessment after the intake process

    2. To set up goals for social intervention.

    Conclusion:There was an obvious lack of communication in the family that needed to be

    dealt with. Neither the client nor the family members were able to express themselves to each

    other well which caused many arguments between them and caused some tension between

    the two.

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    Visit No. 4

    Day and Date:Monday, 6thOctober 2014

    Time Spent:3:00 PM3:30 PM

    Venue:Clients home, E-8 Extension, Arera Colony

    Purpose of visit:To set up goals and create a plan to deal with problems.

    Introduction:The last visit gave the caseworker a clear picture of the problems of the client

    and the causes for it. The client and caseworker must now set up goals together and create a

    plan to deal with the problems of the client.

    Profile of Activities:The caseworker tried to explain the client where his problems stemmed

    from, that is the maladjustment to his new surroundings and peer pressure caused due to

    loneliness. The caseworker understood that Sanjay was unable to adjust to his new

    surroundings very well and could not find a group of friends like he had at his previousschool, got mixed with bad influences in his school, started smoking with them, to fit in, in an

    attempt to feel less lonely and not out of place. The client then felt resentful with himself

    because he knew that smoking was bad but couldnt stop himself, and a lot of anger was

    misdirected towards his family as well, which pushed him away and feel left out. Both the

    client and caseworker agreed to deal with the problem of smoking first, then deal with enable

    the client to adjust to his new environment better.

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Acceptance: By being non-judgmental of the client.

    Principle of Confidentiality: By keeping all the communication and information passed

    between the client and caseworker private.

    Principle of Purposeful Expression of Feelings: By ensuring that the client expressed

    himself freely.

    Partialization: To divide the problem into different parts

    Prioritizing: To decide which problem would be given the highest priority.

    Observation:

    Client felt relieved to finally know the source of all his problems and client felt ready to deal

    with his problems, step by step. Client was much happier near the end of the session

    Action Plan for Next Visit: To deal with the clients smoking problem.

    Conclusion: This visit was crucial for the client as it gave the client a true picture of his

    problems and its causes, which in turn will help the client in dealing with them on his own. It

    also helped the process of social casework to progress.

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    Visit No. 5

    Day and Date:Monday, 6thOctober 2014

    Time Spent: 3:00 PM- 3:40 PM

    Venue: Clients home, E-8 Extension, Arera Colony

    Purpose of visit:To enable the client to deal with his smoking problem

    Introduction:The last visit was crucial in forming an action plan to deal with the problems

    of the client, and the client decided to deal with his smoking problem first.

    Profile of Activities:The client and caseworker talked about the dangers of smoking, the ill-

    effects on both the clients health as well as of those around him. The client accepted that

    smoking was bad, and explained he only got into it to fit in with other boys at his new school.

    Fortunately, Sanjay was not too heavily dependent or addicted to smoking yet, since this was

    a recent practice for him. The client and caseworker decided to agree on the reduction of thenumber of smokes he took during the day from 4 to 2, to be supplemented by nicotine

    patches.

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Acceptance: By being non-judgmental of the client.

    Principle of Confidentiality: By keeping clients sensitive information private.

    Principle of Self-Determination: By helping the client to figure out the solutions to his

    problem on his own.

    Logical Reasoning: By reasoning with the client regarding the dangers of smoking.

    Encouragement: By expressing belief in the client and supporting him.

    Observations:

    The client looked determined and ready to change his bad habits. The client has a marked

    difference in his attitude compared to the first visit.

    Action Plan for Next Visit:To deal with the clients maladjustment issues and check theprogress of his attempt to quit smoking.

    Conclusion: The client took the first step in dealing with his problems which will provide a

    huge confidence boost to the client, making him feel more eager to tackle the rest of his

    problems. The visit helped the social intervention process of social casework begin on a

    positive note.

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    Visit No. 6

    Day and Date:Wednesday, 8thOctober 2014

    Time Spent:3:00 PM- 4:15 PM

    Venue: Clients home, Clients school, Arera Colony.

    Purpose of visit: To check the clients progress, To meet with clients teachers to discuss

    Sanjays recent changes and try to get Sanjay back on track with his academics.

    Introduction:Smoking was a peripheral problem that Sanjay had now began to take control

    of, by gradually reducing his smoking and avoiding temptation. It is now time to deal with

    Sanjays core problem, maladjustment and peer pressure.

    Profile of Activities:The client met the caseworker at his home as the caseworker checked

    on how was clients attempt to quit smoking coming along. After talking with the client and

    his family members about it, the client and caseworker went to the clients school to talk withhis teachers. The caseworker met with Sanjays class teacher, Mrs Dutta to talk about his

    academic performance. The caseworker explained why Sanjay had not been performing well

    and also informed her about him being pressured by his peers to take up smoking. The

    caseworker requested the teacher to ensure that Sanjay be seated with good natured and

    friendly students to which Mrs. Dutta agreed, making a note to make sure that Sanjay would

    stay away from the bad influences in the class. Sanjay also promised Mrs. Dutta to work

    harder and improve his behaviour as well as academic performance.

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Confidentiality: By keeping all of the clients information private.

    Logical Reasoning: By reasoning and explaining the clients teachers the cause of his recent

    behaviour.

    Encouragement: Reassuring the teachers of Sanjays improvement and expressing belief in

    Sanjay to do the same.

    Observations:

    The clients temperament has steadily improved and gaining the support of his class teacher

    was vital for his self confidence. Earlier Sanjay had been plagued by self-doubt, made worse

    by lack of proper support from his teachers and parents. With effective communication, he

    now had the support of both.

    Action Plan for Next Visit:To conclude social casework process with Termination.

    Conclusion:The casework visit was a successful one and it concluded the casework

    intervention process. The client felt that the intervention was successful as well and is happy

    with the process.

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    Visit No. 7

    Day and Date: Monday, 13thOctober 2014

    Time Spent:3:15 PM- 4:00 PM

    Venue: Clients home

    Purpose of visit:To terminate social casework process.

    Introduction: The client and caseworker followed their action plan and the caseworker was

    able to successfully intervene to enable the client to cope with his problems.

    Profile of Activities: The caseworker visited the client at his home and talked and length

    with the client, judging how effective the casework was and how successful the intervention

    had been. The casework had changed Sanjays attitude towards change in his surroundings

    and he was willing to adapt to those changes rather than be stubborn and go in isolation. The

    client, now supported by his family and in company of better classmates feels ready to put thebad days behind him. The caseworker also talked with the clients family to take their

    feedback, which was largely positive. The caseworker also ensured that he would be doing

    follow-ups twice every month until the clients pre-boards, due in January.

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Confidentiality: By keeping all of the clients information private.

    Principle of Self-Determination: By guiding the client to find out the solutions for his

    problems on his own.

    Encouragement: By assuring the client that the caseworker will be always there to help and

    expressing belief in the client.

    Observations:

    The client has a newfound belief in himself. The client is not reluctant to talk about his past

    habits, and is returning to his original, happy self. The client felt relieved to put his bad few

    days behind him.

    Conclusion: The client, Sanjay is now ready to deal with his problems, on his own. Sanjay

    now has accepted change and knows that he can do anything with enough confidence,

    determination and a little support.

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    Evaluation

    Before the casework began, the client was visibly frustrated and resentful of being the centre

    of so much negative attention. The client had bottled up a lot of anger and resentment. Social

    Casework Process allowed the client to start dealing with his problems by enabling the client

    to deal with it. Then the casework focussed on dealing with the client's addiction problem. By

    encouragement and gradual weaning off, the client began to deal with the problem of his

    smoking addiction on his own. The client then worked with the caseworker to deal with his

    social maladjustment problems. The caseworker and client worked together to improve some

    aspects of the client's environment. As a result the client's temperament and general behavior

    steadily improved and the client grew more and now confident with as the social casework

    process went on. The social casework allowed the client to deal with his peripheral problem

    as well as his core problem, helping the client become self sufficient to deal with any

    problems he may face in the future. The casework was successfully terminated, with follow

    ups to continue regularly.

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    Case 2

    Objectives of Social Case Work:

    To enable the client to be self-sufficient to deal with depression

    To enable the client to be self-sufficient to deal with anxiety

    To enable the client to be self-sufficient to deal with stress.

    Principles of Social Case Work:

    1. Principle of Individualization

    2. Purposeful Expression of Feelings

    3.

    Principle of Acceptance

    4. Principle of Confidentiality

    5. Principle of Self-Determination

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    Identifying Information about the client

    Name: Yash Garg

    Contact Details:

    A-08, Fortune Park, G-3, Gulmohar, E-8 Extension, Bhopal

    Phone: 875986315

    Date of Birth: 3rdndJune 1994

    Educational Qualification: BBA

    Gender: Male

    Referred problem:Stress, Anxiety and Depression

    Referred person:Self (Yash Garg)

    Personality of the client: The client is currently very anxious as well as stressed due to anumber of reasons; the inability of the client to deal with such problems is causing the client

    to feel depressed and incapable of anything.

    History of problem:Yash comes from a middle class family, where hes the only child. As

    he grew older, he felt the responsibility of the family slowly bearing down on him. He started

    to get anxious about his future. To make matters worse, he fell in love with a girl but was

    rejected because of his caste. This made him feel helpless and depressed.

    Family Composition

    Sr.

    No

    Name Age Relationship

    to client

    Educational

    Qualification

    Occupation

    1 Ajay Kumar Garg 52 Father B. Sc. Chemistry Lab Analyst

    2. Pramila Garg 49 Mother B.A.(Economics) Housewife

    Problem to be studied:

    From the View Point of Client: Depression, Love Failure

    From the View Point of Case Worker: Anxiety, Stress and Depression.

    Background of the client: Yash graduated with very good marks last year but has beenunable to find a job yet. With his fathers health not being well and regular medicines costing

    their family a fortune, Yash feels increasingly responsible for the well being of his family and

    feels like he is letting them down the longer he stays unemployed.

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    Diagnostic Summary Statements:

    Symptoms:

    Lack of Concentration

    Withdrawal from friends, social seclusion.

    Effects:

    Resentfulness

    Depression

    Causes:

    Loneliness/Isolation

    Anxiety

    Stress

    Treatment Plan:

    Dealing with the problem of depression.

    Making the client feel confident enough to take control of his life.

    Guiding the client in self-determination of the root cause of his problems.

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    Visits

    Visit No. 1

    Day and Date: Monday, 30thSeptember 2014

    Time Spent:4:00 PM-4:25 PM

    Venue: Clients home, Gulmohar Colony, E-8 Extension

    Purpose of the Visit:To formally begin casework, with the Intake process.

    Introduction: Since the client and caseworker already knew each other, the case work

    process could begin immediately.

    Problem: Client is extremely stressed and anxious, and feels sad about his current situation.

    Profile of Activities: The caseworker tried to get the client to completely open up, so that the

    caseworker could properly analyse how the client viewed his problem as. The client talked

    mainly about his love failure and his frustration on being refused marriage due to his caste.

    The case worker expressed his interest to do a house visit to gain a better idea of how he was

    getting stressed at home

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Acceptance: In being calm and accepting to clients behaviour

    Effective Communication: In communicating properly with the client and his family

    members

    Interviewing: By talking individually with the client and trying to gain all the information

    possible by asking the right questions

    Observations:

    The client was very anxious all through the session. The client was clearly the most bothered

    by his love failure.

    Action Plan for Next Visit:To conduct a house visit at the clients house

    Conclusion: The client is very anxious and stressed out and is blaming his recent love failure

    as the root cause of it.

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    Visit No. 2

    Day and Date:Wednesday, 1st October 2014

    Time Spent:7:15 PM7:49 PM

    Venue: Clients home, Gulmohar Colony, E-8 Extension

    Purpose of the Visit: To meet the clients family and conduct a house visit.

    Introduction:As decided in the last visit, the caseworker came to the clients home to talk

    with his family members to receive their input on the clients recent behaviour.

    Profile of Activities: The caseworker talked with clients parents together as well as

    individually, and tried to get a complete picture of the nature of the problems of the client.

    The caseworker also tried to ascertain whether unknowingly the attitudes or the behaviour of

    the clients parents could be stressing him out.

    Principle/Tools/Techniques of Social Case Work applied:

    Principle of Acceptance In being calm and accepting to clients behaviour in a non

    judgmental manner.

    Effective Communication: In communicating properly with the client and his family

    members

    Purposeful Expression of Feelings:By making sure that feelings were being expressed properlyand the discussion did not deviate from the goal.

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives.

    Interviewing: By talking individually with the client and trying to gain all the information

    possible by asking the right questions.

    Action Plan For NextVisit: To set up an action plan and negotiate goals.

    Observations:

    The clients parents knew that the client was having some problems but they never knew that

    it was so serious. The clients parent have been unknowingly putting some pressure on him

    The client did not feel comfortable enough to acknowledge his problem in front of his

    parents.

    Conclusion:

    This visit completed the intake process of social case work process, the caseworker now

    needs to assess the information he gained to create an action plan.

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    Visit No. 3

    Day and Date: Saturday, 4th October 2014

    Time Spent: 4:20 PM-5:00 PM

    Venue: Clients home, Gulmohar Colony, E-8 Extension

    Purpose of the Visit:To negotiate goals, set up an action plan.

    Introduction: The previous visit enabled the caseworker to get complete information for a

    successful intake and assessment of the clients problems. This visit was scheduled to focus

    on setting up goals and negotiation of targets.

    Profile of Activities:The caseworker talked to the client at length about the assessment made

    by the caseworker and tried to explain what the core problem was, that is the clients stress

    and anxiety. After making sure that the client understood, the caseworker and client together

    negotiated their goals and came up with an action plan to enable the client to deal with his

    problems on his own.

    Principle/Tools/Techniques of Social Case Work applied:

    Effective Communication: In communicating properly with the client and his family

    members

    Purposeful Expression of Feelings:By making sure that feelings were being expressed properlyand the discussion did not deviate from the goal.

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives.

    Partialization: To divide the problem into different parts

    Prioritizing: To decide which problem would be given the highest priority.

    Observations:

    The client was not aware of his core problem. The client was not aware that his problems

    were linked together.

    Action Plan for Next Visit:To begin social intervention, starting with the clients anxiety

    issues.

    Conclusion

    This visit proved that in his state of stressfulness and anxiety, the client was focussing on a

    peripheral problem instead of his core problem. The client had to be made to understand that

    he was focussing on the peripheral problem.

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    Visit No. 4

    Day and Date: Tuesday, 7th October 2014

    Time Spent: 4:30 P.M-5:10 PM

    Venue:Clients home, Gulmohar Colony, E-8 Extension

    Purpose of the Visit:To begin with the Social Treatment/Intervention

    Introduction: With the Assessment and Diagnosis complete, the Social Intervention begins.

    In this visit the caseworker focussed on counselling the client on how stress and anxiety were

    affecting him and why.

    Profile of Activities: The caseworker counselled the client on how the client had been

    focussed on the peripheral problem of his love failure and why his core problem-stress and

    anxiety had become so severe.

    Principle/Tools/Techniques of Social Case Work applied:

    Effective Communication: In communicating properly with the client and his family

    members

    Purposeful Expression of Feelings:By making sure that feelings were being expressed properlyand the discussion did not deviate from the goal

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives

    Topical Shift: Shifting the topic of conversation to ensure that the discussion progressed

    smoothly.

    Observations:

    The client gradually began to understand the root cause of his problems. The client saw the

    problem with a different perspective now.

    ActionPlan for Next Visit: To continue with the Social Intervention/Treatment.

    Conclusion: The process of casework continues with Treatment or Intervention, the aim

    being to make the client self-sufficient to deal with his problems.

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    Visit No. 5

    Day and Date: Wednesday, 8th October 2014

    Time Spent:4:10 PM-4:37 PM

    Venue: Clients home, Gulmohar Colony, E-8 Extension

    Purpose of Visit:To continue with the Social Intervention/Treatment process.

    Introduction: The caseworker plans to encourage and enable the client to deal with his

    problems on his own with some help from other sources.

    Profile of activities: The caseworker counselled the client and suggested many tools,

    resources and techniques to help the client take care of his problem on his own, such as

    meditation, taking up a distracting hobby, etc.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Confidentiality: By not revealing anything personal the client and caseworkertalked about to anyone

    Principle of Self Determination: By helping the client to figure out the solutions to his

    problem on his own

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives

    Observations

    The client was pleased to gain some control of his life. The client seems relatively calmer

    compared to earlier visits.

    ActionPlan for Next Visit:

    To conduct a house visit to intervene with the clientsfamily.

    Conclusion:

    The visit allowed the client to feel calmer and composed because he did not feel helpless in

    the face of his problems and felt like he could actually take control of his problems.

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    Visit No. 6

    Day and Date:Wednesday, 8th October 2014

    Time Spent:4:21 PM4:47 PM

    Venue: Clients home, Gulmohar Colony, E-8 Extension

    Purpose of Visit: To continue Social Intervention for the client's parents and to conclude

    intervention.

    Introduction: The previous visits focused on helping the client to deal with his environment

    better, this visit focuses on making some adjustments in his environment, which is his home.

    Profile of Activities:

    The caseworker talked at length with parents, trying to make them understand how they have

    been indirectly and unknowingly pressuring their son, Yash. The caseworker tried to make

    the parents clear about how stress was affecting their son.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Communication: In communicating properly with the client and his family

    members

    Principle of purposeful Expression of feelings: By making sure that feelings were beingexpressed properly and the discussion did not deviate from the goal.

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives

    Topical Shift: Shifting the topic of conversation to ensure that the discussion progressedsmoothly.

    Observations:

    The clients parents were not aware of their role in adding to client's stress and anxiety

    Parents of the client were supportive and wanted to help the caseworker with his intervention.

    Action plan for next visit:

    To terminate social casework

    Conclusion: It was clear that lack of communication led to a misunderstanding between theparents and the client. Both the client and his parents have agreed to maintain better

    communication among them.

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    Visit No. 7

    Day and Date: Sunday, 12th October 2014

    TimeSpent: 4:07 PM-4:30 PM

    Venue: Clients home, Gulmohar Colony, E-8 Extension

    Purpose of Visit:To conclude Social Casework and termination.

    Introduction: After the conclusion of social treatment or intervention, this visit was

    primarily scheduled to terminate the case and schedule follow up, as well as gain feedback

    from the client.

    Profile of Activities:The client and the caseworker sat together to look back on the social

    intervention and the caseworker tried to gain feedback from the client regarding the whole

    casework process and how helpful was it for the client. The client and the caseworker also

    fixed follow up dates weekly to check the progress of the client.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Effective Communication: In communicating properly with the client and his

    family members

    Principle of Confidentiality: By not revealing anything personal the client and caseworker

    talked about to anyone

    Encouragement: By expressing belief in the client and supporting him

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives

    Observations:

    Client looks a lot happier and more composed. Client is confident and is ready to cope with

    stress.

    Conclusion: The client is now confident in his ability and has new found self belief in

    himself, he feels that he can cope with his problems well on his own and is ready to move

    forward in life, leaving behind his past sorrow.

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    Evaluation

    When the social casework began, the caseworker could clearly see how anxious and stressed

    out the client was. The client was in no way calm or composed enough to consider the real

    cause of his problems, instead all the problems and the anxiety caused by them made the

    client feel overburdened and overwhelmed. The client felt lonely as well, which did not help

    with the client's self esteem and confidence. All these factors contributed to finally makingthe client stressed out and desperate for relief like clutching a straw while sinking. The client

    attributed all his problems to his love failure and ignored his real core problems. Casework

    process had to ensure that the client would be able to self determine the real cause of his

    problems with some guidance and help from the caseworker. This changed the perception of

    the client regarding his problems in a major way. The caseworker gradually guided the client

    in understanding his core problem and helped the client to start dealing with them. As the

    casework process continued, the client grew visibly better equipped to handle his stress and

    anxiety and gained self esteem. Social Casework allowed the client to focus on the real

    problems and taught the client how to practically deal with them. As a result of socialcasework the client is now capable enough to deal with problems like these in the future on

    his own.

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    Case 3

    Objectives of Social Case Work:

    To enable the client to be self-sufficient to deal with depression

    To enable the client to be self-sufficient to deal with stress.

    To enable the client to deal with frustration and anger better.

    Principles of Social Case Work applied:

    1. Principle of Individualization

    2. Purposeful Expression of Feelings

    3.

    Principle of Acceptance

    4. Principle of Confidentiality

    5. Principle of Self-Determination

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    Identifying Information about the client

    Name:Anup Thomas

    Contact Details:

    67, B-Sector, Shahpura, Bhopal

    Phone:0940688756

    Date of Birth:10th March 2000

    Educational Qualification:9thStandard

    Gender:Male

    Referred problem:Stress, Depression and Anger Issues

    Referred person:Lisa Thomas (Mother)

    Personality of the client:The client is a very active and energetic boy, but has been actingout, getting into fights, arguments with elders and is isolating himself from society recently.

    History of problem:Anup was always good in both sports and studies, but wanted to pursue

    his career in sports. His parents on the other hand did not want him to follow his passion and

    wanted to force studies on him instead, causing Anup to get frustrated and angry.

    Family Composition

    Sr.

    No

    Name Age Relationship

    to client

    Educational

    Qualification

    Occupation

    1 Alexander Thomas 45 Father MBA HR Executive2. Lisa Thomas 44 Mother B.sc (Math) Banker

    3. Nikhil Thomas 21 Brother BBA Student

    Problem to be studied:

    From the View Point of Client: Anger, Violent Behaviour, and Frustration

    From the View Point of Case Worker: Lack of proper guidance, Stress, Isolation.

    Background of the client: Anup was a lively child who excelled in both sports and studies.

    Anup had no prior history of such isolation or depression. He was always a passionate andargumentative boy but had never got into fights or disrespected elders.

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    Diagnostic Summary Statements:

    Symptoms:

    Anger

    Violence

    Effects:

    Tension at home

    Bad relationships

    Causes:

    Having his dream snatched away from him

    Lack of proper communication with parents

    Treatment Plan:

    Dealing with the problem of anger

    Intervention at home to improve the bad situation.

    Guiding the client in self-determination of future goals.

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    Visit No. 1

    Day and Date:Sunday, 29thSeptember 2014

    Time Spent:5:10 PM-5:34 PM

    Venue:Clients home, Shahpura

    Purpose of the Visit:To meet the client and get familiarized.

    Introduction:The caseworker is meeting the client for the first time today; the caseworker

    will try to build up rapport with the client and will attempt to relate to him as much as

    possible.

    Problem: The client is resentful and angry, is not interested in meeting and talking about his

    problems with an outsider.

    Profile of Activities: The caseworker first generally introduced himself to the client and

    what his purpose for visiting the clients house was. The caseworker also met with other

    members of his family and introduced himself to them while giving them a basic idea of thesocial work process. The client had to be persuaded to agree to meet with the caseworker to

    continue the casework process.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Acceptance: In being calm and accepting to clients behaviour in a non

    judgmental manner

    Effective Communication: In communicating properly with the client and his family

    members

    Purposeful Expression of Feelings:By making sure that feelings were being expressed properlyand the discussion did not deviate from the goal

    Observations:

    Client is visibly frustrated and does not feel comfortable at home. Client was constantly

    distracted and did not pay attention to much of what was being said, except when directly

    talked to.

    Action Plan for Next Visit: To individually meet the client and begin the Intake process in

    Social Casework.

    Conclusion: The client needs to vent and/or rant to deal with his frustration. It is clear that

    the client firmly believes in what he thinks and is actually passionate about his views.

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    Visit No. 2

    Day and Date:Wednesday, 1stOctober 2014

    Time Spent:5:15 PM- 5:42 PM

    Venue:Clients home, Shahpura

    Purpose of the Visit: To begin the intake process in Social Casework, talk to the client in

    private, one on one.

    Introduction:As decided during the previous visit, the client and the caseworker would have

    a private session, to understand the clients perspective of his problems.

    Profile of Activities: The caseworker talked with the client alone for a long time, allowing

    the client to vent as much as he wanted to, the caseworker was engaged in active listening the

    entire time and made the client feel comfortable after the client was done venting.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Confidentiality: By not revealing anything personal the client and caseworker

    talked about to anyone

    Principle of Purposeful Expression of Feelings: By making sure that feelings were being

    expressed properly and the discussion did not deviate from the goal.

    Venting/Catharsis: By allowing the client to express his emotions freely

    Encouragement: By expressing belief in the client and supporting him

    Observations:

    The client felt a lot better after venting his frustrations. The client was a lot more open and

    talkative away from the presence of his family members.

    Action Plan for Next Visit: To conduct a house visit and conclude the intake process.

    Conclusion:The client had felt frustrated and anger because there was no one to listen to the

    client, or take him seriously. The clients views were always ignored because he was not

    considered old enough to make informed decisions.

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    Visit No. 3

    Day and Date:Thursday, 2ndOctober 2014

    Time Spent:5:10 PM- 5:50 PM

    Venue:Clients home, Shahpura

    Purpose of the Visit: To continue the ongoing intake process by meeting with the clients

    family and trying to understand their perspective regarding Anups problems.

    Introduction:After a productive session with Anup, it is important to hear his familys side

    of things to complete the intake process and allow for an objective assessment of the matter.

    Profile of Activities: The caseworker and the clients family talked at length regarding Anup,

    with the caseworker interviewing the members individually as well as together.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Confidentiality: By not revealing anything personal the client and caseworker

    talked about to anyone

    Principle of Purposeful Expression of Feelings: By making sure that feelings were being

    expressed properly and the discussion did not deviate from the goal

    Topical Shift: Shifting the topic of conversation to ensure that the discussion progressed

    smoothly

    Encouragement: By expressing belief in the client and supporting him

    Observations:

    The family wants the best for Anup. The family has not been giving attention to Anup and are

    not taking his wishes seriously.

    Action Plan for Next Visit: To set up an action plan with the client and negotiate goals for

    social casework process.

    Conclusion: The clients family want what is best for his future but have not consideredAnups passion for football seriously and feel like its just a phase, which is the exact thing

    that infuriates Anup so much, that his family is unable to take him seriously.

    Evaluation: This visit helped conclude the Intake process and the caseworker will now

    assess the situation.

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    Visit No. 4

    Day and Date:Monday, 6thOctober 2014

    Time Spent:7:26 PM- 8:00 PM

    Venue:Clients home, Shahpura

    Purpose of Visit: To share the assessment made by the caseworker with the client and form a

    plan of action to deal with the problems of the client.

    Introduction: The previous visit enabled the caseworker to complete the intake process and

    form a diagnose clients problems. Anup will work with the caseworker to set up an action

    plan.

    Profile of Activities:The caseworker helped the client to understand the core problem that

    Anup faced. Then the client and the caseworker worked together to come up with an action

    plan of dealing with the problems that had been discussed.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Confidentiality: By not revealing anything personal the client and caseworker

    talked about to anyone

    Principle of Purposeful Expression of Feelings: By making sure that feelings were being

    expressed properly and the discussion did not deviate from the goal

    Principle of Self-Determination: By helping the client to figure out the solutions to his

    problem on his own

    Partialization: To divide the problem into different parts

    Prioritizing: To decide which problem would be given the highest priority.

    Observations:

    The client was happy to see himself being taken seriously for once. The act of making a plan

    of action made the client feel in control of his decisions.

    Action Plan for Next Visit: To begin Social Intervention/Treatment.

    Conclusions: This visit proved that most of the clients frustration and anger stemmed from

    the fact that the client had high self-esteem and wanted to control the major life decisions that

    came his way. When his parents did not allow him to pursue a career in football, he felt that

    no one respected him enough.

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    Visit No. 5

    Day and Date:Wednesday, 8thOctober 2014

    Time Spent:5:30 PM6:10 PM

    Venue:Clients home, Shahpura

    Purpose of Visit: To commence social intervention/treatment

    Introduction:The previous visit was vital because it the client and the caseworker to create

    an action plan how to deal with problems of the client. Now it was time to begin with the

    intervention process of casework.

    Profile of Activities: The caseworker tried to negotiate and create peace between the client

    and his parents first, so that effective communication would take place and feelings would

    not get swept away. The caseworker also tried to make the clients parents understand how

    the client truly felt, with the client passionately putting his points forward as well.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Effective Communication: In communicating properly with the client and his

    family members

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives

    Topical Shift: Shifting the topic of conversation to ensure that the discussion progressed

    smoothly

    Observations:

    The client and his family communicated effectively and in a controlled manner. Both the

    client and his family were pleased with the way the tension between them was dealt with.

    Plan of Action for Next Visit:To conclude Social Intervention/Treatment.

    Conclusion:Much of the tension that was present between the client and his parents has now

    been replaced with acceptance. Lack of proper communication and difference in ideologies

    had been creating many conflicts in the clients family.

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    Visit No. 6

    Day and Date:Saturday, 11thOctober 2014

    Time Spent:5:25 PM- 6:20 PM

    Venue:Clients home, Shahpura

    Purpose of Visit: To conclude intervention and jointly decide the clients future plans.

    Introduction: Since the removal of negative tension and conflicts in the clients house, it

    was now a good time to jointly decide and advice the client on his future plans.

    Profile of Activities: The caseworker, client and the clients family were all present in this

    visit to jointly reach a conclusion regarding the clients future. The caseworker researched

    some options beforehand and presented it to the client and his parents. After a lengthy

    discussion and few adjustments, both the client and the family agreed to allow the client to

    train and develop for a few years and then assess whether the client should continue with the

    sport or not.

    Principles/Tools/Techniques of Social Work applied:

    Principle of effective communication: In communicating properly with the client and his

    family members

    Principle of self-determination: By helping the client to figure out the solutions to his

    problem on his own

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives

    Encouragement: By expressing belief in the client and supporting him.

    Observations:

    The client was delighted to finally be able to compromise between his studies and his

    passion. The parents of the client felt that they were making an informed decision as well.

    Action Plan for Next Visit: To conclude social casework process.

    Conclusion: The client and his family were very happy with the preceding intervention andwere happy to reach a unanimous conclusion and resolve all their conflicts.

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    Visit No. 7

    Day and Date:Sunday, 12thOctober 2014

    Time Spent:6:00 PM- 6:15 PM

    Venue:Clients home, Shahpura

    Purpose of Visit: To conclude casework and inform the client regarding follow up visits.

    Introduction: The previous visit successfully concluded social intervention and this visit

    would focus on gaining feedback from everyone involved and informing the client regarding

    follow ups.

    Profile of Activities:The caseworker received feedback on the social casework process from

    the client and the clients family, and thanked them for their support. It was decided that there

    would be brief follow up visits twice every month to ensure no other conflicts had risen up

    and everyone involved was satisfied.

    Principles/Tools/Techniques of Social Work applied:

    Principle of Effective Communication: In communicating properly with the client and his

    family members

    Logical Reasoning: By reasoning with the client objectively and helping the client view the

    matter from all perspectives.

    Observations:

    The client looked forward to successful follow up visits in the future.

    Conclusion: The client is now able to control his anger problems and knows the importance

    of effective communication between families. The client now feels confident in his ability to

    deal with any similar situation should it ever arise.

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    Evaluation:

    At the beginning of social casework process the client was frustrated, isolated and aloof. This

    was primarily due to the client having to bottle up all his feelings and not being able to

    express himself openly. The clients wishes and views were also not taken up seriously by the

    family which added to the frustration. Social Casework Process first tried to improve his

    relations with the family and help him cope with his frustration. The casework process

    enabled the client to gain some measure of control over his life and hence improve his

    relationships with his family and environment overall.

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    Conclusion

    Social Casework Process is the art of helping people (the client) to help themselves. The

    caseworker works together with the client to help the client to be capable enough to deal with

    his/her future problems on his/her own. Thus the social casework process helps the client

    become self sufficient to deal with any problems that may arise in the future.

    Case 1: The social casework process allowed the client to relieve the client's frustration and

    resentment that had been bottled up within the client and had been causing all sorts of

    problems to the client and those around him. The casework process also guided the client to

    successfully deal with his addiction issues. By the end of social casework process the client's

    temperament had improved, as well as his relationships with people in his environment.

    Case 2: The client was very anxious and stressed out due to his various problems. The client

    felt overwhelmed with his problems and was focusing on something minor and neglecting his

    main problems. Social Casework Process guided the client to deal with his anxiety and stressproblems as well as in learning to deal with similar problems if they should arise in the

    future.

    Case 3: The client prior to social casework had many problems with his environment. The

    client felt that he was not able to control his own life, contributing to his frustration. Lack of

    effective communication in his family also contributed to his problems. Casework process

    helped the client in communicating and adjusting with his environment and made the client

    feel in greater control of his own life.