The Perini Family

1.Utilizing the following outline, please complete a biopsychosocial assessment on the Perini Family.
2. Please carefully read the family situation as presented first. You have been provided with basic information about the family.
3.Please respond to the questions on the outline.

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A. Introduction: Agency setting:
{Define the type of agency that you believe would best serve the Perini’s}
Describe the agency in which services are provided
Whom does it serve?
What services are provided?
What is your role in the agency?

B. FAMILY BASIC IDENTIFYING INFORMATION
Ages – Family Members
Sex/gender
Race and ethnicity
Socio-economic status
Marital status
Occupation
Place of residence
Spirituality/religion

C. Primary reason for presentation for services
How long have these problems been happening?
Precipitating factors

D. Past Medical issues
Relevant past medical problems or issues of Family Members
Past medications
Family medical history

E. Current Medical situation
Medical problems or issues
Current Medications
Appetite problems
Sleep problems

F. Substance use problems
Substances used
Age of first use
Frequency of use
Method of use
Withdrawal symptoms
Past treatment and results

G. Past personal history
Childhood/adolescence (Children in the family)
Personality traits
Behavioral problems/temperament
Social relationships
School relationships v. Family relationships
Abuse
Adult History – Selma/Mr. Perini/ Mrs. Guilietto
Social relationships
Occupational history
Educational history (highest level of academic achievement)
Marital/Significant Other history
Current social situation
Number and identities of family members living in the home
Sources of income
Military history
Family mental health history

H. Initial Assessment of Family’s Emotional Functioning
Appearance (overall physical and emotional impression: clothing, grooming, build)
General behavior (mannerisms, gestures, rigid, coordination, eye contact, facial behaviors, restlessness, agitation, etc.)
Attitudes of family members (cooperative, friendly, frank, seductive, defensive, hostile, apathetic, evasive, guarded, pleasant)
Mood: pervasive and sustained emotional rate (depressed, anhedonia, sad, euthymic, elated, expansive, euphoric, frightened, fearful, guilty, angry, irritable)
Affect: Family Member’s current emotional state (full, constricted, blunted, flat)
Assess for suicidal or homicidal ideations, including past attempts
Impulse control and frustration tolerance of family members
Judgment (problem-solving skills, ability to assess a situation)
Insight (awareness and understanding of the nature of his/her problem or situation)
Identified Family Strengths
Treatment Plan
Problem statement
Theoretical approach to be used for treatment
Desired outcome

Goal #1
Intervention Strategies

Goal #2
Intervention Strategies

Goal #3
Intervention Strategies

I. Prognosis

J. Conclusion: analysis and brief evaluation statement of the family

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