|Interview content||Objective observation content||Subjective thoughts and feelings of content.|
|Worker Question: You were referred to me by a social worker from the hospital, and I was wondering if you could tell me a little about yourself and why you are here. Client Response: So, I was referred by a social worker at the hospital because of my depression and my chronic diabetes, in and out of the hospital, and a whole lot of money to pay for my medication. Sometimes paying my bills is hard. My kids go without… so I have been really sad and kind of not myself.||Client observation: Seemed nervous as indicated by her chewing and her comment on not wanting to come. Worker observation: She is understanding and listens to the client’s issues patiently and carefully. In the introduction, she isfriendly andtalks to the client politely and nicely.||Subjective thoughts/ feelings Client: I like this client. She is polite, and she seems like a strong woman. However, I feel bad that she regrets having kids. She is going through a lot, but at the same time, she wants too much. She wants to get a job and help from support systems at the same time. I think she hopes for too much. Instead, she should be looking at wishing to get a job and being independent.|
|Worker Question: When you say not yourself, could you tell me a little bit more about that. Client Response: So, like… I don’t want to be around people. Everything annoys me. I hate people. I get very short-tempered, and my patience is not very long. I just miss being happy and am not happy anymore.||Client Observation: She seems reserved and doesn’t want to talk much at the beginning. Worker observation: In the interview, this is seen through her referring to previous words used by the client and asking her more questions based on that.||Worker: Is Rachel this caring to her clients, and is she getting paid for these sessions considering the client is even finding it hard to provide food for her children. Rachel is good with her workthroughand puts a lot of work to it, and I believeshe will see the client through to the very end.|
|Worker Question:How long have you been going through this unhappy, short-tempered…these feelings Client Response: Since the Last march Worker Question:So it’s over a year, and you say… Client Response: Yeah and It is not getting better||Clients Observation:She is not happy and looks uninterested.In the interview, she seems absent, and she says that ever since her husband left, she has been unhappy. Worker observation: The worker seems to form a good relationship with the client and even makes her feel better. She assures her they will take the journey together and even talks about their new relationship.|
|Worker Question: It is not getting better… Client Response: I did not want to come Worker Question: I am glad you are here, though, and I think we could do some good stuff together, you and me.||Client’s observation:She seems hopeless due to all the problems she isgoing through. She indicates that she did not want to come. Shesaid she should be doing more, and she feels that she has not been happy for almost and year. Worker’s observation: She seems optimistic that the situation can change.|
|Worker Question: Tell me a little about your family like you said you had some children and not just your family, maybe some of your extended family. Client Response: So it’s just my kids and me now, they are 2, 4, and 7. My husband left us and went back to the Philippines, and he doesn’t send money or anything. My parents live in the next town, and they are old, and they need help too. So I feel like I am trying to be everything to everybody.|
|Worker Question: There is a term for that which you are feeling called the sandwich generation where you are trying to raise your kids, and you have to take care of your parents, so you are not alone in feeling frustrated like that. Client Response:I know, it is just that sometimes it is overwhelming.|
|Worker Question: I know, I can imagine, you have a lot on your plate, you know. Can you tell me like you and your kids, do you get any support from local organizations or through the school system? Client Response:They get the free lunches from school, and I mean the four and 7-year-old, and I can work for the baby so, and I get a little since they cut me out. So I barely have any money to eat anything but pasta everything but pasta every night for them, so it’s bad.|
|Worker Question: I didn’t ask, but are you working right now.Client Response: I was, but I just got laid off, so it makes me even more… Yeah so I just went back to public assistance to see if I can get more benefits because I need help my rent, I don’t know am I going to do it.|
|Worker Question: Do you know if the meeting you had with the public assistance went well. Client Response:They told me I qualified, but now I just have to wait. It is just like how do we eat, and I tell my kids to wait. Worker Question: It is hard to tell them that you must not really feel good for you. Client Response: yeah, I just feel angry that he left us, and it makes me sadder, and so it thought I should come to speak to somebody because things were getting worse.|
|Worker Question: I am happy you are here and a lot of things you’ve said that you’ve had struggles, and you are having a struggle now, buthow you’ve gotten through in the past, I think you have a lot on your side to get through it again. And between you and me, we could come up with short term goals, some long term, and some short term goals that we could try and work out together. I just want to try an exercise with you if you don’t mind. I call them miracle questions, and what I want you to do is pretend you wake up in the morning, and your life is what you wanted it to be. Client Response:So, I would wake up on an island that I would be there permanently with no kids.||Client observation: She looked sad, as indicated by her lack of smiling or being jovial during the session until the worker engaged her with magical questions. Worker observation:The worker is also a jovial person and manages to make the clients laugh. This the clientacknowledges herself. Also, towards the end, she says she feels better.|
|Worker Question: (Laughs) Client Response:(Laughs) You made me laugh Rachel Worker Question: Aww, that good. You see, you have it on your inside, Coleen. You have that strength. It’s just that your plate is really full right now, so let us try the miracle question again. Client Response:||Client observation: She feels that Rachel is making her feel better despite her problems. Worker Observation: She feels good about her achievement and is developing a rapport with Rachel.|
|Worker Question: So how about you wake up in the morning, and everything within your family was what you want them to be. Client Response: So, I had a job. My husband was back home, I had that support, and my parents were well.||Client Observation: She seems to regret having kids and wants to be free. Worker observation: She wants to use examples of what would make the client feel free and understand her problems.|
|Worker Question: Alright, and those are dreams that everybody wants- your mum and dad to be well and to be in a successful relationship with great healthy kids. With those dreams that you have, can you talk more about your parents? You know, you said they are in the next town, but they are ill. Client Response:Well, yeah, my mum takes care of my daddy, who is wheelchair-bound, sometimes she wants to push him down the stairs and…but you know how that goes right. So yeah, she is so busy taking care of him that she doesn’t have enough hands to take care of my kids. And am not working now so I can do it, but I would like to work again and get that support.||Client Observation: She is feeling better and is even joking. This indicates a better relationship between both parties. This is shown as she jokes about hermother pushing her father off the stairs. Worker Observation:She found a way to make the client open up about her familyin detail and managed to create a bond between her and the client.|
|Worker Question: I get that, and that’s like one of your goals to work again, and we can talk about different avenues you can use to get some occasional training may be, and in the community, you’ve touched upon different resources and free that is fabulous, and together perhaps we can brainstorm and come up with some great ideas. Just so you know a little more about our relationship, everything we say is confidential, but if you are going through a time when you are feeling like more out of control, we may want to get the help of another individual to come in to maybe… Client Response:So, I would not like to see you.||Client Observation: The client isfinally opened up anddeveloped a relationship with the worker. This case is indicated by her question ofwhether she will not see the therapist anymore. Worker Observation:The worker expresses the need to work with the client to the end. She mentions that they have a relationship and will help the client brainstorm ways in which she can get a job.|
|Worker Question: You would see me, but sometimes you need more support than you and me. You know if I feel like you want to hurt yourself… Client Response: I’ve had those feelings before, but I don’t know.|
|Worker Question: Okay, when you had those feelings, what would you do, how would you address it? Client Response:Like it just passed and it was right after my husband left, and I didn’t think I could do it, but I can, but it’s just that. It is lonely. But I did it.||Client Observation: The client is strong. She was able to overcomefeelings ofself-harm on her own. Worker Observation:She is generally concerned about the well-being of her client. She mentions involving other expertsand wanting to know how the client overcame her past issues.|
|Worker Question: Okay, I mean, that’s a great strength, and we are going to try and touch upon the strengths that you have, the tenacity and your go gettings and your maternal skills, and what you have already done. You’ve made it this far, Coleen, so you have it in you. And you and me together, we just try and twitch a little bit to get you moving forward. Client Response:Okay||Client Observation: She seems more calm and willing to take this journeyeven though’s she did not want to come in the first place. Worker Observation:She is patient and explains in detail to the client on their way forward.|
|Worker Question:What I want you to do is, am going to give you some forms to fill out till the next time we meet. Talk a little bit about your experiences when you were a kid, education questions, employment questions, and even some medical questions. If you take your time to fill it out, then in our next session, we can start from that and build on that. Client Response: Okay, sounds good.|
|Worker Question:So how do you feel Client Response:Thanks Rachel, I feel better. I think this is going to be a good thing for me. Worker Question:That is great, thanks for saying that, I think so too. Client Response:Okay, see you next time Worker Question:Thanks for coming. See you next time.||Client observation:She looks better and feels better at the end.This is depicted through her willingness tocome for another session, and she tells the worker she feels better. Worker observation: She is proud of her work and is looking forward to working with this client.|
A social worker referredto coleen due to herdepression andchronic diabetes. Coleen is a single mother of three children aged 2, 4, and 7. She also has sick parents living in another town who need her care. On top of all this, her husband left heralmost ayear ago and recently lost her job. The client, therefore, feels like she should do more. As a result, she feels sad and unhappy.Her main concern is tobe happy, get a job, and take care of her family.
I feel for her, she has been through so much, and things seem to be getting worse.I also felt angry with her for wishing that if it were up to her, she would not have kids. In my view, she sounds like she thinks having kids was a mistake. However, I love how strong she is. She still stands strong and is looking for a solution rather than sitting around or giving up. She got over her husband leaving and did not fulfill the thought of hurting herself.Despite believing in her, I judged her thoughts. This is not appropriate since it mayinterfere with forming a good relationship with the client and finding a way to help her feel better and staypositive.The aim was to help the clientremain positive and feel happydespite what she is going through.Examining her strengths will assist the clientsin staying positive and being more content.
Kowalenko, R. B. (2016, June 20). Initial Assessment Interview for Social Work 505. Widener University. YouTube. https://www.youtube.com/watch?v=BJqHW4rzUfE
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