Identify the Biological, Psychological, and Social variables impacting the client
Biopsychosocial #7
Utilizing the information learned from this week’s chapter and reviewing the case examples in the text for practice, review the case below to:
a) Identify the Biological, Psychological, and Social variables impacting the client
b) Assess for Competence
Students must complete this assignment using two formats:
Case Vignette
Jacob, at 9 years of age, was brought by his father to a mental health clinic as he had become increasingly difficult and disobedient at school. After several issues that occurred at school the previous month, the father knew he had to do something about his son’s behavior. After swearing at his teacher, Jacob was suspended from school for 2 days. The previous week, he was chastised by the police for riding his scooter in the street, something his father had repeatedly cautioned him about. The next day he failed to use the breaks and rode his bike into a store window where it shattered. He has not had any other serious offenses, but he had broken a window before when riding his bike with a friend.
Jacob has been a handful since pre-school with issues that have slowly escalated. Without close supervision, he gets into trouble. He has been reprimanded at school for teasing and kicking other children, tripping them, and calling them names. He is described as bad-tempered and irritable, even though at times he seems to enjoy school. Many times it seems like he is purposefully trying to annoy other children but claims others start the arguments. He does not become involved in serious fights but does occasionally exchange a few blows with another child.
Jacob sometimes refuses to do what his teachers tell him to do, and he especially has trouble with his afternoon classes. He argues when being told to do his work. Many of the same issues were experienced last year when he had only one teacher. Despite this, he has good grades and has been getting better over the course of the year, particularly in math and art which are classes taught by the teacher with whom he has the most difficulty.
At home, Jacob’s behavior is quite varied. On some days he is defiant and rude to his father needing to be told to do everything several times before he will do it; however, eventually, he complies. Other days, he is helpful and charming. His father says that his unhelpful days are more predominant. “The least little thing makes him mad which makes him scream and shout.” Jacob is described as spiteful and mean toward his younger sister, even when Jacob is in a good mood.
Jacob’s concentration is typically good, and he does not leave his work incomplete. His father states he seems to always be on the go but is not restless. His teachers have expressed concern over his attitude and not about being restless. His father also states that he tells many minor lies, although when pressed, he is truthful about important items.
Answer preview Identify the Biological, Psychological, and Social variables impacting the client
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