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Sample case study report format

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Ian Paolo
Ian Paolo

This social case study report documents a family seeking assistance. It identifies the grantee and family members, describes the presenting problems from the client and case worker's perspectives, and provides background on the client's bio-psycho-social history and the family's socio-economic status and environment. The report assesses the family's current functioning, strengths and limitations, prioritizes problems, and outlines intervention plans to address economic sufficiency, program compliance, health, and education goals. Recommendations for priority actions complete the report.

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SOCIAL CASE STUDY REPORT Date: ______________ Family ID No: I. Identifying Information (Grantee) Name : Address : Birthdate : Highest Educational Report : Gender : Family Circumstances : (category of the HH) II. Family Composition Name Age Family Members Category (per member) Relationship to Client Civil Status Highest Educational Attainment Occupation Estimated Monthly Income III. Presenting Problem • From the Point of View of the Client (presenting problem) • From the Point of View of the Case Worker (immediate problem to work on and underlying problem anchored on the SWI results) IV. Background Information/ History A. Client – (Clear target who among the family members ,e.g. Grantee it should be grantee focused) –Biopschosocio-spiritual Republic of the Philippines Department of Social Welfare and Development
• Biological (Physical and Health Status) • Social Context (Role performance, relationship with others) • Psychological Context (Emotional and Cognitive) B. Family • Socio-economic status of the Family C. Environment/Community V. Current Family Functioning a. Role Performance b. Rules c. Relationships d. Rituals (decision-making, interaction, communication & problem-solving patterns) VI. Assessment (Based on findings/assessment based on the above and used of tools) • Strengths, motivations, opportunities for change • Limitations, weaknesses/constraints or obstacles to be overcome • Problem prioritization VII. Rehabilitation/Intervention Plan INTERVENTION PLAN/S FOR THE FAMILY Goal: Objectives: Need/Problem Interventions Activities Time Frame Responsible Person Remarks Efforts for economic sufficiency Compliance to Program conditionalities INTERVENTION PLAN/S FOR THE CHILD/CHILDREN Objectives: Problem Area Intervention/Activities Time Frame Responsible Person Remarks Compliance to health Health grant Compliance to education Education grant
VIII. Recommendations • Priority Actions to be taken based on the above Prepared by: Reviewed by: ___________ ____________________ Case Worker Registered Social Worker License No._________ License No___________ Approved by: ____________ Head of the Organization

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Sample case study report format

  • 1. SOCIAL CASE STUDY REPORT Date: ______________ Family ID No: I. Identifying Information (Grantee) Name : Address : Birthdate : Highest Educational Report : Gender : Family Circumstances : (category of the HH) II. Family Composition Name Age Family Members Category (per member) Relationship to Client Civil Status Highest Educational Attainment Occupation Estimated Monthly Income III. Presenting Problem • From the Point of View of the Client (presenting problem) • From the Point of View of the Case Worker (immediate problem to work on and underlying problem anchored on the SWI results) IV. Background Information/ History A. Client – (Clear target who among the family members ,e.g. Grantee it should be grantee focused) –Biopschosocio-spiritual Republic of the Philippines Department of Social Welfare and Development
  • 2. • Biological (Physical and Health Status) • Social Context (Role performance, relationship with others) • Psychological Context (Emotional and Cognitive) B. Family • Socio-economic status of the Family C. Environment/Community V. Current Family Functioning a. Role Performance b. Rules c. Relationships d. Rituals (decision-making, interaction, communication & problem-solving patterns) VI. Assessment (Based on findings/assessment based on the above and used of tools) • Strengths, motivations, opportunities for change • Limitations, weaknesses/constraints or obstacles to be overcome • Problem prioritization VII. Rehabilitation/Intervention Plan INTERVENTION PLAN/S FOR THE FAMILY Goal: Objectives: Need/Problem Interventions Activities Time Frame Responsible Person Remarks Efforts for economic sufficiency Compliance to Program conditionalities INTERVENTION PLAN/S FOR THE CHILD/CHILDREN Objectives: Problem Area Intervention/Activities Time Frame Responsible Person Remarks Compliance to health Health grant Compliance to education Education grant
  • 3. VIII. Recommendations • Priority Actions to be taken based on the above Prepared by: Reviewed by: ___________ ____________________ Case Worker Registered Social Worker License No._________ License No___________ Approved by: ____________ Head of the Organization