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Biopsychosocial Intake Reflection

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Throughout the course of my foundation internship, I conducted informal biopsychosocial intake sessions with my clients. I was a social worker in a short-term and long-term care nursing facility where I met with my short-term clients sometimes only once or twice; my long-term clients I met with once a month. Over time, I found that the biopsychosocial interviews I conducted often focused upon the problems in the clients’ lives and I wanted to engage my clients in a way which was positive and strengths-based instead of problems-focused. Approximately halfway through the internship year, I began to explore Solutions Focused Brief Therapy (SFBT) as a therapeutic intervention which could be effectively employed with both my short-term and long-term clients.
Although I had learned about SFBT through a course which indicated that it could be used with aging adults, I wanted to ensure that it would be an evidence-based practice for both the short-term and long-term clients in my facility. I turned to the University of Denver (DU) library to help me locate books and peer-reviewed articles which could help me ascertain the …show more content…
Over time, I found that when I used the PHQ-9, I often had to rephrase questions for clients who had cognitive decline. For example, clients with cognitive decline often had a difficult time understanding the question: over the last 2 weeks how often have you been bothered by any of the following problems, little interest or pleasure in doing things (Kroenke, Spitzer, & Williams, 2001)? In addition, persons with short-term memory loss often became lost in the 2-week timeframe utilized in the PHQ-9. The GDS flowed smoothly with clients and seemed to do well with clients of varying cultural backgrounds thus I chose the GDS as the primary depression assessment for my practice in my foundation

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