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Pamantasan NG Lungsod NG Valenzuela: College of Arts and Science Social Work Department

This document contains a template for documenting a social work case. It includes sections for collecting personal information about the client, details about their family, a description of the presenting problem, background information, an analysis of the problem, goals for helping the client, a helping plan, and a recommendation. The template is intended to standardize how social work cases are documented and ensure collection of all relevant information.

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Ronn Serrano
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38 views3 pages

Pamantasan NG Lungsod NG Valenzuela: College of Arts and Science Social Work Department

This document contains a template for documenting a social work case. It includes sections for collecting personal information about the client, details about their family, a description of the presenting problem, background information, an analysis of the problem, goals for helping the client, a helping plan, and a recommendation. The template is intended to standardize how social work cases are documented and ensure collection of all relevant information.

Uploaded by

Ronn Serrano
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
Download as docx, pdf, or txt
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PAMANTASAN NG LUNGSOD NG VALENZUELA

COLLEGE OF ARTS AND SCIENCE


Social Work Department

Nature of the Case: Case Code: (depends on the agency system)

Endorsed By: Date Endorsed:

I. PERSONAL PROFILE OF THE MAIN HELPEE

Name: _____________________________________________ Sex: _______


Date of Birth: _______________________________________ Age: _______
Place of Birth: ___________________________________________________________
Civil Status: _____________________________________________________________
Educational Level: ________________________________________________________
Religion: ________________________________________________________________
Occupation/Source of Income: ______________________________________________
Home/Contact Address: ____________________________________________________

Other basis information may be added depending on the nature of the requirements of the
agency

II. THE FAMILY

A. Composition

Relationshi Educational Civil


Name Age Occupation Income
p Attainment Status

III. PRESENTING PROBLEM


________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
IV. BACKGROUND

A. Client
B. Client’s Family (Parents and Siblings)
C. Significant Others (If important or related to Client’s problem/ situation)
D. Client’s Environment (neighborhood, community: physical, social characteristics,
etc.)

V. ANALYSIS/ASSESSMENT OF THE PROBLEM

Definition of the Problem (also called “problem to be worked” may not be the same as
the Presenting Problem; the problem that will be the focus of the helping relationship to
be agreed on between the client and the worker)

VI. HELPING GOAL

Helping Goals (the “ends” desired i.e. to be achieved at the end of the helping
relationship)

VII. HELPING PLAN

Helping/ Action Plans (the “means” to achieve the defined goals, i.e., specific
interventions activities tasks that have to be done to achieve the goal; separate those that
will involve work with the client and those that will involve work with others)

VIII. RECOMMENDATION

Prepared by:

_____________________________
Signature over Printed Name

__________________________
Social Worker
Signature over Printed Name

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