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Case Assessment

I. Identifying Information

Client Name: Jamie King

Age: 37 Marital Status: Single

Sex: Male Religion: Baptist

Position in Family: Son Race: African American

Employment: None Citizenship: USA Citizen

Income: TEMA

II. Presenting Problem

Mr. King was accepted in to Safe Haven on 06/23/05 as a result of a need for shelter.

III. Referral Source and Process

Mr. King was referred to Safe Haven from UMHS and BSAP. His case managers

made the request as a result of his homelessness and his history of mental illness.

IV. Living Situation

Mr. King currently resides at Safe Haven, located at 4101 Old York Road in Baltimore City. Safe Haven is a homeless shelter that is owned and operated by University of Maryland Health Systems.

V. History

ЁDevelopmental-Mr. King appeared alert and stable during the interview. His actual

IQ is not available.

ЁFamily Relationships/Dynamics-Mr. King presently has no immediate family invol-

vement at this time. His biological parents are deceased which began his issues of homelessness. His does admit to having a brother whose whereabouts are unknown. He does have an aunt that visits him occasionally. Her name is Ms. Bessie Rivers and her telephone number is 410-954-6827.

ЁLosses-Mr. King's biological mother died in June of 1992 from a lengthy battle with breast cancer. He has fond memories of his mother and when asked how he coped with her death he responded, "It was hard and it still is." His biological father is also

deceased. Mr. King could not remember the actual date of his death and appeared

less remorseful.

ЁSpirituality-Mr. King was baptized as a child under the Baptist faith. He stated that he attends church occasionally.

ЁStrengths-Mr. King's strengths include his ability to articulate his needs, he is ambulatory, and with his vocational assistance he is employable.

ЁSexual-According to Mr. King his first sexual experience occurred at the age of 15.

He denies being sexual active at this time or abused.

ЁResources-UMHS/BSAP

ЁDomestic Violence-Mr. King denies any history of domestic violence.

VI. Relevant Medical, Psychiatric, Educational and Social Service History

ЁEducational History-Mr. King was educated in Baltimore City Public Schools. According to Mr. King last school he attended was Northern High School. The highest grade he completed is the 10th grade.

ЁMedical History-Mr. King has MS and is prescribes Ibuprofen PRN for his joint pain. He has also been diagnosed with Hepatitis C.

ЁPsychiatric History-Mr. King has a history of mental illness. He has been hospitalized twice for his mental illness (2003 & 2004). He has been diagnosed with Depression and is also Bipolar. His current medications are; Benztrophine 2mg 3 times daily and Trazadone 20 mg 2 times daily.

ЁAlcohol/Substance Abuse-Mr. King does have a history of alcohol and substance abuse. He denies allegations regarding his continue substance abuse issues. His substance abuse began at the age of 19 and his drug of choice is crack/cocaine. His alcohol abuse began at the age of 25.

ЁSocial Services-Mr. King does have a case manager at DSS and currently receives TEMA and Medical Assistance.

ЁCriminal/Legal History-Mr. King admits to being arrested on two occasions. Both of the offenses were drug related. At this time Mr. King is not on probation or parole.

VII. Assessment of Client Personality, Development, Social Roles

v Presentation of Self- Mr. King's presented himself in the interview appropriately. He answered all of the interview questions to the best of his ability. His demeanor was calm and friendly. He was very open in regards to his life experiences and the effects of his mental illness in his present life. He appeared to be somewhat embarrassed with his issues of being homeless.

v Social Roles-Mr. King interacts socially with other residents at Safe Haven. He takes pride in completing the chores assigned to him. He often volunteers to do other chores. He also socializes with members of his support group outside of Safe Haven.

v Developmental Factors-Though Mr. King appears to be alert and oriented x3, there is evidence that he has poor insight and impaired cognitive functioning. There is no known evidence of childhood developmental difficulties and Mr. King denies receiving special education services. His current impairment may be secondary to his substance abuse, and he is in need of assistance when making certain decisions. Primarily these decisions involve financial planning, mental health treatment and housing. Historically, Mr. King's decisions in these matters have been motivated by his substance abuse; specifically he will exhaust his resources in