Social Work: Case Management & Advocacy

Case MGT begins w/ comprehensive BPS assessment — evaluate biological, psychological, & social dimensions of CLT functioning. Use standardized screening tools: PHQ-9 for depression, GAD-7 for anxiety, AUDIT for alcohol use, DAST-10 for substance misuse. Document findings in CLT record w/ clear clinical justification for SVC recommendations.

Intake & engagement: build therapeutic RAP through unconditional positive regard, empathic listening, & cultural HUM. First session establishes safety (SI/HI screening using Columbia Protocol), identifies immediate needs (housing, food, MED access), & sets collaborative treatment goals. CLT self-determination is paramount — we facilitate, not direct.

Biopsychosocial assessment structure: BIO (medical HX, current MEDs, substance use, sleep, nutrition, physical limitations), PSYCH (MH HX, trauma exposure using ACE score, coping mechanisms, cognitive functioning, current symptoms), SOCIAL (family systems, support network, employment, education, legal involvement, housing stability, financial resources, cultural identity, spiritual practices).

Treatment planning follows SMART goals: Specific, Measurable, Achievable, Relevant, Time-bound. Each goal links to identified problems from assessment. Interventions must be EBP — CBT for depression/anxiety, DBT for emotion dysregulation, MI for ambivalence about change, TF-CBT for childhood trauma, EMDR for PTSD. Document CLT's informed consent for each modality.