Birth: 5/17/1972 4321 Main Street

¶ … Birth: 5/17/1972

4321 Main Street Ave.

Phone [HIDDEN]

Reason for contact with agency: Court referred for assistance with multiple issues, including drug dependency, child support, job placement, etc.

Presenting issues: Drug dependency, which affects employment (mp steady job or current prospects) and therefore inability to pay child support and provide for himself

Reason for agency involvement: Comprehensive addressing of issues, including facilitating outpatient treatment for addiction, job placement, re-establishing/continuing familial relationships

Family Members: Two children (seven and twelve), elderly mother, ex-wife

Family Situation: Lives with mother, children live with ex-wife, no visitation currently

Physical Functioning: Full functioning when not under the influence

Intellectual Functioning: Average intelligence (normal functioning)

Emotional Functioning: Highly suspicious/accusatory; mistrusts others. Blames others for his situation and problems, and fails to perceive or acknowledge his own responsibility

Interpersonal Relationships (including family): Current relationship with mother, antagonistic relationship with ex-wife. No relationship with children. No other significant relationships mentioned.

Social Relationships: Obvious relationship with at least one dealer, though this was undisclosed. No mention of long-lasting friendships or romantic/sexual relationships.

Economic Functioning (including housing, transportation): Currently lives with his mother in a rent-controlled apartment. Father's pension checks/mother's Social Security are the only sources of income. No vehicle. Situation demands immediate attention.

Strengths, Problem Solving Capacity: Completely competent for most entry-level positions; average intelligence and full physical functioning, as well as low familial demand, give him great potential.