msw case study report

Reading and Case Study Analysis for Social Work

Professor betty kramer, social work 821.

The purpose of this initial assignment is to demonstrate your understanding of the readings and your ability to apply course content to the mental health challenges faced by an elder and their family.

Instructions:

• Review lecture notes from Week 1 and all required readings for Week 1 and Week 2.
• Read the attached case study.
• Preliminary Assessment (Suspicions): Given what Vanessa shares with you, what might you initially suspect is causing her mother’s symptoms and why?  Be specific and provide and cite evidence from the reading to support your preliminary assessment.
• Engagement & the Clinical Interview: You will need to do a home visit to initiate the assessment.  What will you do in advance to prepare for the interview? How will you approach Mrs. Johnson?  What will want to accomplish during this home visit?
• Please list the various domains that you believe will be important to investigate as part of the assessment to determine the cause of Mrs. Johnson’s symptoms and the most appropriate care plan. Be sure to list the mental status tests and medical tests that you feel should be completed (see Ch. 4 McKinnis, 2009; Ch. 6 in Zarit & Zarit).  [Note: it is acceptable to provide bulleted list of points in response to these particular questions]
• Describe how that data will be collected (and by whom)?
• Provide a brief rationale for the assessment domains that will be included.
• Possible Recommendations: Assuming your preliminary assessment turns out to be correct, name 2-3 primary recommendations that you might make to Mrs. Johnson and her family? 
• Submit paper to Learn@UW dropobox by 9:00 a.m. before week 2 of class.

Daughter Requests Case Manager Consultation for her mother: Mrs. Johnson

Mrs. Johnson (Mrs. J.) is a 78-year-old, African American woman who lives in a small Midwestern city. About a year ago, her husband died suddenly of a stroke, leaving Mrs. J. to live alone in her home of 52 years. It was the home where she had raised her three children, all of whom graduated from college, have professional careers, and now live in other parts of the state. Her family is a source of pride, and her home has numerous pictures of her children and grandchildren.

About 3 months ago, Mrs. J.’s oldest daughter, Vanessa, got a call from one of the neighbors. Vanessa lives a 4-hour drive from her mother—a drive that can often be longer in bad weather. The neighbor stated that Mrs. J. had walked to the neighborhood store in her pajamas and slippers. Because Mrs. J. has lived in the community for several years, people have been watching out for her since her husband died, and someone gave her a ride back home. Mrs. J. doesn’t drive, and the temperature was fairly chilly that day.

As a result of the call, Vanessa went to Mrs. J.’s home for a visit. Although she and her siblings had been calling Mrs. J. regularly, no one had been to the family home in about 7 months. Vanessa was shocked at what she saw. Mrs. J. had been a cook in a school cafeteria earlier in life and always kept her own kitchen spotless. But now the house was in disarray with several dirty pots and pans scattered throughout different rooms. In addition, odd things were in the refrigerator such as a light bulb and several pieces of mail. Many of the food products were out of date, and there was a foul smell in the kitchen. Trash covered the counters and floor.

Vanessa contacted her siblings to ask them if their mother had told any of them that she wasn’t feeling well. Her brother, Anthony, remarked that their mother would often talk about Mr. J. in the present tense—but he thought that it was just her grief about his death. The younger brother, Darius, reported that his wife was typically the one who called their mother—about once a month. He didn’t know if there had been any problems—his wife never said anything about it to him. Vanessa also contacted the pastor of her church, Rev. M. He stated that Mrs. J. had been walking to church on Sundays, as usual, but he did notice that she left early a few times and other times seemed to come to service late. But like the brother, Anthony, he thought that this behavior was probably a grief reaction to the loss of her husband.

A final shock to Vanessa was when she went through her mother’s mail. There were several overdue bills and one urgent notice that the electricity was going to be cut off if the balance wasn’t paid. She owed several hundred dollars in past due heating, electric, and telephone bills.

Vanessa contacted her mother’s primary care physician (Dr. P.) who said that he had last seen Mrs. J. for her regular checkup 6 months earlier and that she had missed her last appointment a week ago. Dr. P. said that her staff had called to make another appointment but that her mother hadn’t called them back yet.  Mrs. J. is being treated with medication for arthritis, hypertension, and gastroesophogeal reflux (GERD). Her weight was stable, and her only complaint was some difficulty staying asleep at night. Dr. P. reported that her mother’s mood was sad but had improved some in the month before the last visit. The doctor asked about memory and concentration, but her mother denied having any problems with memory. Imagine that you a case manager at the local Senior Coalition.  Vanessa is calling you to seek advice about what to do. She would like you to do an assessment to help her determine what is wrong and how she can best help her mother.

Real Case Studies in Social Work Education

The central elements of the Real Cases Project curriculum integration effort are three case studies, drawn from the ChildStat Initiative—an innovative, agency-wide case review process of New York City’s Administration for Children’s Services. As documented in Brenda McGowan’s introduction to the case studies and their development, we went through a rigorous selection process to insure that the cases would be diverse, engaging, and useful in meeting the objectives of the Real Cases Project . The overview of the case studies, by Tatyana Gimein, (Co-Chair of the Project before her retirement from ACS), highlights key elements of each case study, and the profound challenges facing the families, staff and communities involved.

The decision to use real case studies in a curriculum integration effort was adopted after an extensive assessment phase. In 2004, the Planning Committee initially began the case selection process, focusing on cases drawn from the ACS Accountability Review Process. An expert panel convened by the Committee narrowed the selection to one case. After recruitment and preliminary work by faculty on individual teaching guides, this case became unavailable. The ChildStat approach was then proposed and access to cases was granted, resulting in the selection of the three cases in this document. Faculty authors adopted these three cases as framing elements in their teaching guides. The three case studies collectively raise critical issues in public child welfare practice today, show a diverse range of practices, family issues, and populations, as well as showcase the ChildStat Initiative.

The Real Cases Project is part of the social work tradition of case study education. During our profession’s history, social work educators have used case studies in the classroom to teach particular course content (Richmond, 1897; Towle, 1954), drawing vignettes from students’ work in the field (Reynolds, 1965; Wolfer & Gray, 2007), published case studies and cases from their own practice (Cohen, 1995). The case study approach appears to be experiencing resurgence, as indicated by the number of published books of cases and suggestions for their use in the classroom (Fauri, Wernet & Netting, 2007; Haulotte & Kretzschmar, 2001; Hull & Mokuau, 1994; LeCroy, 1999; Rivas & Hull, 2000; Stromm-Gottfried, 1998; Wolfer & Scales, 2006). Even with its widespread use, the efficacy of the case study approach for learning specific content or integrating multiple content areas has not been extensively tested and remains a fruitful area for inquiry.

Case studies are especially useful for training professionals in disciplines as social work, where critical thinking and problem solving skills are necessities (Ross & Wright, 2001). Case studies are often utilized in professional social work education in order to provide students with a real life example on which to practice their skills of critical analysis and assessment. In addition to practicing a particular skill set, case studies also allow faculty to assist students in their application of theory into practice. In addition, when used properly, case studies can provide students an opportunity to accept responsibility for their own learning (Armisted, 1984).

This Project contributes to the growing literature on using child welfare case studies in social work education (Brown, 2002; Johnson & Grant, 2005). We advance this effort, especially considering that the cases are drawn from a public child welfare agency and are accompanied by teaching guides that demonstrate how the cases can be used successfully in different courses across the curriculum. The Real Cases Project does not suggest that the cases supplant the content of a particular course. Rather, the cases can be used to illuminate and expand course content. While students may become familiar with the cases in more than one class, the teaching guides will insure that the use of the cases is not redundant, and is appropriate to each course in the curriculum. Thus, both the individual courses and the understanding of child welfare as a part of social work are enriched.

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Organizing Your Social Sciences Research Assignments

• Annotated Bibliography
• Analyzing a Scholarly Journal Article
• Group Presentations
• Dealing with Nervousness
• Using Visual Aids
• Grading Someone Else's Paper
• Types of Structured Group Activities
• Group Project Survival Skills
• Leading a Class Discussion
• Multiple Book Review Essay
• Reviewing Collected Works
• Writing a Case Analysis Paper
• Writing a Case Study
• About Informed Consent
• Writing Field Notes
• Writing a Policy Memo
• Writing a Reflective Paper
• Writing a Research Proposal
• Generative AI and Writing
• Acknowledgments

Definition and Introduction

Case analysis is a problem-based teaching and learning method that involves critically analyzing complex scenarios within an organizational setting for the purpose of placing the student in a “real world” situation and applying reflection and critical thinking skills to contemplate appropriate solutions, decisions, or recommended courses of action. It is considered a more effective teaching technique than in-class role playing or simulation activities. The analytical process is often guided by questions provided by the instructor that ask students to contemplate relationships between the facts and critical incidents described in the case.

Cases generally include both descriptive and statistical elements and rely on students applying abductive reasoning to develop and argue for preferred or best outcomes [i.e., case scenarios rarely have a single correct or perfect answer based on the evidence provided]. Rather than emphasizing theories or concepts, case analysis assignments emphasize building a bridge of relevancy between abstract thinking and practical application and, by so doing, teaches the value of both within a specific area of professional practice.

Given this, the purpose of a case analysis paper is to present a structured and logically organized format for analyzing the case situation. It can be assigned to students individually or as a small group assignment and it may include an in-class presentation component. Case analysis is predominately taught in economics and business-related courses, but it is also a method of teaching and learning found in other applied social sciences disciplines, such as, social work, public relations, education, journalism, and public administration.

Ellet, William. The Case Study Handbook: A Student's Guide . Revised Edition. Boston, MA: Harvard Business School Publishing, 2018; Christoph Rasche and Achim Seisreiner. Guidelines for Business Case Analysis . University of Potsdam; Writing a Case Analysis . Writing Center, Baruch College; Volpe, Guglielmo. "Case Teaching in Economics: History, Practice and Evidence." Cogent Economics and Finance 3 (December 2015). doi:https://doi.org/10.1080/23322039.2015.1120977.

How to Approach Writing a Case Analysis Paper

The organization and structure of a case analysis paper can vary depending on the organizational setting, the situation, and how your professor wants you to approach the assignment. Nevertheless, preparing to write a case analysis paper involves several important steps. As Hawes notes, a case analysis assignment “...is useful in developing the ability to get to the heart of a problem, analyze it thoroughly, and to indicate the appropriate solution as well as how it should be implemented” [p.48]. This statement encapsulates how you should approach preparing to write a case analysis paper.

Before you begin to write your paper, consider the following analytical procedures:

• Review the case to get an overview of the situation . A case can be only a few pages in length, however, it is most often very lengthy and contains a significant amount of detailed background information and statistics, with multilayered descriptions of the scenario, the roles and behaviors of various stakeholder groups, and situational events. Therefore, a quick reading of the case will help you gain an overall sense of the situation and illuminate the types of issues and problems that you will need to address in your paper. If your professor has provided questions intended to help frame your analysis, use them to guide your initial reading of the case.
• Read the case thoroughly . After gaining a general overview of the case, carefully read the content again with the purpose of understanding key circumstances, events, and behaviors among stakeholder groups. Look for information or data that appears contradictory, extraneous, or misleading. At this point, you should be taking notes as you read because this will help you develop a general outline of your paper. The aim is to obtain a complete understanding of the situation so that you can begin contemplating tentative answers to any questions your professor has provided or, if they have not provided, developing answers to your own questions about the case scenario and its connection to the course readings,lectures, and class discussions.
• Determine key stakeholder groups, issues, and events and the relationships they all have to each other . As you analyze the content, pay particular attention to identifying individuals, groups, or organizations described in the case and identify evidence of any problems or issues of concern that impact the situation in a negative way. Other things to look for include identifying any assumptions being made by or about each stakeholder, potential biased explanations or actions, explicit demands or ultimatums , and the underlying concerns that motivate these behaviors among stakeholders. The goal at this stage is to develop a comprehensive understanding of the situational and behavioral dynamics of the case and the explicit and implicit consequences of each of these actions.
• Identify the core problems . The next step in most case analysis assignments is to discern what the core [i.e., most damaging, detrimental, injurious] problems are within the organizational setting and to determine their implications. The purpose at this stage of preparing to write your analysis paper is to distinguish between the symptoms of core problems and the core problems themselves and to decide which of these must be addressed immediately and which problems do not appear critical but may escalate over time. Identify evidence from the case to support your decisions by determining what information or data is essential to addressing the core problems and what information is not relevant or is misleading.
• Explore alternative solutions . As noted, case analysis scenarios rarely have only one correct answer. Therefore, it is important to keep in mind that the process of analyzing the case and diagnosing core problems, while based on evidence, is a subjective process open to various avenues of interpretation. This means that you must consider alternative solutions or courses of action by critically examining strengths and weaknesses, risk factors, and the differences between short and long-term solutions. For each possible solution or course of action, consider the consequences they may have related to their implementation and how these recommendations might lead to new problems. Also, consider thinking about your recommended solutions or courses of action in relation to issues of fairness, equity, and inclusion.
• Decide on a final set of recommendations . The last stage in preparing to write a case analysis paper is to assert an opinion or viewpoint about the recommendations needed to help resolve the core problems as you see them and to make a persuasive argument for supporting this point of view. Prepare a clear rationale for your recommendations based on examining each element of your analysis. Anticipate possible obstacles that could derail their implementation. Consider any counter-arguments that could be made concerning the validity of your recommended actions. Finally, describe a set of criteria and measurable indicators that could be applied to evaluating the effectiveness of your implementation plan.

Use these steps as the framework for writing your paper. Remember that the more detailed you are in taking notes as you critically examine each element of the case, the more information you will have to draw from when you begin to write. This will save you time.

NOTE : If the process of preparing to write a case analysis paper is assigned as a student group project, consider having each member of the group analyze a specific element of the case, including drafting answers to the corresponding questions used by your professor to frame the analysis. This will help make the analytical process more efficient and ensure that the distribution of work is equitable. This can also facilitate who is responsible for drafting each part of the final case analysis paper and, if applicable, the in-class presentation.

Framework for Case Analysis . College of Management. University of Massachusetts; Hawes, Jon M. "Teaching is Not Telling: The Case Method as a Form of Interactive Learning." Journal for Advancement of Marketing Education 5 (Winter 2004): 47-54; Rasche, Christoph and Achim Seisreiner. Guidelines for Business Case Analysis . University of Potsdam; Writing a Case Study Analysis . University of Arizona Global Campus Writing Center; Van Ness, Raymond K. A Guide to Case Analysis . School of Business. State University of New York, Albany; Writing a Case Analysis . Business School, University of New South Wales.

Structure and Writing Style

A case analysis paper should be detailed, concise, persuasive, clearly written, and professional in tone and in the use of language . As with other forms of college-level academic writing, declarative statements that convey information, provide a fact, or offer an explanation or any recommended courses of action should be based on evidence. If allowed by your professor, any external sources used to support your analysis, such as course readings, should be properly cited under a list of references. The organization and structure of case analysis papers can vary depending on your professor’s preferred format, but its structure generally follows the steps used for analyzing the case.

Introduction

The introduction should provide a succinct but thorough descriptive overview of the main facts, issues, and core problems of the case . The introduction should also include a brief summary of the most relevant details about the situation and organizational setting. This includes defining the theoretical framework or conceptual model on which any questions were used to frame your analysis.

Following the rules of most college-level research papers, the introduction should then inform the reader how the paper will be organized. This includes describing the major sections of the paper and the order in which they will be presented. Unless you are told to do so by your professor, you do not need to preview your final recommendations in the introduction. U nlike most college-level research papers , the introduction does not include a statement about the significance of your findings because a case analysis assignment does not involve contributing new knowledge about a research problem.

Background Analysis

Background analysis can vary depending on any guiding questions provided by your professor and the underlying concept or theory that the case is based upon. In general, however, this section of your paper should focus on:

• Providing an overarching analysis of problems identified from the case scenario, including identifying events that stakeholders find challenging or troublesome,
• Identifying assumptions made by each stakeholder and any apparent biases they may exhibit,
• Describing any demands or claims made by or forced upon key stakeholders, and
• Highlighting any issues of concern or complaints expressed by stakeholders in response to those demands or claims.

These aspects of the case are often in the form of behavioral responses expressed by individuals or groups within the organizational setting. However, note that problems in a case situation can also be reflected in data [or the lack thereof] and in the decision-making, operational, cultural, or institutional structure of the organization. Additionally, demands or claims can be either internal and external to the organization [e.g., a case analysis involving a president considering arms sales to Saudi Arabia could include managing internal demands from White House advisors as well as demands from members of Congress].

Throughout this section, present all relevant evidence from the case that supports your analysis. Do not simply claim there is a problem, an assumption, a demand, or a concern; tell the reader what part of the case informed how you identified these background elements.

Identification of Problems

In most case analysis assignments, there are problems, and then there are problems . Each problem can reflect a multitude of underlying symptoms that are detrimental to the interests of the organization. The purpose of identifying problems is to teach students how to differentiate between problems that vary in severity, impact, and relative importance. Given this, problems can be described in three general forms: those that must be addressed immediately, those that should be addressed but the impact is not severe, and those that do not require immediate attention and can be set aside for the time being.

All of the problems you identify from the case should be identified in this section of your paper, with a description based on evidence explaining the problem variances. If the assignment asks you to conduct research to further support your assessment of the problems, include this in your explanation. Remember to cite those sources in a list of references. Use specific evidence from the case and apply appropriate concepts, theories, and models discussed in class or in relevant course readings to highlight and explain the key problems [or problem] that you believe must be solved immediately and describe the underlying symptoms and why they are so critical.

Alternative Solutions

This section is where you provide specific, realistic, and evidence-based solutions to the problems you have identified and make recommendations about how to alleviate the underlying symptomatic conditions impacting the organizational setting. For each solution, you must explain why it was chosen and provide clear evidence to support your reasoning. This can include, for example, course readings and class discussions as well as research resources, such as, books, journal articles, research reports, or government documents. In some cases, your professor may encourage you to include personal, anecdotal experiences as evidence to support why you chose a particular solution or set of solutions. Using anecdotal evidence helps promote reflective thinking about the process of determining what qualifies as a core problem and relevant solution .

Throughout this part of the paper, keep in mind the entire array of problems that must be addressed and describe in detail the solutions that might be implemented to resolve these problems.

Recommended Courses of Action

In some case analysis assignments, your professor may ask you to combine the alternative solutions section with your recommended courses of action. However, it is important to know the difference between the two. A solution refers to the answer to a problem. A course of action refers to a procedure or deliberate sequence of activities adopted to proactively confront a situation, often in the context of accomplishing a goal. In this context, proposed courses of action are based on your analysis of alternative solutions. Your description and justification for pursuing each course of action should represent the overall plan for implementing your recommendations.

For each course of action, you need to explain the rationale for your recommendation in a way that confronts challenges, explains risks, and anticipates any counter-arguments from stakeholders. Do this by considering the strengths and weaknesses of each course of action framed in relation to how the action is expected to resolve the core problems presented, the possible ways the action may affect remaining problems, and how the recommended action will be perceived by each stakeholder.

In addition, you should describe the criteria needed to measure how well the implementation of these actions is working and explain which individuals or groups are responsible for ensuring your recommendations are successful. In addition, always consider the law of unintended consequences. Outline difficulties that may arise in implementing each course of action and describe how implementing the proposed courses of action [either individually or collectively] may lead to new problems [both large and small].

Throughout this section, you must consider the costs and benefits of recommending your courses of action in relation to uncertainties or missing information and the negative consequences of success.

The conclusion should be brief and introspective. Unlike a research paper, the conclusion in a case analysis paper does not include a summary of key findings and their significance, a statement about how the study contributed to existing knowledge, or indicate opportunities for future research.

Begin by synthesizing the core problems presented in the case and the relevance of your recommended solutions. This can include an explanation of what you have learned about the case in the context of your answers to the questions provided by your professor. The conclusion is also where you link what you learned from analyzing the case with the course readings or class discussions. This can further demonstrate your understanding of the relationships between the practical case situation and the theoretical and abstract content of assigned readings and other course content.

Problems to Avoid

The literature on case analysis assignments often includes examples of difficulties students have with applying methods of critical analysis and effectively reporting the results of their assessment of the situation. A common reason cited by scholars is that the application of this type of teaching and learning method is limited to applied fields of social and behavioral sciences and, as a result, writing a case analysis paper can be unfamiliar to most students entering college.

After you have drafted your paper, proofread the narrative flow and revise any of these common errors:

• Unnecessary detail in the background section . The background section should highlight the essential elements of the case based on your analysis. Focus on summarizing the facts and highlighting the key factors that become relevant in the other sections of the paper by eliminating any unnecessary information.
• Analysis relies too much on opinion . Your analysis is interpretive, but the narrative must be connected clearly to evidence from the case and any models and theories discussed in class or in course readings. Any positions or arguments you make should be supported by evidence.
• Analysis does not focus on the most important elements of the case . Your paper should provide a thorough overview of the case. However, the analysis should focus on providing evidence about what you identify are the key events, stakeholders, issues, and problems. Emphasize what you identify as the most critical aspects of the case to be developed throughout your analysis. Be thorough but succinct.
• Writing is too descriptive . A paper with too much descriptive information detracts from your analysis of the complexities of the case situation. Questions about what happened, where, when, and by whom should only be included as essential information leading to your examination of questions related to why, how, and for what purpose.
• Inadequate definition of a core problem and associated symptoms . A common error found in case analysis papers is recommending a solution or course of action without adequately defining or demonstrating that you understand the problem. Make sure you have clearly described the problem and its impact and scope within the organizational setting. Ensure that you have adequately described the root causes w hen describing the symptoms of the problem.
• Recommendations lack specificity . Identify any use of vague statements and indeterminate terminology, such as, “A particular experience” or “a large increase to the budget.” These statements cannot be measured and, as a result, there is no way to evaluate their successful implementation. Provide specific data and use direct language in describing recommended actions.
• Unrealistic, exaggerated, or unattainable recommendations . Review your recommendations to ensure that they are based on the situational facts of the case. Your recommended solutions and courses of action must be based on realistic assumptions and fit within the constraints of the situation. Also note that the case scenario has already happened, therefore, any speculation or arguments about what could have occurred if the circumstances were different should be revised or eliminated.

Bee, Lian Song et al. "Business Students' Perspectives on Case Method Coaching for Problem-Based Learning: Impacts on Student Engagement and Learning Performance in Higher Education." Education & Training 64 (2022): 416-432; The Case Analysis . Fred Meijer Center for Writing and Michigan Authors. Grand Valley State University; Georgallis, Panikos and Kayleigh Bruijn. "Sustainability Teaching using Case-Based Debates." Journal of International Education in Business 15 (2022): 147-163; Hawes, Jon M. "Teaching is Not Telling: The Case Method as a Form of Interactive Learning." Journal for Advancement of Marketing Education 5 (Winter 2004): 47-54; Georgallis, Panikos, and Kayleigh Bruijn. "Sustainability Teaching Using Case-based Debates." Journal of International Education in Business 15 (2022): 147-163; .Dean,  Kathy Lund and Charles J. Fornaciari. "How to Create and Use Experiential Case-Based Exercises in a Management Classroom." Journal of Management Education 26 (October 2002): 586-603; Klebba, Joanne M. and Janet G. Hamilton. "Structured Case Analysis: Developing Critical Thinking Skills in a Marketing Case Course." Journal of Marketing Education 29 (August 2007): 132-137, 139; Klein, Norman. "The Case Discussion Method Revisited: Some Questions about Student Skills." Exchange: The Organizational Behavior Teaching Journal 6 (November 1981): 30-32; Mukherjee, Arup. "Effective Use of In-Class Mini Case Analysis for Discovery Learning in an Undergraduate MIS Course." The Journal of Computer Information Systems 40 (Spring 2000): 15-23; Pessoa, Silviaet al. "Scaffolding the Case Analysis in an Organizational Behavior Course: Making Analytical Language Explicit." Journal of Management Education 46 (2022): 226-251: Ramsey, V. J. and L. D. Dodge. "Case Analysis: A Structured Approach." Exchange: The Organizational Behavior Teaching Journal 6 (November 1981): 27-29; Schweitzer, Karen. "How to Write and Format a Business Case Study." ThoughtCo. https://www.thoughtco.com/how-to-write-and-format-a-business-case-study-466324 (accessed December 5, 2022); Reddy, C. D. "Teaching Research Methodology: Everything's a Case." Electronic Journal of Business Research Methods 18 (December 2020): 178-188; Volpe, Guglielmo. "Case Teaching in Economics: History, Practice and Evidence." Cogent Economics and Finance 3 (December 2015). doi:https://doi.org/10.1080/23322039.2015.1120977.

Writing Tip

Ca se Study and Case Analysis Are Not the Same!

Confusion often exists between what it means to write a paper that uses a case study research design and writing a paper that analyzes a case; they are two different types of approaches to learning in the social and behavioral sciences. Professors as well as educational researchers contribute to this confusion because they often use the term "case study" when describing the subject of analysis for a case analysis paper. But you are not studying a case for the purpose of generating a comprehensive, multi-faceted understanding of a research problem. R ather, you are critically analyzing a specific scenario to argue logically for recommended solutions and courses of action that lead to optimal outcomes applicable to professional practice.

To avoid any confusion, here are twelve characteristics that delineate the differences between writing a paper using the case study research method and writing a case analysis paper:

• Case study is a method of in-depth research and rigorous inquiry ; case analysis is a reliable method of teaching and learning . A case study is a modality of research that investigates a phenomenon for the purpose of creating new knowledge, solving a problem, or testing a hypothesis using empirical evidence derived from the case being studied. Often, the results are used to generalize about a larger population or within a wider context. The writing adheres to the traditional standards of a scholarly research study. A case analysis is a pedagogical tool used to teach students how to reflect and think critically about a practical, real-life problem in an organizational setting.
• The researcher is responsible for identifying the case to study; a case analysis is assigned by your professor . As the researcher, you choose the case study to investigate in support of obtaining new knowledge and understanding about the research problem. The case in a case analysis assignment is almost always provided, and sometimes written, by your professor and either given to every student in class to analyze individually or to a small group of students, or students select a case to analyze from a predetermined list.
• A case study is indeterminate and boundless; a case analysis is predetermined and confined . A case study can be almost anything [see item 9 below] as long as it relates directly to examining the research problem. This relationship is the only limit to what a researcher can choose as the subject of their case study. The content of a case analysis is determined by your professor and its parameters are well-defined and limited to elucidating insights of practical value applied to practice.
• Case study is fact-based and describes actual events or situations; case analysis can be entirely fictional or adapted from an actual situation . The entire content of a case study must be grounded in reality to be a valid subject of investigation in an empirical research study. A case analysis only needs to set the stage for critically examining a situation in practice and, therefore, can be entirely fictional or adapted, all or in-part, from an actual situation.
• Research using a case study method must adhere to principles of intellectual honesty and academic integrity; a case analysis scenario can include misleading or false information . A case study paper must report research objectively and factually to ensure that any findings are understood to be logically correct and trustworthy. A case analysis scenario may include misleading or false information intended to deliberately distract from the central issues of the case. The purpose is to teach students how to sort through conflicting or useless information in order to come up with the preferred solution. Any use of misleading or false information in academic research is considered unethical.
• Case study is linked to a research problem; case analysis is linked to a practical situation or scenario . In the social sciences, the subject of an investigation is most often framed as a problem that must be researched in order to generate new knowledge leading to a solution. Case analysis narratives are grounded in real life scenarios for the purpose of examining the realities of decision-making behavior and processes within organizational settings. A case analysis assignments include a problem or set of problems to be analyzed. However, the goal is centered around the act of identifying and evaluating courses of action leading to best possible outcomes.
• The purpose of a case study is to create new knowledge through research; the purpose of a case analysis is to teach new understanding . Case studies are a choice of methodological design intended to create new knowledge about resolving a research problem. A case analysis is a mode of teaching and learning intended to create new understanding and an awareness of uncertainty applied to practice through acts of critical thinking and reflection.
• A case study seeks to identify the best possible solution to a research problem; case analysis can have an indeterminate set of solutions or outcomes . Your role in studying a case is to discover the most logical, evidence-based ways to address a research problem. A case analysis assignment rarely has a single correct answer because one of the goals is to force students to confront the real life dynamics of uncertainly, ambiguity, and missing or conflicting information within professional practice. Under these conditions, a perfect outcome or solution almost never exists.
• Case study is unbounded and relies on gathering external information; case analysis is a self-contained subject of analysis . The scope of a case study chosen as a method of research is bounded. However, the researcher is free to gather whatever information and data is necessary to investigate its relevance to understanding the research problem. For a case analysis assignment, your professor will often ask you to examine solutions or recommended courses of action based solely on facts and information from the case.
• Case study can be a person, place, object, issue, event, condition, or phenomenon; a case analysis is a carefully constructed synopsis of events, situations, and behaviors . The research problem dictates the type of case being studied and, therefore, the design can encompass almost anything tangible as long as it fulfills the objective of generating new knowledge and understanding. A case analysis is in the form of a narrative containing descriptions of facts, situations, processes, rules, and behaviors within a particular setting and under a specific set of circumstances.
• Case study can represent an open-ended subject of inquiry; a case analysis is a narrative about something that has happened in the past . A case study is not restricted by time and can encompass an event or issue with no temporal limit or end. For example, the current war in Ukraine can be used as a case study of how medical personnel help civilians during a large military conflict, even though circumstances around this event are still evolving. A case analysis can be used to elicit critical thinking about current or future situations in practice, but the case itself is a narrative about something finite and that has taken place in the past.
• Multiple case studies can be used in a research study; case analysis involves examining a single scenario . Case study research can use two or more cases to examine a problem, often for the purpose of conducting a comparative investigation intended to discover hidden relationships, document emerging trends, or determine variations among different examples. A case analysis assignment typically describes a stand-alone, self-contained situation and any comparisons among cases are conducted during in-class discussions and/or student presentations.

The Case Analysis . Fred Meijer Center for Writing and Michigan Authors. Grand Valley State University; Mills, Albert J. , Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010; Ramsey, V. J. and L. D. Dodge. "Case Analysis: A Structured Approach." Exchange: The Organizational Behavior Teaching Journal 6 (November 1981): 27-29; Yin, Robert K. Case Study Research and Applications: Design and Methods . 6th edition. Thousand Oaks, CA: Sage, 2017; Crowe, Sarah et al. “The Case Study Approach.” BMC Medical Research Methodology 11 (2011):  doi: 10.1186/1471-2288-11-100; Yin, Robert K. Case Study Research: Design and Methods . 4th edition. Thousand Oaks, CA: Sage Publishing; 1994.

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Master of Social Work Clinical Research Papers

Clinical research papers from 2019 2019.

Acculturation and Depression among Older U.S. Immigrants: A Systematic Review , Sunghwan Cho

Relationship as an Energetic Exchange: A Key Theory for the Nurtured Heart Approach , Inga Eanes

Birth and Pregnancy Termination Rates in The United States Since Perinatal Hospice Law Establishment , Chelsea Janey

Why Do Some Single Mothers Struggle More Than Others? , Tania Rhiger

The Bond We Share: Sibling Relationships Within Severe Mental Illness Through the Lens of Autoethnographic Research , Laura Rydberg

Clinical Research Papers from 2018 2018

Healing the Mind and Body: Practitioner Perspectives on Integrating Cognitive and Somatic Approaches in Psychotherapy with Refugees, Asylees, and Asylum Seekers , Amanda Ament-Lemke

Professional Perceptions of Youth Homelessness and Strengths Developed , Joelle Bellows

Sleep Deprivation and the Health of Firefighters , Bridget Bender

Effective Social Work Practice with Military, Veterans, and their Families , Katherine Boyer

Promoting Resilience and Preventing Sexual Offenses in Survivors of Childhood Sexual Abuse: A Systematic Review , Cassie DeGraw

Therapist, Know Thyself: Self-Reflective Practice through Autoethnography , Nikki DiVirgilio

Foster Care and Education: Exploring the Success of Interventions Aimed to Improve Academic Achievement of Foster Children , Olivia Erickson

Early Interventions: Preventing at-risk youth from the path of Sexual Exploitation: A Systematic Review , Rahma Farah

Treatment Barriers in Mental Health: Perspectives of Using Mobile Technology , Ryan Goman

“Make ’em Laugh” The Interaction of Humor in the Therapeutic Treatment of Trauma: A Narrative Review , Katherine Goodman

The Role of Somatic Psychotherapy in Treating First Responders: Providers’ Perspectives , Maggie Graham

Utilization of Social Media in Strengthening Communication in Long Distance Relationships , Lexie Gutzmann

Medical Social Workers’ Best Practices in Supporting Autonomy at End of Life , Morgan Hanley

Women’s Prisons and Substance Abuse Treatment: A Systematic Review of Shame Interventions , Jamie Herman

Trauma-Informed Care For Youth In Foster Care , Jordyn Hubin

Integrating Trauma Informed Care into the Treatment of Adult Male Sex Offenders: A Systematic Review , Erica Janssen

Challenges and Opportunities in Accessing Geriatric Mental Health Services in Rural Minnesota , Kassara Kneeland

Professional Opinions of Effective Interventions for Adults with Psychotic Disorders Who Experienced Childhood Trauma , Jennifer Metzger

Neighbors Helping Neighbors: Co-housing Options for Older Adults to Age in Place , Kasey Meyer

Using an Integrative Psychotherapeutic Approach to Help Adults Cope with Chronic Pain , Bethany Miletich

Examining Services Effective at Preventing Domestic Homicide: Interviewing Relevant Stakeholders about Their Perceptions Regarding Their Role in Reducing the Recurrence of Domestic Violence , Katlin Morse

Secure Attachment Without Bars: Alternatives to Incarceration and Clinical Interventions to Treat the Mother-Infant Relationship , Krista Murphy

Trauma-Informed Care: Training and Implementation in the Foster Care System , Danielle Norgren

The Impacts of Supervision on Social Workers Who Experience Client Suicidal Behavior , Chelse Paulzine

The Impact of Minnesota Warriors Hockey on Post-Military Service Reintegration: A Pilot Study , Andrew Qualy

Non-pharmacological Interventions in Residents with Behavioral and Psychological Symptoms of Dementia , Kelli Ray

Emotionally Focused Therapy for Couples: A Treatment for Depression and Anxiety , Courtney Reinitz

Chemical Dependence Harm Reduction: A Needed Application for Social Workers , Josie C. Schmitz

Exploring Non-Pharmacological Interventions for Behavioral Symptoms of Dementia: A Social Work Perspective , Ashley Schoonover

Is Marketing Messing with Your Clients’ Heads? Brands, Identity, and Clinical Practice , Paul Schuster

A Systematic Review: Examination of Yoga-Based Interventions to Determine their Benefits and Effectiveness in Treating PTSD in Women , Jessica Skaare

Rural Service Providers’ Perceptions of Cultural Responsiveness to LGBT Older Adults , Lisa Twomey

Understanding the practitioner’s role in the therapeutic setting: working with youth that identify as Black or African American and LGBT , Katie L. Ubl

The Effects of Animal-Assisted Therapy in Older Adults with Dementia , Alison Waid Higgins

Impacts of and Alternatives to Solitary Confinement in Adult Correctional Facilities , Sarah Zyvoloski

Clinical Research Papers from 2017 2017

Mapping Social Justice: A Case Study of a School of Social Work Student-Led Social Justice Initiative , Lauren Abdill

Evaluating Child Maltreatment Prevention Programs & Services: A Qualitative Study , Laura Abrass

“I’m Tough, It’s Fine”: Prohibiting Restrictive Procedures and Seclusion in Educational Settings , Kaitlin Adams

Developmental Impact of Inclusion Classrooms on Autism Spectrum Disorder: A Systematic Review , Emily E. Aller

Involuntary Civil Commitment and Sobriety , Ana Anderson

A Case Study of Veteran Identity as a Female , Kimberly Anderson

Racial Differences in Veteran Service Connection Disability , Jonathan Arnold

A Qualitative Investigation of Parental Experiences with Play Therapy , Kaitlin Bach

Cognitive Behavior Therapy with Adults with Intellectual Disabilities: A Systematic Review , Crystal Barrera

Systematic Review of High School Dropout Prevention Programs , Dayne Bartlett

Identity and Belonging: Documentation Status and Mexican-origin children: A Systematic Review , Alicia Bauers

Removing Stigma and Reducing Anxiety: Social Work Professionals Integrating Essential Oils in Mental Healthcare Services with African American and Native American Clients , Kamara Bauman

What Can We Learn from Death and Dying? One Man’s Experience , Brooke K. Benson

Trauma in schools: Identifying and working with students who have experienced trauma , Amanda E. Berg

Unintended Rehabilitation: A Comparative Analysis of Prison Animal Programs , Mielissa Beseres

Understanding the Mental Health Impacts of Non-Kinship vs. Kinship Placements , Lena Bessas

Social Worker Perceptions on Education for Generalist and Specialist Roles , Jamie Blackledge

Strategies and Outcomes in Working with Adolescents Diagnosed with Conduct Disorder , Elisabeth A. Boegeman

Domestic Violence: How to Treat the Unseen Victims , Sarah Callahan

Birth Parents: Blogging The Emotional Journey Through Adoption , Kayla L. Christensen

Factors that Increase Successful Parenting Skills in Adult Survivors of Childhood Trauma, Neglect, and Abuse: A Systematic Review , Victoria A. Christian

Cognitive Behavioral Therapy for Veterans Experiencing Insomnia: A Systematic Review , Dustin Cobb

Posttraumatic Growth in United States Military Veterans , Angela Cox

Examining Post-Adoption Services: What Adoptive Families Need for Beneficial Outcomes , Lindsey Crawford

Addressing Needs Among Students Affected by Domestic Violence: Social Workers’ Perspectives , Kiah Dahlquist

Making & Sustaining Change from Psychotherapy: A Mixed Method Study , Kelsi Dankey, Heather Karson, Arielle R. Yahnke, Sara Lemon, Tricia Downing, Danae Hoffman, and Natia Wilcek

What is the Impact of Mental Health Courts? A Systematic Literature Review , Rachel Dean

Best Practices for Engaging Birth Mothers in Post-Adoptive Grief Work , Melanie DeJong

Evaluating the Effectiveness of Vocational Rehabilitation in Economic Outcomes for Adults with Disabilities , Susanne Desmond

Bicycles and Youth: Impacts , Elizabeth Drews

Lessons for Social Workers: A Review of the Latino/a Undocumented Immigrant Experience , Katie J. Ducklow

Aging Americans: Family Factors and Satisfaction with Life and Aging , Miranda Eastham

Intervention with Intimate Partner Violence: Application of Attachment and Personality Disorders , MaryBeth Ehlert

Transgenerational Transmission of Caregiver Behaviors Promoting Secure Attachments in American Indian Communities , Bryan Ellingson

Interventions to Alleviate the Psychosocial Needs of Hospice Family Caregivers: A Systematic Review , Nicole Engen

Spiritually Integrated Care for Veteran Trauma Survivors: A Quantitative Analysis , Krystle Englund

Guardian ad Litem Perceptions of Child Protection , Carla Evans

Factors Contributing to Success in Treatment for Individuals with a Dual Diagnosis , Logan Evenson

Systematic Review: Considerations for Women with Co-occurring Substance Use Disorder and PTSD , Brittany Feller

Mindfulness Practice with Children who have Experienced Trauma , Margaret Fischer

Officer-Involved Homicides of Unarmed Black Males: Perceptions of the African American Community , Sarah Fox

Intimacy after Sexual Trauma: Clinical Perspectives , Melissa Franckowiak

Interventions that Support Caregivers of Veterans with Traumatic Brain Injury: A Systematic Review , Melissa Franzen

Gaps in Mental Health Services in the Juvenile Justice System as Identified by Clinical Social Workers , Heather Fretty

Family Functioning and Secondary Traumatic Stress in Military Families: A Qualitative Study , Karlie Gams

Disability Accommodations in Postsecondary Education A Systematic Review , Kaitlyn Gartner

Perceptions of Diagnosing and Treating Attention Deficit Hyperactivity Disorder and Complex Trauma in Schools , Megan Gauer-Kloos

Clinician Support to Caregivers of Children with a Mental Health Disorder , Lauren Gavin

Effects of Yoga and Mindfulness-Based Practices on Stress and Anxiety in Children and Adolescents , Amanda Geldert

Intervention effectiveness following gender-based violence and forced migration: A critical systematic literature review and synthesis of qualitative studies from the voice of the client , Malory Giraldo

Identifying Protective Factors for Adult Children of Alcoholics , Jessica Goeke

"Si No Estuviera Conmigo, Yo Seria Muda en Este País": A Systematic Literature Review of Language Brokering Among Latinx Youth , Manuela Gonzalez

Postpartum Depression and Opinions on Screening , Jana Gorman

Identifying and Mitigating Caregiver Burnout: The Role of Adult Day Social Workers , Annika Grafstrom

Work and Quality of Life for Individuals with SMI: A Systematic Review , Scott Grandt

Analysis of Implementing Trauma Informed Programs in Grade Schools , Lilli Gray

Making it Right in the End: Conflict on the Hospice Interdisciplinary Team , Sarah Green

Supports and Barriers Experienced by Female Same-Sex Couples When Planning For Life as They Age , Johanna Guerkink

Sacred Shame: Integrating Spirituality and Sexuality , Alyssa J. Haggerty

Welfare Reform and Quality of Life: A Systematic Review , Brianna Heilman

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Case Study: A method of evaluation by examining systematically many characteristics of one individual, group, family, or community usually over an extended period.  Retrieved from: Barker, R. (2003).  The Social Work Dictionary. Washington D.C.: National Association of Social Workers.  Located in Reference at HV12 B37 2003.

  To find case studies in print :

• Go to the OneSearch Station:   http://library.csuchico.edu/
• Type “case studies” and type either a general topic (i.e. Social Work, Counseling) or a specific topic (i.e. elderly care, solution-focused therapy). 
• Click “” and you should see a list of results.      If not, you may need to either broaden your search or try different keywords.

  To find case studies online :

1.         Search  Databases:    http://library.calstate.edu/chico/databases/subject/social-work

2.         Find a database which pertains to your specific major and/or the topic you are searching.

3.         In the advanced search engine, type in your topic on the first line and “case studies” on the second line.

4.         Click “search” and you should see a list of results.    If not, you may need to either broaden your search or try different keywords.

NOTE:     Both PsycINFO and Academic Search Premier have case study searching built into the advanced search.     This is found in either “Document Type” (Academic Search Premier) or “Form/Content Type” (PsycINFO).      Therefore, with these databases, only include the search topic in the keyword searching area.

• Social Work Liaison's Toolkit : Data Sets Data Sets [from Association of College and Research Libraries] - includes comprehensive, topical and subject links
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Meriam Library | CSU, Chico

A sample case study: Mrs Brown

On this page, social work report, social work report: background, social work report: social history, social work report: current function, social work report: the current risks, social work report: attempts to trial least restrictive options, social work report: recommendation, medical report, medical report: background information, medical report: financial and legal affairs, medical report: general living circumstances.

This is a fictitious case that has been designed for educative purposes.

Mrs Beryl Brown URN102030 20 Hume Road, Melbourne, 3000 DOB: 01/11/33

Date of application: 20 August 2019

Mrs Beryl Brown (01/11/33) is an 85 year old woman who was admitted to the Hume Hospital by ambulance after being found by her youngest daughter lying in front of her toilet. Her daughter estimates that she may have been on the ground overnight. On admission, Mrs Brown was diagnosed with a right sided stroke, which has left her with moderate weakness in her left arm and leg. A diagnosis of vascular dementia was also made, which is overlaid on a pre-existing diagnosis of Alzheimer’s disease (2016). Please refer to the attached medical report for further details.

I understand that Mrs Brown has been residing in her own home, a two-story terrace house in Melbourne, for almost 60 years. She has lived alone since her husband died two years ago following a cardiac arrest. She has two daughters. The youngest daughter Jean has lived with her for the past year, after she lost her job. The eldest daughter Catherine lives on the Gold Coast with her family. Mrs Brown is a retired school teacher and she and both daughters describe her as a very private woman who has never enjoyed having visitors in her home. Mrs Brown took much encouragement to accept cleaning and shopping assistance once a week after her most recent admission; however, she does not agree to increase service provision. Jean has Enduring Power of Attorney (EPOA) paperwork that indicates that Mrs Brown appointed her under an EPOA two years ago. She does not appear to have appointed a medical treatment decision maker or any other decision-supporter.

I also understand from conversations with her daughters that Jean and Mrs Brown have always been very close and that there is a history of long-standing conflict between Catherine and Jean. This was exacerbated by the death of their father. Both daughters state they understand the impact of the stroke on their mother’s physical and cognitive functioning, but they do not agree on a discharge destination. Mrs Brown lacks insight into her care needs and says she will be fine once she gets back into her own home. Repeated attempts to discuss options with all parties in the same room have not resulted in a decision that is agreeable to all parties.

Mrs Brown has a history of Alzheimer’s disease; type II diabetes – insulin dependent; hypertension; high cholesterol and osteoarthritis. She has had two recent admissions to hospital for a urinary tract infection and a fall in the context of low blood sugars. She is currently requiring one to two people to assist her into and out of bed and one person with managing tasks associated with post-toilet hygiene. She can walk slowly for short distances with a four-wheel frame with one person to supervise. She benefits from prompting to use her frame; she needs someone to cut her food and to set her up to eat and drink regularly and to manage her medication routine. She requires one person to assist her to manage her insulin twice daily.

The team believe that Mrs Brown’s capacity for functional improvement has plateaued in the last ten days. They recommend that it is in her best interests to be discharged to a residential care setting due to her need for one to two people to provide assistance with the core tasks associated with daily living. Mrs Brown is adamant that she wants to return home to live with Jean who she states can look after her. Jean, who has a history of chronic back pain, has required several admissions to hospital over the past five years, and states she wants to be able to care for her mother at home. Jean states she is reluctant to agree to extra services as her mother would not want this. Her sister Catherine is concerned that Jean has not been coping and states that given this is the third admission to hospital in a period of few months, believes it is now time for her mother to enter residential care. Catherine states that she is very opposed to her mother being discharged home.

Mrs Brown is at high risk of experiencing falls. She has reduced awareness of the left side of her body and her ability to plan and process information has been affected by her stroke. She is now requiring one to two people to assist with all her tasks of daily living and she lacks insight into these deficits. Mrs Brown is also at risk of further significant functional decline which may exacerbate Jean’s back pain. Jean has stated she is very worried about where she will live if her mother is to enter residential care.

We have convened two family meetings with Mrs Brown, both her daughters and several members of the multi-disciplinary team. The outcome of the first meeting saw all parties agree for the ward to provide personalised carer training to Jean with the aim of trialling a discharge home. During this training Jean reported significant pain when transferring her mother from the bed and stated she would prefer to leave her mother in bed until she was well enough to get out with less support.

The team provided education to both Jean and Catherine about the progressive impact of their mother’s multiple conditions on her functioning. The occupational therapist completed a home visit and recommended that the downstairs shower be modified so that a commode can be placed in it safely and the existing dining room be converted into a bedroom for Mrs Brown. Mrs Brown stated she would not pay for these modifications and Jean stated she did not wish to go against her mother’s wishes. The team encouraged Mrs Brown to consider developing a back-up plan and explore residential care options close to her home so that Jean could visit often if the discharge home failed. Mrs Brown and Jean refused to consent to proceed with an Aged Care Assessment that would enable Catherine to waitlist her mother’s name at suitable aged care facilities. We proceeded with organising a trial overnight visit. Unfortunately, this visit was not successful as Jean and Catherine, who remained in Melbourne to provide assistance, found it very difficult to provide care without the use of an accessible bathroom. Mrs Brown remains adamant that she will remain at home. The team is continuing to work with the family to maximise Mrs Brown’s independence, but they believe that it is unlikely this will improve. I have spent time with Jean to explore her adjustment to the situation, and provided her with information on community support services and residential care services. I have provided her with information on the Transition Care Program which can assist families to work through all the logistics. I have provided her with more information on where she could access further counselling to explore her concerns. I have sought advice on the process and legislative requirements from the Office of the Public Advocate’s Advice Service. I discussed this process with the treating team and we decided that it was time to lodge an application for guardianship to VCAT.

The treating team believe they have exhausted all least restrictive alternatives and that a guardianship order is required to make a decision on Mrs Brown’s discharge destination and access to services. The team recommend that the Public Advocate be appointed as Mrs Brown’s guardian of last resort. We believe that this is the most suitable arrangement as her daughters are not in agreement about what is in their mother’s best interests. We also believe that there is a potential conflict of interest as Jean has expressed significant concern that her mother’s relocation to residential care will have an impact on her own living arrangements.

Mrs Brown’s medical history includes Alzheimer’s disease; type II diabetes; hypertension; high cholesterol and osteoarthritis. She was admitted to Hume Hospital on 3 March 2019 following a stroke that resulted in moderate left arm and leg weakness. This admission was the third hospital admission in the past year. Other admissions have been for a urinary tract infection, and a fall in the context hypoglycaemia (low blood sugars), both of which were complicated by episodes of delirium.

She was transferred to the subacute site under my care, a week post her admission, for slow-stream rehabilitation, cognitive assessment and discharge planning.

Mrs Brown was diagnosed with Alzheimer’s disease by Dr Joanne Winters, Geriatrician, in April 2016. At that time, Mrs Brown scored 21/30 on the Standardised Mini-Mental State Examination (SMMSE). During this admission, Mrs Brown scored 15/30. I have undertaken cognitive assessment and agree with the diagnosis; further cognitive decline has occurred in the context of the recent stroke. There are global cognitive deficits, but primarily affecting memory, attention and executive function (planning, problem solving, mental flexibility and abstract reasoning). The most recent CT-Brain scan shows generalised atrophy along with evidence of the new stroke affecting the right frontal lobe. My assessments suggest moderate to severe mixed Alzheimer’s and vascular dementia.

While able to recall some key aspects of her financial affairs, including the general monetary value of her pension and regular expenses, Mrs Brown was unable to account for recent expenditure (for repairs to her home) or provide an estimate of its value, and had difficulty describing her investments. In addition, I consider that she would be unable to make complex financial decisions due to her level of cognitive impairment. Accordingly, I am of the view that Mrs Brown now lacks capacity to make financial decisions.

Mrs Brown states that she previously made an Enduring Power of Attorney (EPOA) but could no longer recall aspects of the EPOA, such as when it would commence and the nature of the attorney’s powers. Moreover, she confused the EPOA with her will. Her understanding of these matters did not improve with education, and therefore I consider that she no longer has capacity to execute or revoke an EPOA.

Mrs Brown acknowledges that she needs some assistance but lacks insight into the type of assistance that she requires, apart from home help for cleaning and shopping. She does not appreciate her risk of falling. She is unable to get in and out of bed without at least one person assisting her. She frequently forgets to use her gait aid when mobilising and is not able to describe how she would seek help in the event of falling. She is not able to identify or describe how she would manage her blood sugar levels, and this has not improved with education. Accordingly, I consider that she lacks capacity to make decisions about accommodation arrangements and services.

Mrs Brown does not agree with the treating team’s recommendation to move into residential care and maintains her preference to return home. This is in spite of a failed overnight trial at home with both her daughters assisting her. Unfortunately, she was unable to get out of bed to get to the toilet and required two people to assist her to do so in the morning. In light of these matters, and in the context of family disagreement regarding the matter, the team recommends that the Office of the Public Advocate be appointed as a guardian of last resort.

Reviewed 22 July 2022

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How To Write A Case Study Report In Social Work?

Social work is one of the most important branches or streams of study for students in Australia and around the world. The subject has become so important that even reputed colleges and universities of Australia are offering graduation and postgraduate degree courses in social work.

The institute assigns students large assignments on social work during the courses. In this blog, we will discuss some useful tips for writing an excellent case study report on social work to impress your faculty and get the top grades .

Tips To Write an Effective Case Study Report in Social Work

• Choose an interesting subject: First, you need to choose a very interesting and updated subject for your social work case study. Some such subjects might be domestic violence, corruption, women’s empowerment, drug abuse, and alcohol abuse.
• Do an in-depth analysis: After that, you need to analyse the chosen subject or topic in-depth. You need to explain each and every fact related to that topic. No fiction should be there. Only try, and you will accept the current facts.
• Treat delicate matters likewise: A study on social work is one of the most delicate types of studies in the world. Thus, you need to write your report by treating the matter as seriously as possible and avoiding all types of fluffy language.
• Carry out extensive study and research: You always need to do extensive study and research while writing your case study report on social work. You need to note all the legal, social, and political status of the country, territory, or region in which you are doing your social study.
• Write only true facts: You must always write only true facts in your case study. Writing wrong facts can be very harmful to your paper. You always need to depict a very true picture of the scenario.
• Know how you can help others: The ultimate aim of your social study work is to help the people of your society. Each class of people suffers from particular issues or problems. You need to deal with their issues likewise to solve their problems. Thus, you always need to know the right methods to solve various problems of the suffering people.
• Give proper solutions: You must always give proper solutions to the suffering people of your society to overcome their problems. These solutions must be strictly within the legal limits of your nation. You must keep in mind that people truly benefit from the suggestions and solutions provided by you in your social work case study report.
• Give a picture of future success: In your case study report on social work, you need to depict a true picture of your social work project’s success in the long run and how it will benefit people in the concluding part.
• Always give a proper introduction and conclusion: The introduction and concluding part of your social work case study report are of high importance. The introductory part makes the first impression on your readers. If your concluding part is interesting enough, it will create an everlasting good impression on your reader faculty. Thus, you are bound to get good grades.
• Carry out long surveys: The subject of social work is very much related to practical surveys and studies. Thus, you need to conduct a lot of surveys among the people of society to learn about their real problems in life and find effective solutions for them.
• Take expert consultation: To write an ideal case study report, it is advisable to seek consultation and help from a social service expert. You need to do this under the supervision of an expert social worker.
• Study the reports of various NGOs: There are a number of NGOs or non-government organisations involved in various social studies. You can read their published reports to get an idea of how to do proper social work with true success.

What Common Mistakes Should Be Avoided While Writing a Case Study Report?

You need to avoid certain common mistakes while writing a case study report on social work or any other subject. Some of these are listed below:

• Many errors are often present in the case study paper. You always need to remove these errors by properly proofreading and editing the papers. Manual checking is preferred in this regard rather than any error-detecting software.
• You always need to avoid plagiarism in your report work. You can also use any kind of updated and advanced plagiarism-checking software technology in this regard in order to make your paper a hundred per cent plagiarism-free
• Always submit all your case study papers before the deadlines. If you cross the deadlines, your paper will come under the defaulter list, and you will lose your grades
• Try to complete all your assignment papers within specified time frames
• Do not repeat any idea more than once in any of your case study papers. Add new ideas with to-the-point explanations. This will make your paper more interesting.

How do you avail yourself of the Case Study Report Writing Services?

Writing a good case study report on social work is not an easy task. Thus, you always need expert help in this regard. You can get the best case study report on social work writing help from the most reputed C aseStudyHelp.com online organisation.

We have a team of the best writers with extensive experience in the social service case report writing field. Thus, students can always expect the best service from them. You can easily avail of our services by registering online on the CaseStudyHelp.com official website . We are always here to provide the best solutions for writing social work case study reports.

Author Bio:

Social Work Practice with Carers

Case Study 2: Josef

Download the whole case study as a PDF file

Josef is 16 and lives with his mother, Dorota, who was diagnosed with Bipolar disorder seven years ago. Josef was born in England. His parents are Polish and his father sees him infrequently.

This case study looks at the impact of caring for someone with a mental health problem and of being a young carer , in particular the impact on education and future employment .

When you have looked at the materials for the case study and considered these topics, you can use the critical reflection tool and the action planning tool to consider your own practice.

• One-page profile

Support plan

Transcript (.pdf, 48KB)

Name : Josef Mazur

Gender : Male

Ethnicity : White European

Download resource as a PDF file

First language : English/ Polish

Religion : Roman Catholic

Josef lives in a small town with his mother Dorota who is 39. Dorota was diagnosed with Bi-polar disorder seven years ago after she was admitted to hospital. She is currently unable to work. Josef’s father, Stefan, lives in the same town and he sees him every few weeks. Josef was born in England. His parents are Polish and he speaks Polish at home.

Josef is doing a foundation art course at college. Dorota is quite isolated because she often finds it difficult to leave the house. Dorota takes medication and had regular visits from the Community Psychiatric Nurse when she was diagnosed and support from the Community Mental Health team to sort out her finances. Josef does the shopping and collects prescriptions. He also helps with letters and forms because Dorota doesn’t understand all the English. Dorota gets worried when Josef is out. When Dorota is feeling depressed, Josef stays at home with her. When Dorota is heading for a high, she tries to take Josef to do ‘exciting stuff’ as she calls it. She also spends a lot of money and is very restless.

Josef worries about his mother’s moods. He is worried about her not being happy and concerned at the money she spends when she is in a high mood state. Josef struggles to manage his day around his mother’s demands and to sleep when she is high. Josef has not told anyone about the support he gives to his mother. He is embarrassed by some of the things she does and is teased by his friends, and he does not think of himself as a carer. Josef has recently had trouble keeping up with course work and attendance. He has been invited to a meeting with his tutor to formally review attendance and is worried he will get kicked out. Josef has some friends but he doesn’t have anyone he can confide in. His father doesn’t speak to his mother.

Josef sees some information on line about having a parent with a mental health problem. He sends a contact form to ask for information. Someone rings him and he agrees to come into the young carers’ team and talk to the social worker. You have completed the assessment form with Josef in his words and then done a support plan with him.

Back to Summary

Josef Mazur

What others like and admire about me

Good at football

Finished Arkham Asylum on expert level

What is important to me

Mum being well and happy

Seeing my dad

Being an artist

Seeing my friends

How best to support me

Tell me how to help mum better

Don’t talk down to me

Talk to me 1 to 1

Let me know who to contact if I am worried about something

Work out how I can have some time on my own so I can do my college work and see my friends

Don’t tell mum and my friends

Date chronology completed : 7 March 2016

Date chronology shared with person: 7 March 2016

Young Carers Assessment

Do you look after or care for someone at home?

The questions in this paper are designed to help you think about your caring role and what support you might need to make your life a little easier or help you make time for more fun stuff.

Please feel free to make notes, draw pictures or use the form however is best for you.

What will happen to this booklet?

This is your booklet and it is your way to tell an adult who you trust about your caring at home. This will help you and the adult find ways to make your life and your caring role easier.

The adult who works with you on your booklet might be able to help you with everything you need. If they can’t, they might know other people who can.

Our Agreement

• I will share this booklet with people if I think they can help you or your family
• I will let you know who I share this with, unless I am worried about your safety, about crime or cannot contact you
• Only I or someone from my team will share this booklet
• I will make sure this booklet is stored securely
• Some details from this booklet might be used for monitoring purposes, which is how we check that we are working with everyone we should be

Signed: ___________________________________

Young person:

• I know that this booklet might get shared with other people who can help me and my family so that I don’t have to explain it all over again
• I understand what my worker will do with this booklet and the information in it (written above).

Signed: ____________________________________

Name :             Josef Mazur Address :       1 Green Avenue, Churchville, ZZ1 Z11 Telephone:        012345 123456 Email:            [email protected] Gender :         Male Date of birth :        11.11.1999        Age: 16 School :            Green College, Churchville Ethnicity :        White European First language :        English/ Polish Religion :         Baptised Roman Catholic GP :            Dr Amp, Hill Surgery

The best way to get in touch with me is:

Do you need any support with communication?

*Josef is bilingual – English and Polish. He speaks English at school and with his friends, and Polish at home. Josef was happy to have this assessment in English, however, another time he may want to have a Polish interpreter. It will be important to ensure that Josef is able to use the words he feels best express himself.

About the person/ people I care for

I look after my mum who has bipolar disorder. Mum doesn’t work and doesn’t really leave the house unless she is heading for a high. When Mum is sad she just stays at home. When she is getting hyper then she wants to do exciting stuff and she spends lots of money and she doesn’t sleep.

Do you wish you knew more about their illness?

Do you live with the person you care for?

What I do as a carer It depends on if my mum has a bad day or not. When she is depressed she likes me to stay home with her and when she is getting hyper then she wants me to go out with her. If she has new meds then I like to be around. Mum doesn’t understand English very well (she is from Poland) so I do all the letters. I help out at home and help her with getting her medication.

Tell us what an average week is like for you, what kind of things do you usually do?

Monday to Friday

Get up, get breakfast, make sure mum has her pills, tell her to get up and remind her if she’s got something to do.

If mum hasn’t been to bed then encourage her to sleep a bit and set an alarm

College – keep phone on in case mum needs to call – she usually does to ask me to get something or check when I’m coming home

Go home – go to shops on the way

Remind mum about tablets, make tea and pudding for both of us as well as cleaning the house and fitting tea in-between, ironing, hoovering, hanging out and bringing in washing

Do college work when mum goes to bed if not too tired

More chores

Do proper shop

Get prescription

See my friends, do college work

Sunday – do paper round

Physical things I do….

(for example cooking, cleaning, medication, shopping, dressing, lifting, carrying, caring in the night, making doctors appointments, bathing, paying bills, caring for brothers & sisters)

I do all the housework and shopping and cooking and get medication

Things I find difficult

Emotional support I provide…. (please tell us about the things you do to support the person you care for with their feelings; this might include, reassuring them, stopping them from getting angry, looking after them if they have been drinking alcohol or taking drugs, keeping an eye on them, helping them to relax)

If mum is stressed I stay with her

If mum is depressed I have to keep things calm and try to lighten the mood

She likes me to be around

When mum is heading for a high wants to go to theme parks or book holidays and we can’t afford it

I worry that mum might end up in hospital again

Mum gets cross if I go out

Other support

Please tell us about any other support the person you care for already has in place like a doctor or nurse, or other family or friends.

The GP sees mum sometimes. She has a nurse who she can call if things get bad.

Mum’s medication comes from Morrison’s pharmacy.

Dad lives nearby but he doesn’t talk to mum.

Mum doesn’t really have any friends.

Do you ever have to stop the person you care for from trying to harm themselves or others?

Some things I need help with

Sorting out bills and having more time for myself

I would like mum to have more support and to have some friends and things to do

On a normal week, what are the best bits? What do you enjoy the most? (eg, seeing friends, playing sports, your favourite lessons at school)

Seeing friends

When mum is up and smiling

Playing football

On a normal week, what are the worst bits? What do you enjoy the least? (eg cleaning up, particular lessons at school, things you find boring or upsetting)

Nagging mum to get up

Reading letters

Missing class

Mum shouting

Friends laugh because I have to go home but they don’t have to do anything

What things do you like to do in your spare time?

Do you feel you have enough time to spend with your friends or family doing things you enjoy, most weeks?

Do you have enough time for yourself to do the things you enjoy, most weeks?  (for example, spending time with friends, hobbies, sports)

Are there things that you would like to do, but can’t because of your role as a carer?

Can you say what some of these things are?

See friends after college

Go out at the weekend

Time to myself at home

It can feel a bit lonely

I’d like my mum to be like a normal mum

School/ College Do you think being your caring role makes school/college more difficult for you in any way?

If you ticked YES, please tell us what things are made difficult and what things might help you.

Things I find difficult at school/ college

Sometimes I get stressed about college and end up doing college work really late at night – I get a bit angry when I’m stressed

I don’t get all my college work done and I miss days

I am tired a lot of the time

Things I need help with…

I am really worried they will kick me out because I am behind and I miss class. I have to meet my tutor about it.

Do your teachers know about your caring role?

Are you happy for your teachers and other staff at school/college to know about your caring role?

Do you think that being a carer will make it more difficult for you to find or keep a job?

Why do you think being a carer is/ will make finding a job more difficult?

I haven’t thought about it. I don’t know if I’ll be able to finish my course and do art and then I won’t be able to be an artist.

Who will look after mum?

What would make it easier for you to find a job after school/college?

Finishing my course

Mum being ok

How I feel about life…

Do you feel confident both in school and outside of school?

Somewhere in the middle

In your life in general, how happy do you feel?

Quite unhappy

In your life in general, how safe do you feel?

How healthy do you feel at the moment?

Quite healthy

Being heard

Do you think people listen to what you are saying and how you are feeling?

If you said no, can you tell us who you feel isn’t listening or understanding you sometimes   (eg, you parents, your teachers, your friends, professionals)

I haven’t told anyone

I can’t talk to mum

My friends laugh at me because I don’t go out

Do you think you are included in important decisions about you and your life? (eg, where you live, where you go to school etc)

Do you think that you’re free to make your own choices about what you do and who you spend your time with?

Not often enough

Is there anybody who knows about the caring you’re doing at the moment?

If so, who?

I told dad but he can’t do anything

Would you like someone to talk to?

Supporting me Some things that would make my life easier, help me with my caring or make me feel better

I don’t know

Fix mum’s brain

People to help me if I’m worried and they can do something about it

Not getting kicked out of college

Free time – time on my own to calm down and do work or have time to myself

Time to go out with my friends

Get some friends for mum

I don’t want my mum to get into trouble

Who can I turn to for advice or support?

I would like to be able to talk to someone without mum or friends knowing

Would you like a break from your caring role?

How easy is it to see a Doctor if you need to?

To be used by social care assessors to consider and record measures which can be taken to assist the carer with their caring role to reduce the significant impact of any needs. This should include networks of support, community services and the persons own strengths. To be eligible the carer must have significant difficulty achieving 1 or more outcomes without support; it is the assessors’ professional judgement that unless this need is met there will be a significant impact on the carer’s wellbeing. Social care funding will only be made available to meet eligible outcomes that cannot be met in any other way, i.e. social care funding is only available to meet unmet eligible needs.

Date assessment completed :            7 March 2016

Social care assessor conclusion

Josef provides daily support to his mum, Dorota, who was diagnosed with bipolar disorder seven years ago. Josef helps Dorota with managing correspondence, medication and all household tasks including shopping. When Dorota has a low mood, Josef provides support and encouragement to get up. When Dorota has a high mood, Josef helps to calm her and prevent her spending lots of money. Josef reports that Dorota has some input from community health services but there is no other support. Josef’s dad is not involved though Josef sees him sometimes, and there are no friends who can support Dorota.

Josef is a great support to his mum and is a loving son. He wants to make sure his mum is ok. However, caring for his mum is impacting: on Josef’s health because he is tired and stressed; on his emotional wellbeing as he can get angry and anxious; on his relationship with his mother and his friends; and on his education. Josef is at risk of leaving college. Josef wants to be able to support his mum better. He also needs time for himself, to develop and to relax, and to plan his future.

Eligibility decision :                Eligible for support

What’s happening next :            Create support plan

Completed by Name : Role : Organisation :

Name: Josef Mazur

Address 1 Green Avenue, Churchville, ZZ1 Z11

Telephone 012345 123456

Email [email protected]

Gender: Male

Date of birth: 11.11.1999 Age: 16

School Green College, Churchville

Ethnicity White European

First language English/ Polish

Religion Baptised Roman Catholic

GP Dr Amp, Hill Surgery

My relationship to this person son

Name Dorota Mazur

Gender Female

Date of birth 12.6.79 Age 36

First language Polish

Religion Roman Catholic

Support plan completed by

Organisation

Date of support plan: 7 March 2016

This plan will be reviewed on: 7 September 2016

Signing this form

Please ensure you read the statement below in bold, then sign and date the form.

I understand that completing this form will lead to a computer record being made which will be treated confidentially. The council will hold this information for the purpose of providing information, advice and support to meet my needs. To be able to do this the information may be shared with relevant NHS Agencies and providers of carers’ services. This will also help reduce the number of times I am asked for the same information.

If I have given details about someone else, I will make sure that they know about this.

I understand that the information I provide on this form will only be shared as allowed by the Data Protection Act.

Josef has given consent to share this support plan with the CPN but does not want it to be shared with his mum.

Mental health

The social work role with carers in adult mental health services has been described as: intervening and showing professional leadership and skill in situations characterised by high levels of social, family and interpersonal complexity, risk and ambiguity (Allen 2014). Social work with carers of people with mental health needs, is dependent on good practice with the Mental Capacity Act where practitioner knowledge and understanding has been found to be variable (Iliffe et al 2015).

• Carers Trust (2015) Mental Health Act 1983 – Revised Code of Practice Briefing
• Carers Trust (2013) The Triangle of Care Carers Included: A Guide to Best Practice in Mental Health Care in England
• Mind, Talking about mental health
• Tool 1: Triangle of care: self-assessment for mental health professionals – Carers Trust (2013) The Triangle of Care Carers Included: A Guide to Best Practice in Mental Health Care in England Second Edition (page 23 Self-assessment tool for organisations)

Mental capacity, confidentiality and consent

Social work with carers of people with mental health needs, is dependent on good practice with the Mental Capacity Act where practitioner knowledge and understanding has been found to be variable (Iliffe et al 2015). Research highlights important issues about involvement, consent and confidentiality in working with carers (RiPfA 2016, SCIE 2015, Mental Welfare Commission for Scotland 2013).

• Beddow, A., Cooper, M., Morriss, L., (2015) A CPD curriculum guide for social workers on the application of the Mental Capacity Act 2005 . Department of Health
• Bogg, D. and Chamberlain, S. (2015) Mental Capacity Act 2005 in Practice Learning Materials for Adult Social Workers . Department of Health
• Department of Health (2015) Best Interest Assessor Capabilities , The College of Social Work
• RiPfA Good Decision Making Practitioner Handbook
• SCIE Mental Capacity Act resource  
• Tool 2: Making good decisions, capacity tool (page 70-71 in good decision making handbook)

Young carers

A young carer is defined as a person under 18 who provides or intends to provide care for another person. The concept of care includes practical or emotional support. It is the case that this definition excludes children providing care as part of contracted work or as voluntary work. However, the local authority can ignore this and carry out a young carer’s need assessment if they think it would be appropriate. Young carers, young adult carers and their families now have stronger rights to be identified, offered information, receive an assessment and be supported using a whole-family approach (Carers Trust 2015).

• SCIE (2015) Young carer transition in practice under the Care Act 2014
• SCIE (2015) Care Act: Transition from children’s to adult services – early and comprehensive identification
• Carers Trust (2015) Rights for young carers and young adult carers in the Children and Families Act
• Carers Trust (2015) Know your Rights: Support for Young Carers and Young Adult Carers in England
• The Children’s Society (2015) Hidden from view: The experiences of young carers in England  
• DfE (2011) Improving support for young carers – family focused approaches
• ADASS and ADCS (2015) No wrong doors: working together to support young carers and their families
• Carers Trust, Supporting Young Carers and their Families: Examples of Practice
• Refugee toolkit webpage: Children and informal interpreting
• SCIE (2010) Supporting carers: the cared for person
• SCIE (2015) Care Act Transition from children’s to adults’ services – Video diaries
• Tool 3: Young carers’ rights – The Children’s Society (2014) The Know Your Rights pack for young carers in England!
• Tool 4: Vision and principles for adults’ and children’s services to work together

Young carers of parents with mental health problems

The Care Act places a duty on local authorities to assess young carers before they turn 18, so that they have the information they need to plan for their future. This is referred to as a transition assessment. Guidance, advocating a whole family approach, is available to social workers (LGA 2015, SCIE 2015, ADASS/ADCS 2011).

• SCIE (2012) At a glance 55: Think child, think parent, think family: Putting it into practice
• SCIE (2008) Research briefing 24: Experiences of children and young people caring for a parent with a mental health problem
• SCIE (2008) SCIE Research briefing 29: Black and minority ethnic parents with mental health problems and their children
• Carers Trust (2015) The Triangle of Care for Young Carers and Young Adult Carers: A Guide for Mental Health Professionals
• ADASS and ADCS (2011) Working together to improve outcomes for young carers in families affected by enduring parental mental illness or substance misuse
• Ofsted (2013) What about the children? Joint working between adult and children’s services when parents or carers have mental ill health and/or drug and alcohol problems
• Mental health foundation (2010) MyCare The challenges facing young carers of parents with a severe mental illness
• Children’s Commissioner (2012) Silent voices: supporting children and young people affected by parental alcohol misuse
• SCIE, Parental mental health and child welfare – a young person’s story

Tool 5: Family model for assessment

• Tool 6: Engaging young carers of parents with mental health problems or substance misuse

Young carers and education/ employment

Transition moments are highlighted in the research across the life course (Blythe 2010, Grant et al 2010). Complex transitions required smooth transfers, adequate support and dedicated professionals (Petch 2010). Understanding transition theory remains essential in social work practice (Crawford and Walker 2010). Partnership building expertise used by practitioners was seen as particular pertinent to transition for a young carer (Heyman 2013).

• TLAP (2013) Making it real for young carers
• Learning and Work Institute (2018) Barriers to employment for young adult carers
• Carers Trust (2014) Young Adult Carers at College and University
• Carers Trust (2013) Young Adult Carers at School: Experiences and Perceptions of Caring and Education
• Carers Trust (2014) Young Adult Carers and Employment
• Family Action (2012) BE BOTHERED! Making Education Count for Young Carers

Download The Triangle of Care as a PDF file

The Triangle of Care Carers Included: A Guide to Best Practice in Mental Health Care in England

The Triangle of Care is a therapeutic alliance between service user, staff member and carer that promotes safety, supports recovery and sustains wellbeing…

Download the Capacity Tool as a PDF file

Capacity Tool Good decision-making Practitioners’ Handbook

The Capacity tool on page 71 has been developed to take into account the lessons from research and the case CC v KK. In particular:

• that capacity assessors often do not clearly present the available options (especially those they find undesirable) to the person being assessed
• that capacity assessors often do not explore and enable a person’s own understanding and perception of the risks and advantages of different options
• that capacity assessors often do not reflect upon the extent to which their ‘protection imperative’ has influenced an assessment, which may lead them to conclude that a person’s tolerance of risks is evidence of incapacity.

The tool allows you to follow steps to ensure you support people as far as possible to make their own decisions and that you record what you have done.

Download Know your rights as a PDF file

Tool 3: Know Your Rights Young Carers in Focus

This pack aims to make you aware of your rights – your human rights, your legal rights, and your rights to access things like benefits, support and advice.

Need to know where to find things out in a hurry? Our pack has lots of links to useful and interesting resources that can help you – and help raise awareness  about young carers’ issues!

Know Your Rights has been produced by Young Carers in Focus (YCiF), and funded by the Big Lottery Fund.

Tool 4: Vision and principles for adults’ and children’s services to work together to support young carers

Download the tool   as a PDF file

You can use this tool to consider how well adults’ and children’s services work together, and how to improve this.

Click on the diagram to open full size in a new window

This is based on ADASS and ADCS (2015) No wrong doors : working together to support young carers and their families

Download the tool as a PDF file

You can use this tool to help you consider the whole family in an assessment or review.

What are the risk, stressors and vulnerability factors?

How is the child/ young person’s wellbeing affected?

How is the adult’s wellbeing affected?

What are the protective factors and available resources?

This tool is based on SCIE (2009) Think child, think parent, think family: a guide to parental mental health and child welfare

Tool 6: Engaging young carers

Young carers have told us these ten things are important. So we will do them.

• Introduce yourself. Tell us who you are and what your job is.
• Give us as much information as you can.
• Tell us what is wrong with our parents.
• Tell us what is going to happen next.
• Talk to us and listen to us. Remember it is not hard to speak to us we are not aliens.
• Ask us what we know and what we think. We live with our parents; we know how they have been behaving.
• Tell us it is not our fault. We can feel guilty if our mum or dad is ill. We need to know we are not to blame.
• Please don’t ignore us. Remember we are part of the family and we live there too.
• Keep on talking to us and keeping us informed. We need to know what is happening.
• Tell us if there is anyone we can talk to. Maybe it could be you.

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StarTribune

Study: minnesota's sex offender system is 'failed investment'.

Minnesota involuntarily commits more people for sex offenses than anywhere else in the nation per capita, but authors of a new report say the more than $100 million-a-year program fails to meaningfully address sexual violence or recognize the humanity of those it locks up.

Twenty states civilly commit sex offenders. Among those, Minnesota is "notorious" for the number of people it confines, the duration of their commitment and a low rate of community reintegration, according to the report released Wednesday by the Sex Offense Litigation and Policy Resource Center at Mitchell Hamline School of Law.

It recommends lawmakers sunset the program that holds more than 730 people and put the money toward community and victim support, sex violence prevention, resolving sex violence crimes and restorative practices.

"This is a very expensive intervention and doesn't have very much of an impact on sexual violence," said the center's Director Eric Janus, a longtime critic of the program. "Even among the 20 states that do this, we are doing it in a way that confines too many people for much too long. That's a civil rights issue, of course. But it's also a resource allocation issue."

The Minnesota Sex Offender Program (MSOP), which has facilities in Moose Lake and St. Peter, has faced years of backlash, primarily focused on civil rights concerns. Detainees sued in 2011, prompting a protracted legal battle over whether the system is constitutional. A U.S. District Court judge deemed it unconstitutional in 2015, but the decision was later reversed and the U.S. Supreme Court declined to hear a case challenging the system.

The program has continued to face legal challenges and a handful of detainees told the Star Tribune they feel long-standing issues still need to be addressed and many people there feel hopeless about their chances of ever leaving.

"MSOP follows the most current standards and best practices and is a recognized leader in sex-offense specific treatment. Public safety is at the heart of everything we do," the Department of Human Services, which operates the program, said in a statement. "The program is dedicated to providing the therapeutic guidance and tools clients need to break engrained patterns of behavior, make meaningful change and reduce their risk of re-offense."

The new report highlights problems raised in past lawsuits, including concerns about treatment, duration of confinement and delays. But unlike past legal challenges, it largely focuses on the program's cost and whether it's the best approach to address sexual violence.

Seeking consensus on closure

The program costs $479 a day per client, according to DHS . The state budgeted more than $110 million for MSOP in 2024.

Meanwhile, Minnesota spends about $2 million a year on other sex violence prevention efforts, such as grants to nonprofits doing sexual assault prevention services, the report found. It contends that Minnesota has fixated on "a tiny sliver" of the sexual violence problem — preventing repeat offenders — instead of spending state dollars on more comprehensive and effective efforts.

While the new study calls for an end to the state's civil commitment of sex offenders, advocates aren't pushing for changes in this year's legislative session, which concludes next month.

"We're interested in sunsetting this program. But we understand that would need to be done in a very careful, systematic, thoughtful way," Janus said, noting that broad consensus is essential to pave the way for legislative change.

Proposals to change MSOP have been "weaponized" in the past, he said. He noted there seemed to be bipartisan support for a task force's recommended changes more than a decade ago, but, "The minute that it looked like it was going to be a political issue it got dropped like a hot potato."

There is not consensus among members of the Minnesota Coalition Against Sexual Assault (MNCASA) about whether the state should sunset MSOP and reinvest the dollars, said Kate Hannaher, the organization's director of law and policy. However, she said advocates for victims of sexual violence were at the center of the creation of this report, which is not always the case.

"Whatever happens with the sex offender program, we need the money yesterday," Hannaher said, noting programs for sex violence survivors are struggling to stay open despite high demand.

MNCASA and Violence Free Minnesota, which works to combat relationship abuse, put out a joint statement on the Mitchell Hamline report, calling the disparity between state spending on MSOP and sexual violence prevention "alarming."

What is the future of MSOP?

The state created MSOP in the 1990s. Most people in the facilities have completed a prison sentence, then are civilly committed if a judge determines they have a "sexual psychopathic personality," are a "sexually dangerous person" or both.

The program fully discharged only one person in its first two decades of operation. That number has increased in recent years. As of March 28, the program had fully discharged 24 people. Others are on provisional discharge or are in a less-restrictive facility.

"Only a court has the authority to commit someone to MSOP or to discharge them," DHS noted in its response to the report. "Demonstrated participation and progress in treatment is the clear path to discharge. It is the most persuasive argument that clients can make when petitioning the court for a reduction in custody."

People are about five times more likely to die in MSOP facilities than be released, according to the Mitchell Hamline report. It blames the courts and MSOP's clinical leadership for one of the country's lowest discharge rates, noting that clinical staff influence transfer and discharge decisions.

"The harsh reality is that instead of making us safer, the state's attempts to predict future crime have created a new form of incarceration" that disproportionately confines people of color and targets LGBTQ community members, the report states. It highlights a 2013 Brooklyn Law Review study that concluded such civil commitment laws have "no discernible impact on the prevalence of sexual abuse."

About 95% of people convicted of criminal sexual conduct offenses in Minnesota did not have a prior sex offense, according to the most recent Minnesota Sentencing Guidelines Commission report .

"There's a scientific right way and an evidence-driven right way to deal with sexual violence and that's not what we're doing in Minnesota," said Daniel Wilson, who is civilly committed at the MSOP facility in Moose Lake after serving time for criminal sexual conduct against a child. He helped organize hunger strikes at MSOP in 2021 , during which detainees demanded the state offer a clear pathway for people to understand how they can be released.

Wilson is one of a handful of people locked up at Moose Lake who recently called the Star Tribune. Each shared similar concerns about limited access to treatment, a lack of quality and timely health care, seemingly subjective decisions about their futures and a widespread feeling of "hopelessness" that people will never get out.

"It's worse than what people can imagine, because they live in America," Wilson said. "We don't live in America in MSOP."

Jessie Van Berkel writes about Minnesota government and politics at the Star Tribune. She previously covered St. Paul City Hall and local government in the south metro.

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The Latest | Trump's hush money trial set to resume with 3rd day of witness testimony

As biden celebrates computer chip factories, voters wait for the promised production to start, us abortion battle rages on with moves to repeal arizona ban and a supreme court case, trump will be in ny for the hush money trial while the supreme court hears his immunity case in dc, no one is above the law. supreme court will decide if that includes trump while he was president.

• New lawsuit accuses Minnesota Sex Offender Program of violating patients' civil rights Mar. 21, 2023
• Case challenging constitutionality of the Minnesota Sex Offender Program can move forward Feb. 24, 2021
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© 2024 StarTribune. All rights reserved.

HYPOTHESIS AND THEORY article

This article is part of the research topic.

Using Case Study and Narrative Pedagogy to Guide Students Through the Process of Science

Molecular Storytelling: A Conceptual Framework for Teaching and Learning with Molecular Case Studies Provisionally Accepted

• 1 School of Interdisciplinary Arts and Sciences, University of Washington Bothell, United States
• 2 Institute for Quantitative Biomedicine, Rutgers, The State University of New Jersey, United States
• 3 Research Collaboratory for Structural Bioinformatics Protein Data Bank, Rutgers, The State University of New Jersey,, United States

The final, formatted version of the article will be published soon.

Molecular case studies (MCSs) provide educational opportunities to explore biomolecular structure and function using data from public bioinformatics resources. The conceptual basis for the design of MCSs has yet to be fully discussed in the literature, so we present molecular storytelling as a conceptual framework for teaching with case studies. Whether the case study aims to understand the biology of a specific disease and design its treatments or track the evolution of a biosynthetic pathway, vast amounts of structural and functional data, freely available in public bioinformatics resources, can facilitate rich explorations in atomic detail. To help biology and chemistry educators use these resources for instruction, a community of scholars collaborated to create the Molecular CaseNet. This community uses storytelling to explore biomolecular structure and function while teaching biology and chemistry. In this article, we define the structure of an MCS and present an example. Then, we articulate the evolution of a conceptual framework for developing and using MCSs. Finally, we related our framework to the development of technological, pedagogical, and content knowledge (TPCK) for educators in the Molecular CaseNet. The report conceptualizes an interdisciplinary framework for teaching about the molecular world and informs lesson design and education research.

Keywords: Molecular education, Case studies, Technological pedagogical and content knowledge (TPCK), Molecular structure and function, molecular visualization, Bioinformatics education, conceptual modeling

Received: 31 Jan 2024; Accepted: 23 Apr 2024.

Copyright: © 2024 Trujillo and Dutta. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Caleb M. Trujillo, University of Washington Bothell, School of Interdisciplinary Arts and Sciences, Bothell, United States

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Introduction, case report, conflict of interest statement, data availability, consent for publication.

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Exploring a rare case of juvenile psammomatoid ossifying fibroma in the ethmoid: a case study and review

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Taha Yassine Aaboudech, Hafsa El Ouazzani, Habiba Kadiri, Leila Essakalli, Ayoub Bouteyine, Hanae Benadbdenbi, Naji Rguieg, Nadia Cherradi, Exploring a rare case of juvenile psammomatoid ossifying fibroma in the ethmoid: a case study and review, Journal of Surgical Case Reports , Volume 2024, Issue 4, April 2024, rjae242, https://doi.org/10.1093/jscr/rjae242

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Juvenile ossifying fibroma (JOF) and its variants, including juvenile psammomatoid ossifying fibroma (JPOF), represent rare yet clinically significant benign fibro-osseous lesions that primarily occur in children and young adolescents. They can be found in diverse anatomical sites such as the jaw, nasal cavity, paranasal sinuses, and orbit. JOF exhibits an aggressive nature, necessitating early radiological detection and surgical intervention. Similarly, JPOF, with a locally malignant potential, requires surgical removal, typically conducted through endoscopic approaches. We report a case of a 5-year-old girl with JPOF arising in the ethmoid, revealed by recurrent epistaxis and proptosis. The text emphasizes the importance of early diagnosis through histopathology as a diagnostic tool and underscores the need for appropriate management.

Juvenile ossifying fibroma (JOF) is a rare condition primarily observed in children and adolescents. This benign fibro-osseous tumor commonly occurs within the sinonasal region. Its distinctions from the conventional ossifying fibroma lie in the age of onset, anatomical site, locally aggressive behavior, and a notable propensity for recurrence. Clinical manifestations vary based on the tumor’s location, potentially presenting as nasal obstruction, facial swelling, or proptosis. The World Health Organization (WHO) classifies JOF into two main subtypes: juvenile trabecular ossifying fibroma and juvenile psammomatoid ossifying fibroma (JPOF) [ 1 ]. The psammomatoid subtype is a rare, benign tumor found in the head and neck region, often affecting children and young adults. It tends to develop in areas such as the nasal cavity, paranasal sinuses, or the orbit. Although typically non-cancerous, it may display locally aggressive behavior, potentially damaging nearby structures. Surgical removal is the preferred treatment, with either endoscopic or external approaches being considered, with a preference for the latter. Due to the risk of significant bleeding during surgery, precautions to secure blood products beforehand are essential [ 2 ].

This article outlines a case of JPOF diagnosed in a child.

A 5-year-old girl presented with progressive right eye proptosis and recurrent epistaxis over the past 6 months, along with a history of nasal obstruction persisting for several months. During the examination, non-axial proptosis was observed, and both extraocular movements and visual acuity were found to be intact.

Flexible nasofibroscopy revealed a protrusion filling the right nasal fossa, closely approaching the nasal septum. Computed tomography (CT) and magnetic resonance imaging scans indicated a well-defined osteolytic lesion with a peripheral sclerotic rind, measuring 4.1 × 3.8 × 3.7 cm and originating from the right ethmoid, expanding into the ipsilateral nasal cavity, orbit, and maxillary sinus ( Fig. 1 ).

CT showing an expansible, well-demarcated, osteolytic lesion with a peripheral sclerotic rind on the right side of the ethmoid bone, expanding into the ipsilateral nasal cavity, orbit, and maxillary sinus; (A) coronal CT scan; (B) axial CT scan.

Upon admission to the Ear, Nose, and Throat department, the patient underwent an initial Frozen Section procedure. The sample was promptly sent to the pathology laboratory for histological analysis. The findings indicated the presence of a benign mesenchymal tumor accompanied by roughly round-shaped calcifications. Given the potential for further complications, total tumor removal was deemed necessary to both prevent complications and establish a definitive histological diagnosis.

The pathology laboratory received a white to reddish fragmented tumor with an elastic to hard consistency. Histological examination disclosed a proliferation of spindle-shaped or ovoid cells with vesicular nuclei and rare mitotic figures. Cells were arranged in sheets, with numerous rounded purplish formations corresponding to psammomatous body-type calcifications. A few giant cells were also observed. The stroma of the tumor was fibrous and collagenous. No necrosis was found ( Fig. 2 ).

H&E staining of the pathological specimen at different magnifications shows a benign fibro-osseous proliferation characterized by a large number of spherical basophilic calcified entities with no osteoblastic rimming resembling psammoma bodies (arrowheads), within a fibroblastic stroma of uniform stellate or spindle-shaped cells; (A and B) low power magnifications; (C) x20 power magnification; (D) high power (x40) magnification.

Immunohistochemical studies were conducted, revealing that the tumor cells did not express Cytokeratin, CD34, S100, smooth and striatal muscle markers, MDM2, progesterone receptor (PR), or epithelial membrane antigen (EMA). Vimentin was diffusely expressed, with a very low ki67 proliferation index estimated at 4% ( Fig. 3 ).

Immunostaining reveals that the tumor tissue is (A) diffusely positive for Vimentin in the stromal component; (B) low Ki-67 proliferation index; (C and D) negative staining for EMA and CD34.

This case illustrates a typical clinical history, radiographic appearance, and classic histological findings of JPOF presented in the ethmoid.

JPOF predominantly affects younger individuals, with reported average ages ranging from 16 to 33 years. However, Malek’s review of 86 JPOF cases revealed an age range from 3 to 49 years, with a mean age of 17.7 years and a slight male predominance (1.2:1) [ 3–5 ]. This tumor is typically found in the nasal cavity, paranasal sinuses, orbits, or the fronto-ethmoid complex, with an exceedingly rare occurrence in the base or vault of the skull [ 6 ]. The primary clinical presentation often involves bony expansion, which is frequently observed. This expansion can manifest through a range of symptoms including proptosis, nasal obstruction, headaches, facial swelling, pain, and recurring sinus infections [ 7 ]. Additionally, it may exhibit an aggressive clinical course [ 8 ].

Radiologically, ossifying fibroma typically appears as a mass with a distinct border, unlike fibrous dysplasia. Moreover, ossifying fibroma lacks ground-glass opacity and instead exhibits a mixed density resembling both compact bone and fibrous tissue [ 9 ].While the appearance of the lesion on imaging might offer diagnostic insights, distinguishing it can be challenging due to its resemblances to other osteo-fibroid lesions within the facial skeleton [ 10 ].

Histologically, JPOF is characterized by a large number of spherical calcified entities with no osteoblastic rimming. Some of these calcifications have psammoma-like concentric lamellae with basophilic cores and an eosinophilic osteoid rim. The surrounding fibrous stroma is composed of loosely to densely collagenized tissue that contains a dense proliferation of fibroblast-like, spindle-shaped cells with hyperchromatic nuclei [ 11 ].

JPOF must be distinguished from other fibro-osseous lesions such as fibrous dysplasia, osteoblastoma, low-grade central osteosarcoma, and primary aneurysmal bone cyst. Additionally, it is important to consider intraosseous cavernous hemangioma and eosinophilic granuloma due to their similarities in radiological and histological features [ 6 , 12 ]. Misdiagnosis may occur with extracranial meningioma featuring psammoma bodies, which typically tests positive for EMA, unlike JPOF [ 7 ]. JPOF typically does not express S100 and CD34 [ 7 ].

Despite its benign and slow growth, this subtype exhibits local malignancy with a tendency to infiltrate surrounding structures. Therefore, accurate diagnosis is crucial, and treatment should involve complete tumor removal. Incomplete or partial resection is associated with a heightened recurrence risk [ 2 ].

Our report underscores the rarity of JPOF, focusing on its clinical, radiological, and primarily histological aspects. Despite its uncommon occurrence, JPOF poses diagnostic and management challenges due to its potential aggressiveness and recurrence. Histopathological examination remains pivotal for confirming the diagnosis, highlighting the importance of thorough evaluation and appropriate management guided by histological findings.

None declared.

No external funding sources were obtained for this submission.

No new data were generated or analyzed in support of this research.

Written informed consent for publication of their clinical details and/or clinical images was obtained from the patient.

El-Naggar AK , Chan JKC , Grandis JR , et al.  World Health Organization Classification of Tumours , 4th edn. Lyon, France : International Agency for Research on Cancer, 2017 , 251 – 2 .

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Nakajima R , Saito N , Uchino A , et al.  Juvenile psammomatoid ossifying fibroma with visual disturbance: a case report with imaging features . J Neuroimaging 2013 ; 23 : 137 – 40 .

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Port Security and Emergency Response Using Autonomous Systems: Virginia Pilot Program

The Port Security and Emergency Response (PS&ER) Using Autonomous Systems (UxS) project focused on applying innovative UxS solutions to enhance the safety, security, and operational effectiveness of the Port of Virginia. This report documents a two-year collaborative effort to advance the use of autonomous vehicles from the conceptual stage to real-world demonstrations. The project began with a series of workshops to first identify and prioritize public safety and emergency response challenges and then generate requirements for UxS technologies to address these challenges. Next, the project funded five cross-domain solutions (air, ground, and maritime) that demonstrated UxS capabilities deployed to detect and observe public safety or emergency response events that affect the Port of Virginia. Based on the outcomes of the project, we explore a holistic integrated solution for PS&ER in the context of port operations and scenarios that enhances the safety, security, and overall effectiveness of the port.

Approved for public release. Unlimited distribution.

• Document Number: IPD-2024-U-038017
• Publication Date: 4/24/2024

Brazilian Government Forced Censorship on X: New Report Reveals

• Two copies each of 28 orders, in Portuguese and in English translation, issued by Justice Alexandre de Moraes to X Corp.;
• An additional 23 orders issued by Justice Alexandre de Moraes for which X Corp. does not have an English translation; and
• 37 orders issued by the Superior Electoral Court of Brazil.
• Jair Messias Bolsonaro, 38th President of Brazil
• Marcos do Val, Current Member of the Federal Senate in Brazil 
• Paulo Figueiredo Filho, Brazilian journalist