Social History Identifying Information January 17, 2015 Name

Social Historyidentifying Informationdatejanuary 17 2015namejohn Sm

Describe the social history of the client, including personal identifying information, medical background, present and past problems, family history, home environment, developmental history, peer relationships, education, employment, psychological assessments, agency contacts, and other relevant social factors.

Paper For Above instruction

The social history of John Smith provides a comprehensive overview of his personal background, health status, family dynamics, and social environment, which are critical for understanding his current functioning and planning appropriate interventions. Born on August 17, 1974, John is a Caucasian male, aged 40 (as of the 2015 documentation), residing at 14 West Elm Street, Columbia, MO. His physical presentation includes a height of 5’11”, weight of 185 pounds, brown eyes, and blond hair. Notably, he displays multiple scars and tattoos that reflect his active lifestyle and past injuries, especially related to his history as a competitive skateboarder. His allergies include penicillin and cat dander, and he reports being without current prescribed medications but occasionally takes OTC painkillers due to ongoing back pain stemming from multiple spinal fractures.

John’s immediate presenting problem involves persistent back pain adversely affecting his ability to perform his job at a local sub shop, where his employment primarily involves standing for prolonged periods. His employer's inflexibility in work adaptation—specifically refusal to allow sitting—compounds his discomfort and prompts his search for a more accommodating position. His past medical issues are largely associated with his skateboarding career, involving numerous accidents from childhood through his participation in the X Games. The most significant incident occurred six years prior, during a Big Air event, resulting in multiple fractures, a concussion, and subsequent multiple surgeries that failed to alleviate his chronic pain.

His previous health history also indicates recreational drug use during his teens and early twenties, with abstinence from recreational drugs post-accident. Nevertheless, he consumes alcohol regularly and is a smoker, which contributes to his legal and financial difficulties following a DWI conviction. These issues have led to increased car insurance premiums and the decision not to drive currently.

Family history reveals close relationships, especially with his mother and sister, with whom he maintains frequent contact. His mother has expressed concern about his skateboarding and has supported him financially during his medical treatments. Family dynamics show a supportive environment, although his mother's anxiety over his risky activities emphasizes potential stressors. His father’s illness and subsequent death have also impacted family interactions, creating shared experiences that strengthened familial bonds. Additionally, there are no significant documented mental health conditions or court records associated with his family members.

John’s residential environment is a rented duplex in a predominantly rental neighborhood characterized by adequate space and maintained in good condition. His home provides sufficient living area, with no reported hazards. Despite occasional landlord responsiveness issues, the home’s safety and functionality are confirmed during home visits. His developmental history indicates a normal pregnancy with a breech birth requiring a C-section, minimal prenatal substance exposure, and typical development milestones aside from delayed walking, which was resolved with parental intervention. No early childhood illnesses or diagnoses of autism spectrum disorders or ADHD are noted.

His peer relationships are generally positive, especially within the skateboarding community and among friends from high school and college. He reports maintaining regular contact with these groups, suggesting a stable social network primarily composed of men aged 26-35. Education history reflects an average academic performance, with high school graduation and some college coursework at the University of Missouri. His academic struggles, such as skipping classes and probation, led to dropping out. His employment history spans various roles, primarily in food service and tattooing, with his current position at the Sub Shop involving physical activity that exacerbates his back condition. He reports never having been terminated from a job.

Psychological assessments have not been detailed, indicating no current or past psychological testing or diagnoses. Contact with agencies involves multiple service providers, though specific contacts are not documented beyond the social history preparer, Andrew Jones, a case manager.

Overall, John’s social history illustrates a life marked by physical risks, supportive family relations, and ongoing health challenges that influence his employment and social interactions. Understanding these factors is essential for developing holistic treatment and support strategies aimed at improving his quality of life and functional capacity.

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