Biopsychosocial Assessment

The Biopsychosocial assessment is an assessment typically administered by therapists and instructors at the beginning of the operation. It assesses biological, psychological, and social factors that can contribute to a client’s problem or problems. It’s considered a holistic evaluation, looking at a customer on all varying levels.

How do you use a Biopsychosocial assessment?

A comprehensive social history report should have the following characteristics and components:   

1. Objectivity – Use language that is descriptive and specific rather than judgmental and value-laden.  Use open-ended questions whenever possible. 

2. Accuracy – Pay careful attention to the accuracy of your information.  For information obtained directly from a client or their family member, it is imperative that you report this information as such. If you obtained documentation from a reliable professional source, which documents a specific aspect of a client’s history, you should cite the source of the information and use the language in the report rather than interpret the information.  

3. Conciseness – Be as concise as possible in your narrative.  Avoid redundancy and unnecessary words. 

4. Clarity and simplicity – Use language that a wide variety of readers will understand rather than the use of technical words or “pseudo jargon.”  5. Relevancy – Be careful to document only information that is relevant to the situation.  Do not include information that may be interesting, but has no relevance to the presenting problem or services recommended.

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