Complete both parts of this worksheet.

Part A

This week’s assignment continues the scenario of the recently hired human services work. In this assignment, you have been asked to perform a Strengths, Needs, and Cultural Assessment in order to gauge your ability to conduct this type of information gathering. You can either complete the Strengths, Needs and Cultural Assessment on a family member or a friend. Change the name of the individual used as the basis of the assessment to protect his or her privacy.

Fill in information for all the headings.

Family and Culture

Social

Residence/Neighborhood

Financial

Vocational

Educational

Legal

Medical

Spiritual

Behavioral/Emotional/Psychological

Safety/Crisis Intervention

Part B

Devise a treatment plan based on Part A.

Treatment Plan