Case work can be done by a social worker for a client which i had shared in the previous post of ship this case work. Here i am sharing how a Non Governmental Organisation did the case work. So that you can get a clear idea of it.
CASE WORK FORMAT
PERSONAL INFORMATION 1.Name: V B 2.Age: 12 3.Sex: Male 4.Place of identification: A black mole on the left shoulder. 5.Address: 6.Education: Sixth standard 7.Name of Parent and Guardian: 8.Religion and Caste: 9.Date of admission: 10.Mother tongue: Telugu
1.Causes of reaching this place:
a)By tradition b)Deserted c)Inaccessibility to education d)Others e)Parental Pressure f)Peer influence g)Poverty h)Trouble or broken family 2.Frequency of moving from place to place: frequently/Rarely/Never 3.Provoking factors of moving: a) Exploitation by adults, b) lack of shelter, c) seeking for job, 4) others 4.Type of engagements: Begging/ Rag picking/ Hotel boys/ Others (specify) 5.Period of working: a) Below 4 years, b) 4 to 7 years, c) 8 to 10 years, d)more than 10 years 6.Working time: a) day, b) night, c) both 7.Place of sleeping at night: a) floor, b) bed, c) street 8.Place of stay: a) work site, b) rented house, c) streets 9.Whether apprehended by police at any time, if yes: yes/no a)Ended up in police custody due to: Petty case, b) theft, c) violence, d) crime
HEALTH CONDITION 1.Illness identification: a) skin disease, b) epilepsy, c) head-ache, d) chronic infection, e) eye problem, f) asthma, g) heart disease, h) others 2.Infection found and treated earlier: a) Malaria, b) tuberculosis, c) skin disease, d) septicaemia, e)bronchitis, f) S T D, g) others 3.Habit of using drugs, if yes: Yes/No a)Age at which first start using drug: b)Type of drug using: c)Quality of drug taken at a time: d)Methods adopted to receiving drug: a) Steeling, b) begging, c) criminal activity, d) Exchange sex 4.Frequency in cleaning teeth: a) daily, b) Twice a week, c) Thrice a week, d) Never 5.Type of disease in teeth: a) caris teeth, b) ginger vitus, c) bad odour 6.Frequency of anxious or stress: a) Frequently, b) Occasionally, c) rarely, d) never 7.Frequency of feeling anger: a) Frequently, b) Occasionally, c) rarely, d) never 8.If any psychological problems noted specify: 9.Sexual activity find out: a) Hetero sexual, b) Homosexual, c) Nothing 10.Type of sexually transmitted disease at present: a) gonorrhoea, b)syphilis, c) HIV/AIDS, d) Others, e)Nothing 11.Any specific observation: