Field work report on social case work setting Essay

Background Muzaffargarh District is a District in the south of Punjab province of PAKISTAN. It lies on the bank of Chenab River. It spreads over an area of 8249 square miles. This district is administratively divided into four tehsils and 93 union counsels. Total population of Muzaffargarh is 3826000 according to 2012 census. The population is Muslim in majority and there are also Christians and Hindus and Sikhs in the city as minority. There is a big industry range
in this district, Parco, Kapco, TPS Muzaffargarh is well known in all over the world.

There is also a big cotton and jute industry found in this district. Muzaffargarh district is located between the Chenab and Indus River. Climate is very hot summer and mild winter. Dust storms are common that produce allergy and asthma. Very hot climate produce T.B. Muzaffargarh always surround in climate like flood, storm, poverty and education problem. Major industries produce many problems. Water pollution, Air pollution and noise pollution and many more which cause many diseases.

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Muzaffargarh district especially hard hit by flood in 2010

LIST OF CONTENS
Sr. No
List of content
1
Preface
2
Acknowledgement
3
Field work summary
4
Introduction of Social Case Work
5
Objectives & techniques
6
Group Members
7
Introduction of Institution
8
Short Cases
9
Model Case
10
Evaluation
11
Self Evaluation
12
Problems face during field work
13
Recommendation
14
Supervision

ACKNOLWEDGEMENT

I am placed in case work setting in the Office of Medical Social Welfare Officer DHQ Hospital MuzaffarGarh. I tried my best to get professional skill and experience. I achieved my task that was assigned by both the internal and external supervisors. I tried of my best to identify the problem of the deserving patients and try to solve it in professional manners. I specially thanks to my internal supervisor Madam Sonia Abid and external supervisor Madam Abida Rehman. And all my group members who gave me proper guideline. May ALLAH bless them success.

Naveed Ahmad

Roll No# 28
3rd semester
2011-2013

GROUP MEMBERS OF SOCIAL CASE WORK AT THE DHQ MUZAFFAR GARH

Sr.No
Name
Roll No
1
Naveed Ahmad
16
2
Mammad Akram
02
3
Farooq Anwer
28
4
Saira Khanam
23

FIELD WORK SUMMARY

Sr.No
Summary
Date
1
Field work start
15.3.2013
2
Total days
4 months
3
Attendance
80%
4
Field work end
03.13.2013

INTRODUCTION

OF

SOCIAL CASE WORK

Introduction of Social Case Work

Social Case Work, a primary method of Social Work, is concerned with the adjustment and development of individual towards more satisfying human
relation. His adjustment and development depend on the use of resources by him. Sometimes due to certain factors, internal or external, he fails to avail existing facilities. In such situations, Social Case Worker helps him.

Definition of Case Work

“Social case work is the method of social work by which social worker helps individual to find solution of problems in social functioning, which they fail to solve by own efforts.” (W.A Fried Lander) Social casework is the art “of adjusting personal relationship”. (Queen 1932) Objectives of Social Case Work

To make good rapport with the common people
To find-out, understand & solve the internal problems of an individual To strengthen ones ego power
To prevent problem
To develop internal resources

Components (Elements) of Social Case Work

Person (client)
Problem
Place (Agency)
Process
Treatment Techniques of Social Case Work

Milieu Therapy
Psychodrama
Play Therapy
Parental Education
Crisis Intervention

Principles of Social Case Work

1. Principle of Request
2. Principle of Acceptance
3. Principle of Communication
4. Principle of Individualization
5. Principle of Participation
6. Principle of Confidentiality
7. Principle of Self-Awareness
8. Principle of Growth & Change
9. Principle of Purpose Expression of Feelings
10. Principle of Controlled Emotional Involvement

COUNSELING

DEFINATION:

Counseling is a professional relationship that empowers diverse individuals, families and groups to accomplish mental health, Education and Career goals.

PHASES OF COUNSELING:

1. Building Relationship

2. Exploring Problems in depth

3. Exploring alternative solutions of problems

4. Evaluation

Process of Social Case Work

Intake:

It is first Interview (Rapport Building).

Psycho-Social Study:

It is Exploration, Investigation and Initial Assessment of the client.

Psycho-Social diagnosis:

It is Assessment of the client
It helps in determine the focus of treatment
It is decision best course of action to solve the problem.
; Content of the social diagnosis:

The nature of problem
The nature of the person
The nature & purpose of the agency

Types of diagnosis

Clinical
Etiological
Dynamic
4. Intervention / Treatment:

It is problem-solving process. It is the sum total of all activities & services toward client. The focus is relieving of the problem.

Methods of social treatment

1. Administration of practical services
Money, Scholarships, etc
2. Indirect treatment
Modification of environment, both physical & social etc
3. Direct treatment
Counseling, Clarification,

5. Monitoring and Evaluation

It provides feedback to caseworker.
It is continuous process.
It is important to check program succeeding.

6. Follow-up and Termination

Follow-up is doing to help client maintain the improvement. During follow-up, the client is help to discuss the problems he faces in maintaining the improvement. The Follow-up should be planned on a diminishing basis.

OBJECTIVES

&

TECHNIQUES

Objectives of fieldwork

To gain awareness
How to interact with others
How to identify the problem

These techniques are as follow

Support

Clarification

Identification

Resource utilization

Environment modification

Evaluation
Objective of the placement

To learn about the nature and functioning of institute
To take case histories of different clients
To solve the problems of clients through counseling & guidance To learn casework method practically
To understand rehabilitations process
To convert theoretically knowledge into practical.

INTRODUCTION

OF THE

INSTITUTION

Medical Social Service Project

Medical social services project started in 1979 in DHQ hospital muzaffargarh First of all it start working with the name of patient welfare society .in which funds were collected from the common recourses without any organized system of funding. In 1992,Health welfare committee were established in all over the Punjab, In which proper and organized system of funding started .Now MSSP is providing many facilities to the poor patients who cannot afford medicine. It provide free medicine to both out-door and In-door patients .Mrs. Abida rehman is working as Medical Social Officer.

MSSP Funded by:

1. Pakistan Bait ul mall

2. Punjab Bait ul mall

3. District Zakat Committee

Objectives of Institution:

1. To solve the basic problems of patients
2. To provide free medicines to needy& poor patients
3. To provide counseling & guidance to patients
4. To provide social & psychological support to patients
5. To provide burial service to unclaimed dead bodies

Staff structure

Sr.No
Name of Post
Quantity

1

Medical Social Officer

1

2

Clerk

1

3

Peon

1

Short Cases

1st Case

SOCIAL HISTORY

Date: 20/3/13
Location DHQ Hospital M Garh
Objective To solve the basic problems of client. CLIENT PERSONAL PROFILE

Name SanaUllah
S/O Ghulam Hussain
Number of children two daughters
Age 51years
Cast Baloch
Qualification Literate
Residence Muzaffargarh
Place of Meeting Office of Medical social officer Disease Heart Problem
Physician Name Dr.Abdul Hameed Ghauri

STUDY:

He comes in Hospital 2 days ago. He faces disease from 7years. He is so upset and worries about his disease. His Brothers & other Relatives do not cooperate with him. DIAGNOSIS:

Client major cause of disease is poverty that prevents him from Good treatment. Client Family & relatives do not support him. Therefore client felt in depth psychological & environmental problems. There is need to modify both psychological & environmental problems to overcome client disease. Client is disappointed & need individual, family counseling and financial support.

SOCIAL TREATMENT:

Following thing done for client improvement:
1. Provision of free medicine from health welfare comity DHQ Hospital M Garh. 2. Start counseling.
3. Meeting with Physician to tell about social background of the client. 4. Meeting with family of client.
5. For financial help case refers to district officer baitulmaal. Follow up.
First he was in great tension due to financial and disease problem. He was much worried about this. I start counseling and provide medicine from MSSP.I also sent him to the District officer Baitulmaal for financial help with my recommendations. After these sessions, he looks to be tension free. And use medicine regularly. He is also satisfied with meeting of district officer baitulmaal.Now he is in recovery position of disease.

2nd case

SOCIAL HISTORY:

Date: 28/3/13
Location: DHQ Hospital M.Garh
Objective: To take case history & to solve the problem of client CLIENT PERSONAL PROFILE:

Name: Saima Bibi
Father Name: Rabnawaz
No of children: Nil
Age: 19years
Sex: Female
Qualification: Matric
Cast: Gashkori
Residence: Moza mondka p/o Khangarh Tehsil and District M.Garh Place of meeting: Office of Medical Social Officer Disease: Asthma and Anxiety
Physician Name: DR M.Qasim
STUDY:

She lives with her granny after death of her father. They are poor and cannot afford medicine for her. And she is also facing inferiority complex just because she is orphan. She is facing disease from 2 years. DIAGNOSIS:

Her major cause of disease is poverty. She is unskilled therefore she is required to be referred to any skill providing agency.

Social Treatment:

1. Free medicine provided by the MSSP.

2. Meeting with physician to tell about her social background.

3. Meeting with family of client.

4. Refer to Industrial home (sanat zar) for skill provision..

5. Refer to social welfare office for financial help.

Follow-up.

First she looks much worried about her disease and future. Start counseling and

refer her to the industrial home for the provision of skills. Now after joining sanat zar

and taking medicine her health is improving as well as mental stability..
3rd case

SOCIAL HISTORY:

Date: 11/4/13
Location: DHQ Hospital M.Garh
Objective: To solve problems of client
CLIENT PERSONAL PROFILE:

Name: Khadim Hussain
Father Name: ALLAH Bakhsh
No of children: 3 son & 3 girls
Age: 40years
Sex: male
Qualification: Nil
Cast: Khokher
Residence: Chak Rohary M.Garh
Place of meeting: male ward
Disease: HCV
Physician name: Dr.Ejaz shah

STUDY:

He is facing disease from 8months.He came Hospital 15 days ago. Before he treat the Hakim & Peers. He destroy all the money but vain. Now he is getting treatment from hospital. He is so poor.. DIAGNOSIS:

Client situation looks disappointment. Client required individual counseling & guidance. Present situation of client are due to Illiteracy. If he come to hospital before going to other non-professionals,(Hakeem, peer) he did not face this situation.

SOCIAL TREATMENT:

1. Provision of free medicine and counseling to the client from MSSP. 2. Client is also refers to the social welfare department for financial help.

Follow up:
I start counseling and motivate him to use medicine regularly. And I follow up of his medicine usage regularly in visiting of male ward. Now an improvement looks in his physical conditions. And he is also in positive manners about using medicine.

4Th Case

SOCIAL HISTORY:

Date: 19/4/13
Location DHQ Hospital M Garh
Objective To solve the basic problems of client. CLIENT PERSONAL PROFILE:

Name Nadir Abbas
W/O Ghulam Hussain
Number of children two son, two daughters
Age 41years
Cast Chandia
Qualification illiterate
Residence Basti Maharan Muzaffargarh Place of meeting Office of Medical social officer Disease Asthma and Depression
Physician Name Dr.Jameel Ahmad
STUDY:

He faces disease from 1 year. He comes in Hospital 1st time. He faces disease from 1 years. He is so upset and worries about his disease. Dr Jameel Ahmed is treating his disease in hospital. His Brothers & other Relatives do not cooperate with client. DIAGNOSIS:

Client major cause of disease is poverty that prevents him from Good treatment. Client Family & relatives do not support him. Therefore client felt in depth psychological & environmental problems. There is need in modification both psychological & environmental problems to overcome client disease. Client is disappointed & need individual and family counseling. SOCIAL TREATMENT:

Following things are done for client improvement:
1.Provision of free medicine from health welfare committee DHQ Hospital M Garh. 2.Start counseling.
3. Meeting with Physician to tell about social background of the client. 4. Meeting with family of client.
5. For financial help case refers to social welfare dept.
Follow up.
First of all I refer the client to the social welfare department for financial help. And I follow the process of financial support by social welfare department on weekly basis. I start counseling and try to improve his mental conditions by using my skills and knowledge in the presence and guidance of medical social officer.Now his physical and psychological condition improved.

5th case

SOCIAL HISTORY

Date: 24/4/13
Location: DHQ Hospital M.Garh
Objective: To take case history & to solve the problem of client CLIENT PERSONAL PROFILE

Name: Muhammad tanveer
Father Name: Muhammad Imran
No of children: Nil
Age: 16years
Sex: Male
Qualification: Middle
Cast: Chohan
Residence: Basti Balochan Shah Jamal
Place of meeting: Office of Medical Social Officer Disease: Asthma
Physician Name: DR Maqbool Alam
STUDY:

Client lives with his Parents. His Parents are poor and cannot afford medicine for him. He faces disease from childhood. His parents also looks very disappointed. DIAGNOSIS:
His major cause of disease is environment. And long duration of his diseases is due to poverty. He is unskilled therefore he required to refer any skill providing agency.

Social Treatment:

Following thing are done for client improvement.
1 Free medicine and counseling also provided by the MSSP.
2 Meeting with physician to tell about his social background. 3 Meeting with family of client.
Follow up
I start counseling with patient and his family. I make ensure the provision of free medicine regularly. And I refer the client to vocational training institution for skill provision. And follow up of his regular usage of medicine. Now there is improvement in his physical and psychological conditions.

6th case

SOCIAL HISTORY:

Date: 14/5/13
Location: DHQ Hospital M.Garh
Objective: To solve problems of client
CLIENT PERSONAL PROFILE:

Name: Tariq mehmood
Father Name: Rabnawaz khan
No of children: nill
Age: 6years
Sex: male
Qualification: Nil
Residence: Usman Kooria Shah Jamal
Place of meeting: T.B ward
Disease: TB
Physician name Dr Abdulhameed Ghori

STUDY:
Client is facing disease from 1 year. His parents are poor and cannot afford medicine. They came hospital 20 days ago. They came hospital very late for treatment, before they used to go to non qualified practioner.They do it just because of illiteracy.

DIAGNOSIS:
Client situation is in progress. He feels improvement in his health. His parents wasted time and money. If they come hospital in the start of his disease. They did not face this situation.

SOCIAL TREATMENT:

1 Provision of free medicine and counseling to the client from MSSP. 2 Client is also refers to the social welfare department for financial help. Follow up: I describe social condition of the client to the physician and follow up the client physical conditions and his treatment.and makes ensure the provision of free medicine and full concentration to the client. Physical condition of client is improving now. Disappointment of the parents of the client is now decreased.

7th case

SOCIAL HISTORY:

Date: 30/5/13
Location: DHQ Hospital M.Garh
Objective: To solve problems of client
CLIENT PERSONAL PROFILE:

Name: Muhammad shafqat
Father Name : Rana Ashraf
No of children: 1 daughter
Age: 54 years
Sex: male
Qualification: Nil
Cast: Rajput
Residence: Mouza Deen pur muzaffargarh
Place of meeting: male ward
Disease: HCV
Physician name Dr.Abdul Hameed Ghouri

STUDY:

He faces disease from 4 months. He came Hospital 05 days ago. He is an old person and he has no source of income means no financial sources even for bread. He needs financial support. SOCIAL BACKGROUND:

He has no strong social background. His relatives does not support even not invited their marriage ceremonies. They hesitate to meet. His daughter left him. DIAGNOSIS:

Client situation is disappointed. Client is very poor and needy person. I refer him to social welfare department for his financial support. I also refer his case to sycops for his financial support. SOCIAL TREATMENT:

1 Provision of free medicine and counseling to the client from MSSP. 2 Client is also refers to the social welfare department for financial help Follw up I refer the client to the district officer baitulmaal for the financial client. And follow-up the process of financial support on weekly basis. Now his physical health is improved and his level of disappointment also decreased.

8th case

SOCIAL HISTORY:

Date: 14/6/13
Location: DHQ Hospital M.Garh
Objective: To solve problems of client
CLIENT PERSONAL PROFILE:

Name: Shazia Bibi
Father Name: Haqnawaz (Late)
No of children: nill
Age: 27 years
Sex: female
Qualification: Matric
Cast: Kanera
Residence: Peer jahanian chok moza deen pur muzaffar garh Place of meeting: Female ward
Disease: Ulcer and depression
Physician Name Dr.Ejaz Shah
STUDY:
She faces disease from 3 months. She came Hospital 05 days ago. She has no source of income means no financial sources even for bread. She needs financial support. SOCIAL BACKGROUND:
She has no strong social background. Her husband left her. She said that her husband was characterless. She has no child so he socially and mentally disturb client .

DIAGNOSIS:

Client situation is disappointed. Client is very poor and needy .She has no skills. She is also disappointed from her disease and family crises. So individual counseling session will support for her personality building again. SOCIAL TREATMENT:

1. Provision of free medicine
2. Client is referring to V.T.I for achieving skills.
3. counseling to the client from MSSP.
4. Client is also refers to the social welfare department for financial help. Follow up:
I refer client to sanat zar for skill provision so that she can overcome her financial matters. I start counseling so that she can be motivated and overcome her psychological conditions.Now her health is improving and she looks satisfied with her trainings in sanatzar.

9th case

SOCIAL HISTORY:

Date: 20/6/13

Location: DHQ Hospital M.Garh

Objective: To solve problems of client

CLIENT PERSONAL PROFILE:

Name: Muhammad Ali

Father Name: Haqnawaz

No of children: nill

Age: 24 years

Sex: male

Qualification: graduate

Residence: mahmood kot muzaffar garh

Place of meeting: male ward

Disease: psychological disorder

Physician Dr.jameel Akhter

STUDY:

He was disappointed due to unemployment. He is graduate with first division.

He tries many to get job but in vain, at last due to this problem he victim in such problem.

BACKGROUND:

He has no strong social background. His father is labuorer. He has large

Family.so financially very disturb .He considered him a unlucky person. From  this situation mentally disturb.

DIAGNOSIS:

Client situation is disappointed. Client is very poor and needy .He has no skills. He also disappointed from his disease and family crises. So individual counseling session will support for his personality building again.

SOCIAL TREATMENT:

1.Provision of free medicine

2.Client is referring to Commerce College for learning typing and short hand.

3. counseling to the client from MSSP.

Follow up;

First of all he was worried about employment and home crises, which cause of disease.so he met me in office of mso.so start counseling, I sent him to commerce college to lecturer for learning of short hand and typing .so he is satisfied with my counseling. Now a day he is working in private sector earning his employment.

MODEL CASE

Model case

SOCIAL HISTORY:

Date: 22/4/13
Location: DHQ Hospital M.Garh
Objective: To solve problems of client CLIENT PERSONAL PROFILE:

Name: Muhammad sarfaraz
Husband Name: Muhammad Iqbal
No of children: nill
Age: 26years
Sex Male
Family member: 3
Qualification: Master in English literature Cast: Khokher
Residence: Mullan wala Moza Liaqat abad khangarh Place of meeting: T.B ward
Disease: T.B Anxiety
Physician Name: DR.Maqbool Alam
STUDY:

Client situation is disappointed. He is suffering from T.B and Anxiety. He is a

chain smoker which cause him this disease.His parents don’t cooperate with him

.He is jobless and no other source of income so he cannot afford medicine. He

needs individual counseling and family counseling also.

DIAGNOSIS:

He is depressed due to Financial and home problems. If all problems will solve, he will recover from disease. His father divorces her mother when he was student of intermediate. After Parents separation he was supposed to live with his mother. Her mother married another man and leaves him alone when he was student of graduation. He work hard and complete his master degree as well as graduation. But when he cannot achieve a job. He feel disappointment and start smoking. Due to depression and anxiety he become a chain smoker which results him as T.B. TREATMENT:

I refer his case to sycop Ngo for job opportunity because they are working on

Education project .Free medicine also provided to the client.Caunseling is also

Provided on weekly bases by MSO in the presence of me. Meeting and counseling

Provided by MSO and me improve his mental stability.

Individual Caunseling:

I conduct meetings on weekly bases with client. By which he looks ready to leave

smoking and by the help of this counseling clients mental stability improves. He

seems to change his life style.
Family Caunsling:

I feel need to conduct meetings with client’s family. And tried to resolve their

conflicts with the client. His stepfather looks to support the client in social way

after the sessions.

Meeting with friends of clients.

When I cannot achieve my goal from the family of client. I felt need to conduct

meetings’ with the friends of client. And describe the current situation of clients.

And also gets some new views about client situation. Due to my counseling and

motivation his friends looks agree to help the client in social and financial ways.

Conclusion:

I get good results about social functioning of the client by the help of these

meetings with client, friends and family. Now his position is in recovery process.

PROBLEMS FACED DURING FIELD WORK

Problems are the part of life either it is personal life or professional life. Same as I have also feel some problems in my professional life during the fieldwork. I have stated below some problems. The objective is only that authority should focus these problems. Transport problem

Lack of proper visit by the internal supervisor

Lack of resources

Finding issue for the activities the above stated related to authority some problems were about me. These are under stated.

Lack of interviewing skill

Lack of observing skill

Unaware about our project

Unawareness of the client about the role of social case work.

EVALUATION

It very difficult took judge his own weakness and a quality a human mind is unpredictable and uncontrolled so to evaluate is complex task.

Before the interring the fieldwork I had no idea of the complexity of the life. I seen directly the ups and downs of the life.

Now because of the case work setting I am able to know the reasons of the problem and can solves them as far as my approach now I can talk confidently. I am much mature than before of the case work setting the supervision of both the department gave me much help and it was only their guidance which made me able to gain that confident and professional skills.
Recommendation

As far as I have come to know. I would like to give some suggestion to improve the performance of both the departments. Internal supervisor must visit the MSSP.
Transport facility should be provided.
MSSP must plan awareness raising seminars.
The specialist in case work must be invited in the department to share their experiences.

SUPERVISION

Internal Supervision:

Madam Sonia is my internal supervisor. She fully supported me to do activities in the field. She supervised me in every step. Madam Sonia gave me new ideas and emerged me on creativity and innovations. I am very thankful to her for kind guidance. External supervision:

Madam Abida Rehman is my external supervisor. She provide me fully opportunity to utilize my abilties.She always guided me about the complex
and handless cases. She encouraged me to perform my work better during field work.

SPECIAL THANKS

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