Question

A social worker assesses an adolescent who feels worthless and who recently began failing in school. For the past two months, she has had difficulty sleeping and maintaining concentration in school. Her teachers describe her as inattentive, irritable, and agitated. What should the social worker do FIRST?

A. Evaluate the client for depression
B. Ask the teachers to complete a behavior checklist
C. Refer the client for a substance abuse evaluation
D. Schedule an assessment for special education services

Answer 1

The social worker should first evaluate the client for depression based on the symptoms described, which are characteristic of a potential mental health issue that could significantly affect the student's cognitive functions and academic performance.

Step-by-step explanation:

In this scenario, where an adolescent feels worthless, is failing in school, has difficulty sleeping, and shows changes in concentration and behavior, the social worker should first evaluate the client for depression. These symptoms are indicative of a possible mental health issue, and depression is a condition that can lead to cognitive impairments affecting memory, thinking, and academic performance. Depression can also be associated with a host of other issues such as irritability and agitation which can detrimentally impact a student's educational experience and social interactions.

Considering the student's challenges, it would not be appropriate to initially focus on ADHD, substance abuse, or special education assessments without first addressing the potential underlying issue of depression. This initial evaluation will provide direction for additional assessments or referrals if needed.