› Some clients may be reluctant to allow the social worker to access all the collateral information needed to complete the biopsychosocial-spiritualassessment. Mistrust of the social worker and the assessment process, or conflicts with collaterals, may hinder the collection of information. The social worker may need to focus on building a therapeutic alliance and rapport with the client before a thorough assessment can be completed
› A biopsychosocial-spiritual assessment is an ongoing process that continues to develop and change as the interactions between the client and his or her environment change and new challenges present themselves. Client service plan goals and interventions should change accordingly
› The biopsychosocial-spiritual assessment may reveal a need for immediate referral of the client to services or resources that the social worker is unable to provide. The social worker should provide case management to connect the client to necessary services
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