Be sure to read the criteria below by which your work will be evaluated before
you write and again after you write.

HSVMJ340 – Case Management

Social History Assignment

Points: 100

Overview:

Social histories are prepared to paint a comprehensive picture of a client’s situation and

relevant information. This information may come from referral sources, other providers,

and the client. For this assignment, you will be drafting a social history for your client,

Mr. Brown, from the Case Vignette.

Instructions:

Apply the information provided in the Case Vignette and prepare a social history that

addresses the following:

• Client information

• Presenting Problem

• Referral (Including source and reason)

• Medical History

• Personal/Family History

• Education

• Work History

• Personality and Habits

Requirements:

• Submit a Word document that includes a title page.

• Be sure to address each section fully. Each area of information can be broken

into sub-sections, listed with the appropriate heading.

• This is a professional report and should use formal language, complete

sentences, proper grammar and appropriate sentence structure.

Evaluation Rubric for Social History Assignment

CRITERIA Deficient Needs Improvement Proficient Exemplary

0 – 5 Points 6 – 7 points 8 – 9 points 10 points

Client

information

Section missing or
major details
missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed
in full detail. Sub-
sections used with
headings when

appropriate.

Presenting

Problem

Section missing or
major details

missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed
in full detail. Sub-

sections used with
headings when
appropriate.

Referral

(Including

source and

reason)

Section missing or
major details

missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed
in full detail. Sub-

sections used with
headings when
appropriate.

Medical History Section missing or
major details
missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed
in full detail. Sub-
sections used with
headings when
appropriate.

Personal/Family

History

Section missing or
major details
missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed
in full detail. Sub-
sections used with

headings when
appropriate.

Education Section missing or

major details
missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed

in full detail. Sub-
sections used with
headings when
appropriate.

Work History Section missing or
major details
missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed
in full detail. Sub-
sections used with
headings when
appropriate.

Personality and

Habits

Section missing or
major details
missing.

Section addressed.
Some key details
missing.

Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.

Section addressed
in full detail. Sub-
sections used with

headings when
appropriate.

0 – 11 Points 12 – 15 points 16 – 19 points 20 points

Clear and

Professional

Writing

Errors impede
professional
presentation.

Significant errors that

do not impede

professional

presentation.

Few errors that do

not impede

professional

presentation.

Writing and format
are clear,
professional.