Assessment and formulation, the gathering of information about a client, and the conceptualization of the client or situation are the essential elements that mark a thoughtful approach to client care. This process has been shaped over time by changes in orientations to knowledge, new theories, new practices, and political and institutional pressures. Currently, there is an intense debate concerning the nature of social work practice, especially the assessment and formulation process. In this context, we review traditional approaches to formulation in light of contemporary understandings and trends. We present a model for formulation that highlights multiple ways of knowing and includes ecological, cross-cultural, psychodynamic, systemic, biological, and spiritual components. Social justice is the value that is foundational to the process.
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