첫 면담 체크 목록

 

<정신건강 상담 치료사를 위한 초기 면접의 체크 리스트> - 방선욱 (Sunwook Kimbang, 2001, Union of Pan Asian Communities에 근무, USA)

Intake Session

                                                     Date:

                                                     Client Name:

1. Identifying Information

2. Mental Health History

3. Family/ Support History

4. Sociocultural History/ Status

5. Medical History

1)Primary Physician

2)Allergy

3)Current Medication

6. Other Significant Factors

-AA, NA, and DV

-Client Strengths, Ability, Interests, and Needs

7. Mental Status Exam-

*DSM-IV

*Chief Complaints

1)General Appearance

2)Motor Activity

3)Speech

4)Interview Behavior

5)Flow of Thought

6)Affect

7)Mood

8)Content of Thought

9)Memory & Orientation

10)Intellect

11)Insight & Judgment

8. Check SI, SA, HI, HA, DV, Abuse History, and Conviction

9. Treatment and Referrals

Initial Session Check List

                                                      Client Name:

                                                      Date:

1. Confidentiality

2. Rules of conduct in session

3. Projected length of therapy

4. Goals of client and family

5. History of physical and/or sexual abuse

6. History of mental health

1)Medications:

2)Provider:

7. Check SI, SA, HI, HA

Depression

Anger

Anxiety

Fears

Consistency

8. Cancel or No Show

*Chief Complaints: