Case Note
Case ID
Counsellor
Details
Client's first name or initials
Session Date
Session number
Session Type
Session Completed
Issues Raised
Employment Related Issues
Personal Issues
Risk Assessment
Self
Other
Clinical Scores
Clinical Outcome Total
Workplace Functionality Total
Client satisfaction
Client Case Details
Client's presenting issues:
she is still low, she hates living alone, and really wants sheltered housing, a friend is going to follow-up. she wants to have face to face counselling, i explained that WSM aren't offering that at the moment. She can't afford a private counsellor. I think she is so stuck in her situation and covid has made it much worse.
We reviewed whether to drive again or not, she's awaiting the DVLA re her vision tests after the eye procedures. we looked at the pros and cons.
Also discussed her GP appt this week because she's worried about test results.
She fall over in the kitchen this morning, bruised her knee, she didn't feel dizzy or black out.
What does the client want from counselling?
her life to change and to be able to move really which isn't what I can do.
How well is the client able to cope with their situation?
she's managing only.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
Risk Management Support Plan
The risk issues presented?
How have you stabilised the client and what strategies did you encourage them to use?
What external support network is in place?
Emergency Contact Details:
Telephone Number:
Client Case Details
Case Status
Date of next session
Thursday, 22nd April 2021
Attachments
Submitted by
Angie Denman
Submitted on
29th March 2021