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:
Bereavement. PTSD.
What does the client want from counselling?
'Get it out' and strategies to deal with the triggers.
How well is the client able to cope with their situation?
Client told me she is feeling much more positive and relaxed at the moment. She is looking forward to two weeks off and intends to 'give myself me time' every day. She is trying breathing techniques and yoga as well as grounding. It is also 'a relief to talk it out'.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
Husband. Head teacher and other colleagues. Family/Friends.
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
Monday, 12th April 2021
Attachments
Submitted by
Penny Noble
Submitted on
29th March 2021