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:
48293- AQ-DNA - text sent 8am reminding client of session, 12- first attempt, 12.10 second attempt- mobile number unavaialble.
48556- PH,Text sent at 8am reminding client of 4.15 session- client answered call 2nd time, session time not convenient for client- asked cl to retrun to OH, no further session arranged.
48506 DL - Further work on intrusive thoughts, anxiety ladder/ breathing and mindfulness.
48465 JC- Further work on cl mood/ achievement/pleasure scales.
48593 ES- managing stress related behaviour.
What does the client want from counselling?
How well is the client able to cope with their situation?
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
Monday, 12th April 2021
Attachments
Submitted by
Joanne Tucker
Submitted on
29th March 2021