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:
1. The wonderful feeling of being well
2. Review of therapy
3. Last session and ending
What does the client want from counselling?
1. Simply to celebrate his healing of a lifetime of trauma/anger - and moving forwards in life
How well is the client able to cope with their situation?
the client is in a totally different place to when we first started in April 2020. He is so well within himself and life is so much more available to him. A complete reverse to where he started and in such a 'wonderful' place within.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
1. Family, friends and Veterans support
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
Status
Attachments
Submitted by
Lina Mookerjee
Submitted on
29th March 2021