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:
Client is struggling with the fact that his wife has dementia and is in care. He also has some health problems himself.
What does the client want from counselling?
He wants to talk through his worries and try to better understand how to cope with his wife's illness.
How well is the client able to cope with their situation?
The client copes but needs a lot of support.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
He has one daughter who has her own Mental health issues so not much support. He has interventions from Health & Social Care.
Risk Management Support Plan
The risk issues presented?
The client does not present a risk to himself or others.
How have you stabilised the client and what strategies did you encourage them to use?
We talk about his extended support network of friends and neighbours.
What external support network is in place?
He has good support from some neighbours and friends.
Emergency Contact Details:
Telephone Number:
Client Case Details
Case Status
Date of next session
Monday, 12th April 2021
Attachments
Submitted by
Julie Jeffryes
Submitted on
29th March 2021