Intake Assessment Form Was Retrieved From Western Psychological Counseling Services ( Wpcs ) At Www

876 Words Feb 6th, 2016 4 Pages
Intake Assessment Form

My intake assessment form was retrieved from Western Psychological Counseling Services (WPCS) at . WPCS is a counseling agency located in the Pacific Northwest, with administrative offices in Portland, Oregon. The counseling is provided by Licensed Clinical Social Workers, Licensed Professional Counselors, Licensed Mental Health Counselors, Chemical Dependency Counselors, Psychologists, and Psychiatrists. A full range of counseling services is provided, including Child and Adolescent, Marriage and Family, Adult, and Chemical Dependency. I have chosen the Adult Intake form for my critique.
Assessment Form Overview
An overview of the assessment form reveals a form that is easy to read and to understand. The form is divided into sections, (discussed in detail in another section of this paper), that cover Presenting Problems and Concerns; Family and Developmental History; Previous Mental Health Treatment; Substance Use History; Medical Information; Interpersonal/Social/Cultural Information; and Miscellaneous Information. The Assessment Form is completed by the therapist during the initial intake appointment with the client. Additionally, there is also a Brief Adult Outcome Questionnaire that the client completes, following the initial appointment. This form asks questions related to the client’s current emotional state, socialization, alcohol and drug use, and suicidal ideation. The form also includes questions, according to their…

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