Intake Form

Improved Essays
The form that I located on the internet was from the website: eastlymepsych.com. The intake form is 6 pages long which asks questions about mostly every aspect of an individual life. For example, there are questions about any illnesses, medication, sleep, social, religion, occupation, family health history, and information about client’s self. For a professional therapist, this initial intake form can help identify any presenting problems that the client may be having. The intention of the intake form is to help the social worker/therapist detect what may be causing an issue the client is having; but it may not necessarily find the problem right way. This form is the first form for the social worker to familiarize themselves with the client, and direct their practice in the proper direction in order to help the client with their issue.
A.
…show more content…
Depending on the professional, whether it is a therapist or counselor, the intake form seems to be a suitable size in questions in order to help learn more about the different aspects of the client’s personal life.
B. Are the questions reading level appropriate for the clients? Please explain your answer.
For the length of the intake form, there are several questions on the form that are wordy and can be difficult to understand for some clients that may not be as literate. For instance, there is a section in the intake form where it asks questions about health and social information, there is a table with mental/emotional feelings a client may be experiencing. I think that this intake form should be updated, with more short questions, such as more “yes” and “no” questions, and if the social worker needs elaboration, the worker can ask during a first interview with their client.
C. Are the intake forms available in the language appropriate for the population the agency

Related Documents

  • Improved Essays

    Ms. Ana Ramirez-Rivera arrived at BHWS on 6/14/2016; Ms. Ramirez-Rivera is Hispanic, born and raised in Dominican Republic and is a Green Card holder. In the meeting, Ms. Ramirez-Rivers was appropriately dressed for the weather, she appeared her stated age, and appears to be in no acute distress. Ms. Ramirez-Rivera denied suicidal or homicidal ideation. Client is fluently in Spanish.…

    • 487 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Essy Zimmerman Case Study

    • 1990 Words
    • 8 Pages

    Once the client comes in for substance abuse counseling for the first time, they will go through a 30-45 minute structured interview that features a bio-psycho-social assessment which further assesses what the client will need to accomplish and the best way to go about reaching those goals. The main focus of the counseling that Betsy and her agency focus on is substance abuse counseling with their modality of treatment being group sessions. Individual sessions are rare and are only conducted when the contract requires it or if the client needs it. For example, if a client participates in a group session and they notice that the client has a lot of personal trauma or something that isn’t group appropriate then they offer the client to come in individually and do the group sessions however, the Counseling Center llc does have other locations that specialize in family therapy and couples counseling. When a client is seeking counseling at the Counseling Center llc, one of the first mandatory steps that must be taken is the filling out of an intake packet that contains documents that are necessary for effective and ethical counseling and treatment.…

    • 1990 Words
    • 8 Pages
    Great Essays
  • Great Essays

    Psy 270 Week 9 Final Paper

    • 1269 Words
    • 6 Pages

    Does it ask all of the necessary questions to determine what the client’s presenting problem is? Please support your answer. Yes, the intake form covers necessary questions to determine the client’s presenting problem. It has a section that asks the consumer to list the problems they are seeking help for and what goals they hope to accomplish.…

    • 1269 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Organizational Assessment JFCS Jewish Family and Children’s Services (JFCS) is a non-profit, non-sectarian organization that offers behavioral health and social services to children, families, and adults. JFCS saw its inception in 1935 when a group of Jewish women in Phoenix ventured to create a social service agency to aid those in need. This group of women pledged to share what few they possessed to help others endure the great depression. Their mission changed the face of child welfare in Arizona and laid the groundwork for Jewish Family & Children’s Service. The agencies Core Values are: Kehila (building community), Tzedakah (charity), Tikkun Olam (repairing the world), and Gemilut Chasadim (kindness).…

    • 1326 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Social Workers interview families and students to acquire historical information which is used in developing case assessments. The role of the Social Workers include planning family day schedule, conducting group sessions, individual sessions and family sessions, using professionally prescribed teaching methods, techniques and, providing utilization review reports to referral source and sponsoring agencies, initiating family contact, interacting with students in a professional manner to elicit positive change, documenting all services delivered, completing other reports, assessments, reviews as assigned in a timely manner and coordinating discharge…

    • 725 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    That’s fantastic the place you work for comes up with a “Support Plan” with the client during the intake phase. The process of educating them on how to handle potential crisis situations empowers them to handle the situation themselves when/if it arises. Having this type of procedure reinforces standard 6 “empowerment and Advocacy” of the NASW’s Cultural Competence in Social Work Practice ("NASW Standards for Cultural Competence in Social Work Practice "). Established procedures definitely increase the likelihood everyone will be safe, both physically and emotionally.…

    • 135 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    In other words, it was important to focus on approaches that was educative to client change which led to the emphasis of viewing the social worker as a skillful teacher with social approaches to develop and reform (Murdach, 2011). The social work’s mission includes all levels, yet, the historical divide regarding the different level of micro, mezzo, and macro practice still exist (Hill, Ferguson, & Erickson, 2010). Richmond would be identified as the “direct social work practitioner” (Hill, Ferguson, & Erickson,…

    • 781 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    After this diagnosis is made the therapist is then able to begin formulating a plan for that client with the help of the ASAM (American Society of Addiction Medicine). This may entail a referral if needed for a specific level of care, beginning treatment plan, and possibly goals for that person. People leaving the intake interview may not always know that they are going to have to do and it varies between those who are voluntary or court…

    • 795 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    John is a mandated client which means that he is required to meet with me against his will. I will need to be understanding and supportive of his situation, acknowledging that this is a difficult situation for all. It would be a challenge to motivate John into becoming actively engaged in treatment but it’s the responsibility of the John, myself and the system of care.…

    • 1095 Words
    • 4 Pages
    Great Essays
  • Superior Essays

    John W. Herdman Case

    • 1265 Words
    • 6 Pages

    Herdman). Clients who have needs that go beyond the scope of the program are candidates for a referral. The counselor must have a client signed authorization to release information. This is a required documentation for counselor to communicate effectively with additional agencies pertaining to client needs. It’s not very often that a counselor will be able to meet all the needs of a substance abusing client, therefore the counselor must be aware of his/her limits.…

    • 1265 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Durian Tangor is experiencing depressive symptoms following the death of her father as well as a negative grief process. Worker assessed the qualitative assessment information provided and came up with three quantitative instruments. Bereavement Risk Assessment Tool (BRAT) was used to assist client converse personal, interpersonal and situational factors that may place her at risk for a major negative grief experience. Beck Depression Inventory was also utilized to assess the presence and severity of the client’s symptoms of depression with the help of the DSM 5.The last is the CAGE assessment tool. This was utilized because during the intake session, (qualitative assessment) the client mentioned that she has a drinking problem at the initial…

    • 1006 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    It has essential demographic questions and questions about the consumer’s mental health status, questions about physical health/medical illness, current list of medication, psychiatric history, family history, substance use/abuse history, educational and professional history, spiritual history, and legal history. This form is a good example of a biopsychosocial/multidimensional intake form because it asks the most essential questions that could assist providers in a very efficient…

    • 1261 Words
    • 6 Pages
    Superior Essays
  • Great Essays

    Social Work Agencies

    • 831 Words
    • 4 Pages

    Once the ACA was implemented, it affected millions of individuals, particularly those individuals who seek help through social work agencies. Additionally, this can cause a negative or positive outcome among clients. Without adequate care many of these individuals will be forced to alter their plans, causing even more stress among social workers. Once again, this changes the course of many of these individuals’ lives, while also further exploiting them. In a positive light, many of these clients will be allowed to access desperately needed healthcare insurance further helping them achieve their goals, while also helping relieve the stigmas surrounding these individuals.…

    • 831 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Competency 7

    • 1228 Words
    • 5 Pages

    Competency 7: Assess with Individuals, Families, Groups, Organizations and Communities. While working with clients, it is extremely important for an assessment to be done in the beginning of the relationship. This assures the social worker that the work being done is what the client feels is the most important for them to work on. Assessments should continue to be done throughout the helping-relationship. The intervention goals should be mutually agreed upon by the social worker and the client.…

    • 1228 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    PROFESSIONAL KNOWLEDGE AND FOUNDATIONS OF PRACTICE OCT4006-D For this reflection, I have chosen to use the Kolb’s cycle (1984) to determine how human factors can affect interpersonal teamwork in a multi-disciplinary team (MDT). The Kolb’s cycle (1984) enables me to critically analyse the MDT and reflect upon the role of the Occupational Therapist (OT). In this reflection, I will be discussing: the role of the OT, the key service delivery role of the MDT, the methods of communication used by the MDT and how the communication was used to enhance and inhibit team working.…

    • 998 Words
    • 4 Pages
    Improved Essays