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  • Brief Intake Interview

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    Sheena
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    This brief intake interview collects basic information such as name, age, civil status, and educational attainment from an individual who was recently arrested. It also asks about their family background, employment history, any history of drug use, and any other relevant information to aid in a psychological screening.

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    This brief intake interview collects basic information such as name, age, civil status, and educational attainment from an individual who was recently arrested. It also asks about their family background, employment history, any history of drug use, and any other relevant information to aid in a psychological screening.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views2 pages

    Brief Intake Interview

    Uploaded by

    Sheena
    This brief intake interview collects basic information such as name, age, civil status, and educational attainment from an individual who was recently arrested. It also asks about their family background, employment history, any history of drug use, and any other relevant information to aid in a psychological screening.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    BRIEF INTAKE INTERVIEW (for Psychological Screening Purposes ONLY)

    Name: Age:
    Civil Status: Educational Attainment:

    Place and Date of Arrest: Case:

    Family/Relationship Background: (Parents, Siblings, Partner)

    Brief Employment History:

    History of Drug Use:

    Other relevant information:

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