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  • General Psychosocial Assessment Template

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    Ross airon
    114 views4 pages
    This psychosocial assessment template provides guidance for social workers to evaluate a client's basic information, priority needs, background, strengths and challenges. It includes sections for safety assessment, emotional and physical state, clinical test scores, family history, cultural values, education, trauma history, medical issues, employment, and recommendations. The template aims to provide a holistic view of a client to identify resources, goals, and an appropriate treatment plan.

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    This psychosocial assessment template provides guidance for social workers to evaluate a client's basic information, priority needs, background, strengths and challenges. It includes sections for safety assessment, emotional and physical state, clinical test scores, family history, cultural values, education, trauma history, medical issues, employment, and recommendations. The template aims to provide a holistic view of a client to identify resources, goals, and an appropriate treatment plan.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    114 views4 pages

    General Psychosocial Assessment Template

    Uploaded by

    Ross airon
    This psychosocial assessment template provides guidance for social workers to evaluate a client's basic information, priority needs, background, strengths and challenges. It includes sections for safety assessment, emotional and physical state, clinical test scores, family history, cultural values, education, trauma history, medical issues, employment, and recommendations. The template aims to provide a holistic view of a client to identify resources, goals, and an appropriate treatment plan.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    Psychosocial Assessment Template

    Report Date:

    Name of person submitting report:

    Client/Patient name:

    Client/Patient date of birth:

    Date or initial assessment:

    Basic Information

    Gender

    Referred by

    Current situation

    Safety assessment

    Emotional state

    Physical state

    Priority 1 needs
    (emergency needs)

    Priority 2 needs
    (urgent needs)

    Social Work Psychosocial Assessment Template from Socialworkportal.com


    Priority 3 needs
    (short-term needs)

    Priority 4 needs
    (long-term needs)

    Sources of data collection

    Background & Detailed Assessment Information

    Individual strengths

    Supports & opportunites

    Identified help resources

    Clinical test scores


    (e.g. PHQ-9, GAD-7)

    Family composition &


    history

    Cultural values

    Social circle

    Education

    Social Work Psychosocial Assessment Template from Socialworkportal.com


    Past trauma

    Substance use

    Medical/health challenges

    Employment history

    Skills

    Leisure activities

    Motivations

    Patterns of crisis

    Criminal history

    Attitudes about money/


    finances

    Social Work Psychosocial Assessment Template from Socialworkportal.com


    Impressions, Assessment, Recommendations

    Clinical summary &


    assessment

    Targets & goals

    Social worker
    recommendations

    Social Work Psychosocial Assessment Template from Socialworkportal.com

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