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Clinical Supervision Case Presentation Format - University of … - clinical supervision case presentation format


Clinical Supervision Case Presentation Format - University of …-clinical supervision case presentation format

Clinical Supervision Case Presentation Format
CLIENT NAME: _____________________________________________ ID# ______________________________
DATE:
I. AODA Tx History / Longest Clean Time / Reason for Tx:( Referred BY)
II. AODA (Stage of Change with supporting evidence):
III. Diagnosis: (AODA & Mental Health):
IV. Psychiatric History: (Treatment & Medications):
V. Treatment plan goals (addressed in Individual sessions): Any Assignments
VI. Medical History (Previous & Current) Any Medications taken
VII. Progress / Issues in Tx:
VIII. Violations/Interventions
IX. Discharge Planning

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