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Pages:
3 pages/≈825 words
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2 Sources
Level:
APA
Subject:
Social Sciences
Type:
Essay
Language:
English (U.S.)
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Date:
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Topic:

Group Design: Patient Demographics and Screening Questions (Essay Sample)

Instructions:

500 words for the brochure develop a set of 10 screening questions 500 words the other 50 words go to questions 4-2 it is at page 3 instructions 4-2 should be a in text citation with a reference please follow the instructions for the brochure under good and excellent is what the teacher is looking for

source..
Content:

Patient Demographics and Screening Questions
Doris Williams
August 18, 2016
Patient Information:
Name: Jane Doe
Age: 25
Home address: 3429 W 41st ST, Cleveland OH 44109
Presenting Issue: History in Cocaine, alcohol abuse and rehabilitation
Aim: Relapse prevention
Contact information: Janedoe@hotmail.com | 216 – 98756174
Screening questions (please answer the following, confidentiality will be assured):
1 What is your cultural background? What are the cultural traditions that you follow?
____________________________________________________________________________________________________________________________________________________________
2 What is your Socio-economic status? Any financial circumstances that I should be aware about?
____________________________________________________________________________________________________________________________________________________________
3 Kindly give a brief description of your hobbies, wants, and daily routine. How free is your schedule?
____________________________________________________________________________________________________________________________________________________________
4 What are your specific ideals or beliefs? Are there any beliefs or opinions that you are strongly opposed to?
____________________________________________________________________________________________________________________________________________________________
5 Do you think that you would be able to work well with a group with individuals from different age groups? Why or Why not?
____________________________________________________________________________________________________________________________________________________________
6 What other sessions and therapies are you taking aside from this? Briefly describe it below
____________________________________________________________________________________________________________________________________________________________
7 Do you have any specific needs or conditions that your future group needs to know? (disclosure of your answer with your group on this part depends on your preference)
____________________________________________________________________________________________________________________________________________________________
8 Are there any specific therapeutic sessions that you are opposed to? Are you open in group counseling sessions? What about individual counseling sessions? Why?
____________________________________________________________________________________________________________________________________________________________
9 Have you understood the ethical limitations of the counseling group? Do you have any comments or suggestions to it?
____________________________________________________________________________________________________________________________________________________________
10 Are you open to sharing any personal feelings or opinions with everyone in the group? Why or why not? Are there any specific circumstances that affect your answer?
____________________________________________________________________________________________________________________________________________________________
Descriptions of the screening questions chosen:
Criteria used during the selection process
In a counseling session, the group leade...
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