In the field of social work, the intake form is typically the first interaction between the client and the social worker. An intake form allows the practitioner to gather and analyze information regarding the potential client, in order to determine if the agency can meet their presenting needs. Intake forms differ depending on the setting, but all should assess the numerous systems that affect the client and their presenting problem.
I am interning at Oasis Behavioral Health (OBH), which is an acute mental health hospital. OBH uses a Medical Screening Evaluation (MSE) at intake, to determine if the patient meets admittance criteria. In this paper, I will critique the Medical Screening Evaluation form and recommend modifications to construct
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With this in mind, it is not necessary to evaluate if the form is at a reading level comprehensible by the patient. However, I will note that the form includes medical terminology and abbreviations that may not be understood by some. In addition, the MSE is only printed in English, as all of the intake specialists are fluent in the language. OBH primarily serves English-speaking patients, but several intake specialists are also fluent in Spanish. Therefore, the readability and language of the MSE are appropriate.
The most imperative item to ascertain during an intake is the patient’s presenting problem. The MSE has a large section for the writer to detail the patient’s issue and chief complaint. Furthermore, questions regarding the their work, school, finances, and social supports are addressed. These questions may provide additional insight into the presenting issue. Overall, the form is effective at asking the necessary questions to determine the patient’s chief
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I would rearrange the questions to mimic the funnel technique. The first page of the MSE would remain the same, but would be followed by the major life areas, sleep/appetite, substance abuse, and chief complaint sections. The original form asked whom the patient resides with and considers social supports after the abuse section. I would reformate the document to place these questions under the major life areas. Lastly, the patient would be asked about psychological symptoms, psychosis, and previous abuse, neglect, or trauma. In my opinion, the intake specialist is more likely to gain honest and accurate information from the patient if they have the opportunity to build rapport before asking sensitive questions.
While the MSE covers many aspects related to the clients issue, I would include additional questions to several sections. The patient is asked to report their current medication, dose, and frequency. However, they are not asked if they take any over-the-counter medications, which is important to document as it could provide inside into a problem or interact with other medications. I would edit the form to make the question ask about prescribed and over-the-counter medication. Additionally, the intake specialist would check a box to document if the medication is prescribed or
The pharmacist must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them. Each patient must be made an offer to be counseled by the pharmacist. The items to be addressed include, the name of the drug, intended use of expected action, common side effects and their avoidance, techniques for self-monitoring, proper storage, potential drug-drug or drug-food contraindications, refill
The mental health intake form appears to be designed to take a multidimensional approach to the overall treatment of the client. The section concerning the client’s presenting problems is brief with little space for answering the question. The intake form contains one question regarding which problems or issues the client is seeking help for and allows space for three short responses. The form does however, contain a checkbox list of symptoms allowing the client easily point out which behaviors are currently present. Additionally, the form contains a brief section for a suicide risk assessment that utilizes clear and concise language.
During intake it is agreed that the subject’s symptoms require further analysis to reach a final diagnostic conclusion as these symptoms are apparent in the criteria of a multitude of
To thoroughly complete the intake, a worker must answer a total of seventy-six questions: seventy-four by the worker generating the initial intake, and four questions by the worker’s supervisor to document what action is being taken in regard to service delivery. A breakdown of the intake form depicts a total of 25 questions that are pertinent with NDSS protocol & policies, while 51 questions relate to the client and the client’s request/report for services.
This intake packet is lengthy. I do believe it would be beneficial to the client if there were not so many questions. People coming in for services already have concerns or issues they are trying to work through. Many times, clients feel overwhelmed or anxious about beginning mental health services. This intake form, with all its questions and nine pages, may contribute to increased anxiety or be overwhelming for people. The questions are
I currently work at an SMI clinic for TERROS and I selected an intake form off of the internet instead of the intake for my work because our intake is a template that generates into a document once signed by all appropriate parties. I must say this random mental health intake form I found is extremely similar. I think these forms are now somewhat standardized and having just recently started filling out assessments of this nature and doing service plans with behavioral health recipients. I must confess it is difficult to get all of these answers out of clients and to keep their attention long enough to complete this paperwork. I feel often times we must resort to generic answers that do not give us a full understanding f who these people are and what their needs are, but it is a good resource to have a basic understanding of a client and when sharing information with other people on the clinical team good note taking skills and complete forms makes communication and client service much more efficient.
I believe that the intake form reviewed all necessary questions needed to determine the client’s social and medical history to develop personalized goals for the client’s individualized treatment plan. I will begin to discuss the areas that the intake form reviews in order to obtain the necessary information to develop a treatment plan for the client.
Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.
The intake form is easy to read and presented in a way that is easy to navigate through. As a client it would be easy enough to go down the list and answer the questions. As a social worker, there may be concern that important questions do not pop out such as suicide idealizations and owning a gun. The question regarding if a client is wanting to harm someone else should also be included in this form for obvious safety
Today I organized documents for case managers because there are some new clients that are being processed. There is a form that must be completed on each client which is an Intake form. This form is the form that Case Worker fill out when a new client is introduced into the Redeploy program. There are two different forms Outer Counties and St. Clair counties. On the document it has several questions such as name, address, education, health, and use of what substance, religion, and family income. This is the first form I saw in each client’s file because this is important to know who file you are looking at and the background on the client.
The intake process of patients is different from practice to practice, but the main purpose of the process is retrieve new and established patients information during check in at a providers office, a hospital, or clinic. By having an efficient intake process a efficient patient flow can be maintained.
Patient presents to initial intake assessment with medical records (or medical record is received via mail prior to case conference):
The mental health intake form I chose from the internet was lacking in multidimensional methodology and lacked significant information about client subsystems. Accordingly, the questions that regarded behavioral functioning did not cover presenting problems thoroughly. Specific questions about coping skills, social skills, and parenting skills were absent. Although, one question was asked regarding the client’s relationship with their children (which could insight into parenting skills), it was too open ended to get any major information. The assessment contained a section on legal history that was also not thorough. The spiritual section lacked crucial information. For instance, it did not ask about supportive relationships (i.e. name of a
The provision of written medication information given to the patient helps significantly in cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in memory retention and presents patients with access to a reliable source of concise medication information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These written medication information sheets need to be provided in the patients primary, dominant language because it reduces the difficulty and limits barriers to patient understanding (Gorgos 2006).This is important because this intervention aims to increase a patient’s understanding of their medications, and when a patient feels more competent with the use of their medications, reduced
Health insurance requires an “appropriate” prescription that includes mention of the comprehensive assessment process, the individual's motivation, the availability of training, and the potential functional outcome(s) for the