Mental Health Intake Form Critique. After Reviewing Several

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Mental Health Intake Form Critique
After reviewing several mental health intake forms on the Internet, I selected the intake form from The Maple Counseling Center (TMCC) which is located in Beverly Hills, CA. The Maple Counseling Center focuses on delivering a variety of mental health services to clients of all ages, including youth, adults, couples, families, and group therapy. The actual intake form is four pages long. The intake packet that I downloaded was a total of 13 pages, but the additional seven pages consist of a listing of fees, a page asking for statistical data, a consent for treatment form, and a consent to use or disclose health information for the treatment, payment, and health care operations form. After reviewing …show more content…

The client is directed to answer each question with a selection of either never, seldom, often, always, and for how long, if the question is relevant. The final page of the intake form has questions that inquire about personal and family history, which only asks about family mental health history including hospitalizations, mental illness, suicide attempts, and substance abuse issues. The final section involves questions about the client’s personal situation at this moment, such as: How well are you doing at your job? Or Please rate your general happiness and well-being. The client is then asked to rank their current status on a scale of 1 to 10. I believe that the form asks all the necessary questions for a clinician to be able to determine the presenting problem. One benefit to this intake form is that it asks the right questions for a clinician to make an assessment without asking the client the question directly which can sometimes be threatening for a client to admit on an initial form and visit. For example, one question asks if the client is experiencing flashback as if reliving the traumatic event and the client can select never, seldom, often, or always. This is a subtle way to ask a client if they have trauma or PTSD without asking the client the question directly. Another example is if a client has been hearing voices when alone, instead of asking a client if they are experiencing psychosis, which can be

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