Clinical Assessment
Identifying presenting concerns and gathering relevant personal, family, and health histories to establish an initial clinical understanding.
A clinical assessment is undertaken for every client or patient, and typically includes a detailed mental health assessment. A physical health assessment by a client or the patients' own physician (or other specialist/s) may also be required, where and if clinically indicated.
Typically, a clinical assessment is completed over the course of four to six consultations, although it remains open to review at all times, including during any intervention or psychotherapeutic process.
During these initial consultations, details about the client or patients' presenting difficulties, symptoms and other clinically relevant information are obtained together with personal and family background information and medical history.
Collateral information may be obtained or confirmed during later consultations from other health professionals, family members, partners, or other persons of reference.
The assessment may also include the completion of psychological screens and psychometric instruments, where indicated.
Verbal feedback is provided to clients and patients, and recommendations are usually incorporated into any intervention or psychotherapy treatment plan.
Can a Clinical Assessment Lead to New Personal Insight and Therapy Goals?
Assessment consultations often create space to identify relevant issues that may not have been considered previously. Furthermore, as assessment discussions progress, individuals may identify connections between current concerns and experiences and other or past events or experiences.
These reflections may help to identify other areas of interest and may bring more clarity to what clients and patients would like to work on.
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