Intake Interview Analysis Worksheet

Introduction- In this section, provide brief intake form information of the client (50-75 words):

Explain the engagement skills/questioning strategies you used when writing your questions (50-75 words):

How will you deal with a combative/passive client (read Chapter 18 in Direct Social Work Practices)? (40-50 words)

How will you handle any cultural personal biases that might arise during the interview? (40-50 words)

Explain your initial assessment of the client:

• What are the primary concerns or goals of the client?
• What are possible serious health or safety concerns that might require your attention or intervention?
• Describe any personal or family coping capacities, skills, values, motivations of the client.
• List some client strengths and weaknesses:

Explain the presenting problem and other possible identified problems of the client. (40-50 words)

Describe the cultural background of the client (20-40 words):

Describe any culture/subculture issues of the client (20-40 words):

Explain whether there are any social phenomena (behavior that influences or is influenced by the client)in this case (30-40 words):

Explain the effective physical attending behaviors you will use during the interview (30-50 words):

Explain the positive responses you will use to help move the interview forward (30-50 words):

Explain how you will show empathy and compassion during the interview (30-40 words):

List some possible measurable client goals you will suggest to the client:

Citing two scholarly sources (including the textbook), explain some possible intervention ideas-including any group type interventions you might suggest to the client and why you feel these ideas might help (150-200 words):

Describe a possible satisfying ending to the mock intake interview (100-150 words):