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ELEMENTS OF AN ASSESSMENT REPORT
 Client’s details
 The /Reason for/goal/purpose of assessment: Indicate the specific purpose for which
assessment was requested and by whom.
 A summary of essential details related to the history of the client, both before you were
the therapist (if relevant) as well as during your work with the client(s) including:
 Duration.How long you have met the client?
 What was the initial presenting problem? History of the problem, treatment history
(Counseling, psychiatric medication, other medical issues).
 Assessment process : Assessment tools and methods used and scoring interpretations.
(Making judgment).
 Diagnosis: What is your judgment of the issue (issues?)
 Treatment: What is your recommended way of supporting the client based on your
diagnosis?

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ELEMENTS OF AN ASSESSMENT REPORT.docx

  • 1. ELEMENTS OF AN ASSESSMENT REPORT  Client’s details  The /Reason for/goal/purpose of assessment: Indicate the specific purpose for which assessment was requested and by whom.  A summary of essential details related to the history of the client, both before you were the therapist (if relevant) as well as during your work with the client(s) including:  Duration.How long you have met the client?  What was the initial presenting problem? History of the problem, treatment history (Counseling, psychiatric medication, other medical issues).  Assessment process : Assessment tools and methods used and scoring interpretations. (Making judgment).  Diagnosis: What is your judgment of the issue (issues?)  Treatment: What is your recommended way of supporting the client based on your diagnosis?