Intake Form Critique

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Intake Form Critique
The intake form or assessment form is designed to offer the provider with a multidimensional perspective about the new client that helps the provider to gain basic information about the Client’s current life context and presenting problem. The information could include general information about the client, health and mental health history as well as family and socio-economic history, and substance use or legal history. The intake form discussed in this assignment is used by Agor Behavioral Health Services, Inc.
a. Does the intake form ask all of the necessary questions to determine what the client’s presenting problem is?
The intake form chosen for this assignment asks numerous questions that could determine the client’s …show more content…

b.Are there too many or too few questions? Why or why not?
Although this intake form is designed to provide an initial assessment and well-rounded description of the client’s past experiences and present struggles, it can be said that the form contains too many questions. The multitude of questions and checklists could be overwhelming for the client. In addition it could take a long time to complete and might determine the client to have second thoughts about receiving services from the provider.
c. Are the questions reading level appropriate for clients? Please explain the answer.
The majority of questions are reading level appropriate for clients. The questions are short and clear and they provide the choice of either multiple choice, check mark, or fill in the blank. Some terms however, such the ones from the symptom checklist, might be unfamiliar to some clients or they might have difficulties rating …show more content…

The agency’s website had informational brochures in both English and Spanish which emphasizes the fact that that the agency servers Spanish speaking clients. However, the intake form posted online was available only in English. This indicated the need for intake forms available in the language appropriate for the population that the agency serves, including Spanish and Portuguese.

e.Is there enough space to write what is needed in each answer space? Why or why not?
This intake form provides enough space to write what is needed in most of the answer space. For instance, there is enough space to write the medication name and dosage and all the other sections that require a short answer. However, the sections that require more elaborate explanations, such as circumstances of emancipation from home, special circumstance in childhood, or cultural issues that contribute to current problem would benefit from having more writing space.
f.Should the intake be re-formatted so it is easier to read?

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