Case Consultation Presentation Form

Presenter: __________________________ Date: ______________________

Facilitator: _____________________________________________________

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Film/Character: _________________________________________________

Biopsychosocial Factors:

· Character presentation

· Developmental History

· Information about neurobiology

· Salient life course issues

· Interpersonal dynamics

· Family, Social, Community

· Cultural Contexts

· You may be asking your consultation group for help with these:

· Assessment/Impressions

· Preliminary Intervention/Treatment Plan

Theoretical Framework

Discuss at least two theories that inform your interventions with this fictional client. Specify how different perspectives change the course of intervention.

Clinical Interventions:

Identify at least one individual and one family or community intervention strategy. Add any additional supports.

Respond to the following questions:

· How might this character come to your attention as a client? And how would you engage them?

· What clinical questions/issues do you believe could arise throughout their treatment?

· Why is a clinician’s emotional intelligence and self-awareness important when working with this particular character?

Case Summary:

Refer to sources we have read in class as well as other sources relevant to the developmental stages you are examining. Add them here in your summary of this case below.

The facilitator assisted with this case consultation meeting by:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The group offered the following helpful feedback:

After engaging in the process of discussion and considering the group’s feedback has anything about your perspective on this case changed?

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