Optional Health Assessment Modules Form Page 19
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27OPTIONAL MODULE 9:
UR Number:
STRENGTHS
Surname:
Given name:
Date of birth:
(Please fill in if no label available)
PURPOSE OF MODULE
PURPOSE OF MODULE
INTRODUCTION FOR CLIENT
INTRODUCTION FOR CLIENT
To assess the client’s perceived physical health.
To map out a clients strengths.
“Now I am going to ask you your physical health and conduct a basic
“Now I’d like you to think about some of the strengths you possess that
physical health check.”
might help you to meet your goals. And we’ll map these out on this form.”
WHO CAN ADMINISTER THIS MODULE?
WHO CAN ADMINISTER THIS MODULE?
INSTRUCTIONS
INSTRUCTIONS
Only complete this module if you are a medical doctor or a nurse.
This module can be completed by the client with the clinician assisting
1. Introduce module to client.
1. Provide the client with a pen and invite them to list their strengths.
through prompts that draw attention to strengths the client may have
2. As questions and perform relevant tests.
2. If they are struggling, prompt them with possible strengths that you
missed.
3. Formulate responses and note actions to be taken.
have noticed the client possesses (Optional Module 8: Assessment of
Recovery Capital may be a good starting point).
3. Give client a copy of their strengths map to take home as a resource
they can refer to as desired.
HEALTH AND PHYSICAL
SOCIAL RELATIONSHIPS
PROBLEM-SOLVING / COPING
EMOTIONS /
VALUES AND BELIEFS
TEMPERAMENT
What are your
strengths?
WORK / SKILLS
FOR STAFF ONLY
Clinician name:
Position:
Signature:
Date:
18
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