Character Assessment Interview & PIE

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Character Assessment Interview & PIE essay assignment

1. Descriptive and Identifying Information
2. Name
3. Address
4. Home/cell phone number

Work phone number

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Date of birth

1. Occupation G. Income
2. Gender
3. Ethnicity

Dress and appearance

Personal hygiene

Marital status

1. Living arrangements (include names and relationship to client)

1. Description of Presenting Problem(s)
2. How long has the problem existed?
3. Has it occurred before?
4. What attempts has the client made to resolve the problem? If it is a recurrent problem, what seemed to help resolve it in the past?
5. What kinds of resources does the client have to help resolve the problem? Has he or she sought or received any treatment for this problem?
6. Why did the client seek help now?

 III. Developmental History [NOTE: For adult clients, little detail is usually sought in this section other than possibly asking if there was anything unusual about their early years. For children, the following information is usually gathered from their parent or primary caregiver.]

1. Was the pregnancy planned?
2. Were there any problems during the pregnancy?
3. Were any medications or other substances used by the mother at any time during the pregnancy? If so, what and when?
4. Were labor and delivery uneventful? If not, what happened?
5. Was the child born with any unusual medical conditions or physical problems?
6. Did the child have a consistent caregiver during the first two years? Who?
7. Did the child crawl, walk, talk, and toilet train at the expected times? When?
8. What opportunities did the child have to associate with same-age peers?
9. Has the child incurred any significant problems or delays in school?

1. Mental Status A. Cognitive functioning
2. Does the client seem to be of normal intelligence?
3. Is the client oriented to person, place, and time?
4. Is there evidence of logical problem-solving thinking or capacities?
5. Does the client seem preoccupied by anything?
6. Is there evidence of delusional thinking? If so, are delusions bizarre?
   6. Is the client’s thinking coherent and goal directed?
7. Does the client exhibit good judgment?
8. Does the client show any memory problems? If so, are they immediate, recent, or remote?
9. Does the client report hearing or seeing things that others don’t seem to hear or see?
10. Is there anything unusual about the client’s manner of speaking?
11. Emotional functioning
    1. What emotions does the client describe in relation to the presenting problem?
12. Do the client’s emotions appear to be congruent with the client’s thoughts?
13. How has the client been feeling the majority of time over the past year?
14. Has the client’s emotional state created difficulties for the client recently? Over the past year?
15. How stable are the client’s emotions during the interview
16. Does the client exhibit any blunting or flattening of affect?
17. Does the client seem unusually animated or expansive in his or her expression of emotions?

Physical functioning/Medical history

1. Does the client’s level of energy or activity seem unusual (e.g., lethargy or hyperactivity)?
2. Does the client display any odd or peculiar motor behaviors (e.g., motor and/or vocal tics, mannerisms, or stereotypical movements)?
3. Does the client report any medical conditions or problems?
4. Has the client been examined by a physician during the past year? Results of exam?
5. Does the client take any prescription medications for current ailments?
6. Does the client take any over-the-counter medications on a regular basis?
7. Has the client ever had any psychological or mental health–related treatment in the past (including inpatient, outpatient, and/or psychotropic medications)? If so, describe in detail.
8. Does the client present with any disabilities?

Substance use

1. Does the client use alcohol? If so, what kind? How often?
2. Does the client use any other substances?
3. Has the client experienced any social, occupational, or legal problems associated with his or her use of alcohol and/or other drugs?
4. Has anyone ever encouraged the client to stop or cut back his or her use of substances?
5. Has the client ever been treated for a drug or alcohol problem?

1. Relational Functioning
   A. Family
2. Does the client reside with other family members?
3. What is the client’s relationship with other family members?
4. Does the client’s presenting problem involve other family members?
5. Is there any history of family problems? Have any family mem- bers had problems similar to the client’s current situation?
6. Would family members be willing to participate in treatment if necessary?

Significant other

1. Does the client have a relationship with a significant other?
2. If so, what is the length of the relationship? The quality?
3. Does the client’s presenting problem involve the significant other?
4. Would the significant other be willing to participate in treatment if necessary?

Social support system

1. Does the client have close friends and/or acquaintances?
2. What is the quality of these relationships?
3. Does the client feel that these are supportive relationships?
4. Are any members of the client’s social support system involved in the presenting problem?

1. Occupational/School Functioning
2. Employment
3. Is the client employed? Underemployed? Unemployed?
4. If so, where is the client employed? Full-time? Part-time?
5. What is the client’s occupation?
6. If the client is not employed, is he or she retired?
7. Does the client’s presenting problem affect his or her job?

1. School
2. Is the client a student? Full-time? Part-time?
3. What is the client studying?
4. Does the client’s presenting problem affect his or her studies?

VII. Legal Problems

1. Does the client have current problems with the legal system?
2. If so, what types of problems?
3. Has the client had any history of problems with the legal system?
4. If so, what types of problems?
5. Has the client ever been convicted of a crime?

VIII. Diversity Issues

1. What is the client’s ethnicity?
2. What is the client’s nationality? If relevant, immigration status?
3. How acculturated does the client appear to be?
4. Is English the client’s first language? Second? Third?
5. What are some of the client’s beliefs about mental health issues?
6. Does the client engage in any religious or spiritual practices?
7. Has the client discussed his or her sexual orientation?
8. Does the client utilize any cultural resources?
9. Does the client perceive barriers to accessing resources?

1. Client’s Strengths and Resources
2. What do you perceive to be the client’s strengths?
3. How can these strengths be utilized to assist the client in resolving the current issues?
4. What client resources could be utilized to enhance coping?
5. What agency resources could be utilized to intervene with the client?