Initial Assessment

Issue/Problem List each issue/problem on a new line. You can indicate its priority as Low, Medium or High in brackets immediately after each statement Framework formulation Use the formulation framework to organise the information you have gathered about the client. Use short statements or lists (rather than long narrative) in the various sections of the framework. Please consider Biological, Psychological, Family/Whanau, School/Occupation, Culture/Spirituality and Wider Social System. Predisposing Precipitating Perpetuating Protective [Age, Gender Identity, Living Arrangement] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Prior and/or Current Counselling or Agency Support] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Personal Strengths/Qualities/Resources] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Family and Relationships] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [School, Employment and Future Plans] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Social Wellbeing and Supports] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Interests] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Cultural Connection and Spirituality] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mental Health Concerns, including functional enquiry (sleep, appetite, motivation, concentration, attention). State Kessler score.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Safety Concerns] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Physical Health] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Presenting AOD Concerns, initiation (age of first use), pattern of use, amount, frequency (last four weeks including SACS score), risk taking (incl. binges, black outs, driving, crime and debt), family history, periods of abstinence / past attempts to reduce.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Presentation, (engagement, level of focus, motivation, interaction in session)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Conclusion] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Possible ways to support or approaches to take with the young person and their family/whanau (List the support/approaches that are likely to have an impact on the difficulties the client is experiencing. There must be a clear link between the formulation and the possible support/approach you will offer) Personal Factors - Psychological Personal Factors - Biological Contextual Factors - Family/Whanau Contextual Factors - School/Occupation Contextual Factors - Culture/Spirituality Contextual Factors - Wider Social System (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)