страница 3/3 Дата 10.04.2018 Размер 328.27 Kb. #66029
КОНСУЛТАЦИИ:
ДАТА
ОТНОСНО
ПОДПИС НА ПОТРЕБИТЕЛ
НАСТОЙНИК; ПОПЕЧИТЕЛ
ПОДПИС НА СПЕЦИАЛИСТА ИЗВЪРШИЛ КОНСУЛТАЦИЯТА
СЪДЪРЖАНИЕ НА ДОСИЕТО:
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Дата: Запознат:
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СОЦИАЛНИ УСЛУГИ:
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Кинезитерапия:
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Когнитивна сфера:
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Социални умения:
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Работа в зала–придобиване на умения и ориентири за заобикалящия свят:
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Трудотерапия:
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Арт-терапия:
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Музикална терапия:
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Работа със семейството:
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Среща с роднини и приятели на потребителя:
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Всеки специалист е длъжен в хода на работата с потребителите , както и в края на терапевтичните процеси да изготвя заключение за дейността си и да отбелязва постигнатите резултати.
Заключение на: ..........................................................................................................
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Дата: ..........................
Постигнати резултати за периода от ........... до ........... :
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Дата: .......................... Специалисти: 1. .................................
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ОЦЕНКА НА РИСКА
/ Оценка на риск от самоубийство и себеувреждащо поведение /.
Психопатология;
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Възраст и пол;
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Злоупотреба или зависимост от алкохол и други вещества;
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Семейна среда;
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Тип привързаност ;
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Социално и материално положение на семейството;
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Травматични събития в живота;
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Личностова структура ;
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Фаза на развитието;
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Минали опити или идеи за самоубийство;
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Мисли за смъртта ;
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Степен на споделеност;
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Степен на сътрудничество при интервюто;
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Минали агресивни актове ;
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Претърпяно насилие.
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Вербална агресия;
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Физическа агресия към неодушевени предмети;
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Агресия към хора с или без провокация;
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Организираност /неорганизираност/ на агресията ;
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Подготовка /обмисляне/, импулсивност;
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Целенасоченост на агресията;
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Достъп до опасни предмети / оръжия.
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Сподели с приятели: