Case of Jadine

Case Study Report Content
Using the information from the client intake form and the ACT Student Report (Figure 10.1on page 204), complete the case report below. Be sure to complete each section. You will be provided with feedback to help guide your report-writing skills as the term continues.

Your report should include the following: (Copy the section below and place in the response box to answer the questions.)

Name of person being assessed: 

Date of birth: 

Date(s) of testing: 

Chronological age (years, months): 

Reason for referral: 

Description of the nature of the referral and the goals of the assessment: 

Brief description of the person: 

Background information: 

Behavioral observations: Mental status exam to include:

Activity:

Mood and Affect:

Thought Process, Content, and Perception:

Cognition, Insight, and Judgment:

Physiological Functioning:

Statement about the validity of the assessment instrument(s) used: 

Assessment results: 

Summary of assessment results and conclusions: 

Recommendations:  (List as bulleted points)