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OUTPATIENT SERVICES CLIENT HISTORY WORKSHEET Directions: Please answer the questions on the attached questionnaires to the best of your ability. If you don't know the answer to a question, just skip
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How to fill out psychosocial history - philhaven:

01
Start by providing personal information such as name, date of birth, address, contact details, and relevant identification information.
02
Include information about your family and household, such as family members' names, ages, relationships, and any significant events or changes within the family.
03
Provide details about your educational background, including the highest level of education completed, any degrees or certifications obtained, and relevant vocational or job training.
04
Include information about your employment history, including current and past job positions, dates of employment, job responsibilities, and any significant work-related achievements or challenges.
05
Describe your current living situation, including the type of housing, living arrangements, and any challenges or issues related to housing stability or safety.
06
Provide a comprehensive medical history, including any existing medical conditions, previous diagnoses, medications, hospitalizations, surgeries, and any current or ongoing treatments.
07
Include information about your mental health history, including any previous diagnoses, treatments, therapy or counseling experiences, and any relevant family history of mental health issues.
08
Mention any substance use or addiction history, including details about any previous or current substance abuse, alcohol or drug use patterns, treatment or recovery efforts, and any legal or social consequences related to substance use.
09
Write about your social support system, including friends, family, and any other sources of support or social connections.
10
Include information about any legal or financial issues or concerns, such as previous legal involvement, current legal obligations or court proceedings, financial stability, or debt.
11
Finally, provide any additional relevant information or concerns that you believe are important for the psychosocial history assessment.

Who needs psychosocial history - philhaven?

01
Individuals seeking mental health services or treatment from Philhaven, a mental health organization.
02
Patients referred to Philhaven by healthcare professionals, social workers, or other support agencies.
03
Individuals undergoing evaluations or assessments for mental health conditions, treatment planning, or as part of their overall care.
It is important to note that the specific criteria for who needs a psychosocial history may vary depending on the policies and practices of Philhaven or other mental health organizations. It is recommended to consult with the respective facility or healthcare provider to determine the specific requirements for the psychosocial history assessment.
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Psychosocial history at Philhaven is a comprehensive document that details an individual's personal, social, and medical history.
Patients who are seeking mental health services at Philhaven are required to fill out and submit their psychosocial history.
Patients can fill out their psychosocial history form either electronically or with the help of a healthcare professional at Philhaven.
The purpose of psychosocial history at Philhaven is to provide healthcare providers with valuable information about a patient's background, which can aid in creating a personalized treatment plan.
Psychosocial history at Philhaven typically includes a patient's demographic information, family history, medical history, social support system, and presenting concerns.
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