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Living Arrangements: Child Protection Client Status:
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Reason For Referral: Client Group:
Referral Date: dd/mm/yyyy Closed Date:
Counsellor: Reason for Closure:
Unprogressed: Drop-In:
Pre-School: Consent for Govt to Contact:
Highest Schooling: Receiving Centerlink?
Marital Status: Active?:
       
Who Received Service:  Client  Partner  Family  Friend  Parent/Carer
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Disabilities:
 Intellectual / Learning     None
 Not Stated / Inadequately Described     Other
 Physical / Diverse     Psychiatric
 Sensory / Speach 
Other Identified Issues:
 Aggressive Behaviours     Anger
 Anxiety     Attachment Disorder
 Bullying     Criminal Involvement
 Depression     Dissociation
 Domestic Violence     Drug / Alcohol Misuse
 Eating Disorder     Employment Problems
 Financial     Flashbacks
 Grief     Housing
 Interpersonal Relationships     Isolation
 Loneliness     Low Self-Esteem
 Mistrust     Nightmares
 Parenting Skills     Phobias
 Poor Impulse Control     Post - Trauma
 Problematic Sexual Behaviours     Revictimisation
 School Problems     Self Harming Behaviour
 Sexual Dysfunctions     Sexuality
 Sexually Abusive Behaviours     Sleep Disturbances
 Somatic Complaints     Suicidal Ideation / Behaviours
 Witness to Domestic Violence 
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Client Status:
 Improved Life Skills  Support Still Required
Therapeutic Interventions:

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Date: Tue, March 3, 2020 For: Phone Contact Time: 15  Edit
Notes: Discussed with Melissa referral for daughter only not for her. Tis case will be closed today.

Date: Thu, February 20, 2020 For: Arranging Referrals Time: 30  Edit
Notes: Discussed referral with Bre (joint referral originally for Elouise Bates); contacted Melissa to discuss MHCP; appnt organised with Bre for intake (Elouise and/or Melissa) for 25/2/2020 at 12:30pm. Allocation to be decided after appntmt. Created client file, updated database and spreadsheet. File to Bre (Allocations Cabinet). LG

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Referrals:

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Memos:
Date: Thu, February 20, 2020 Action Reqired: No  Edit
Memo: Hospital Referral - Melissa Bates - 28.01.2020. LG
Document:  View Document >>  

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