ROLES
Do you have any family responsibilities? Are you managing to keep up with these?
How much contact with family/friends? How often do they telephone/ visit/write?
Are you studying now or have any other responsibilities here? What are your needs relating to your culture or religion?
How well are you able to ________ (for each role mentioned)?
(For each role mentioned) How important is ____ to you?
Do you enjoy_______?
What else do you do? What other roles do you fill?
�Occupational roles reflect a highly productive lifestyle
F� High level of satisfaction with current roles
�Fulfils a wide range of role responsibilities
�Occupational roles reflect a somewhat productive lifestyle
A� Some satisfaction with current roles
�Minor difficulty in fulfilling a wide range of role responsibilities
�Occupational roles fail to constitute a productive lifestyle
I� Very little satisfaction with current roles
�Major difficulty in fulfilling a wide range of role responsibilities
�No occupational roles
R� Alienated from roles
� Cannot fulfill a wide range of role responsibilities
HABITS
What would you like your routine to be like? How is your sleep pattern now?
Describe a typical weekday (before you were admitted here). Were your weekends any different?
What is your routine now? Are you able to do what you want to do?
Has your routine changed (since you index offense/admission here)? If so, how? Are you satisfied with your current routine?
F |
� Highly organized daily schedule |
� Good balance between work, rest, self-care and leisure |
|
� Satisfied with daily routine |
A |
� Some organization of daily schedule |
� Some balance between work, self-care and leisure |
|
� Somewhat satisfied with daily routine |
I |
� Very little organization of daily schedule |
� Very little balance between work, self-care and leisure |
|
� Very little satisfaction with daily routine |
R |
� No organized daily schedule |
� No balance between work, self-care and leisure |
|
� Dissatisfied with daily routine |
PERSONAL CAUSATION
How well do you think you understand your own abilities? What things do you feel you do well, or are proud of?
What things have been difficult for you? Can you give me an example of some- thing you have found difficult to cope with recently? How did you handle it? What is the most difficult thing for you at the moment?
How successful do you think you will be over the next six months? How do you think you will achieve this?
Is there anything you thought you may be able to do, but have probs achieving?
F |
� Strong confidence in abilities |
� Anticipates success in next six months |
|
� Identifies a number of things (3 or more) done well/proud of |
A |
� Some confidence in abilities |
� Anticipates somewhat successful outcomes within next six months |
|
� Some difficulty in identifying something done well/proud of |
I |
� Very little confidence in abilities |
� Significant concerns about failures within next six months |
|
� Major difficulty in identifying something done well/proud of |
R |
� No confidence in abilities |
� Anticipates failure in next six months |
|
� Does not identify anything done well/proud of |
FINAL NOTES
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