BHS-350: Client Intake Report
Directions: Ask to interview a friend or family member to complete this assignment. Use two
to three scholarly sources to complete this assignment. Be sure to include APA citations for all
resources you incorporate.
Pre-Intake Information
Keep a record of the case manager, client/case number, and date of intake below.
• Case Manager- Brittany Garcia
• Client/Case Number-
• Date of Intake- 10/04/2024
Part 1: Introduction to Client and Significant Others
Identify all relevant client and/or family members upon client intake and notate appropriate
background on each individual family member, including:
• Age:
• Ethnicity, Race, and Nationality
• Occupation (or grade in school)
• Socioeconomic Status (SES)
• Sexual Orientation
• Gender Identity
• Religion or Spirality
• Ability (mental or physical strengths and/or challenges)
• Medical or Behavior Health History (or previous treatment)
• Marital Status
Answer Here:
The client is a 33-year-old straight African American male who works as a chef. He identifies
as working class and describes himself as a spiritual Christian. He reports no previous
behavioral health treatment or history. Despite having a strong ability to adapt to any situation,
the client acknowledges a personal struggle with self-acceptance. He has been in a relationship
with his girlfriend for two years.
Part 2: Presenting Concerns
Describe what concerns the client and/or family members presents, including:
• Description of the problem
• Initial onset
• Frequency
• Intensity
• Duration of problem
© 2024. Grand Canyon University. All Rights Reserved.
, • Potential triggers
• Consequences of problem
Answer Here:
The client reports concerns about not being open enough with his feelings, describing this
issue as a persistent challenge throughout his entire life. He experiences this as a high-
intensity problem, noting that he frequently prioritizes others’ concerns over his own. This
pattern is a constant feeling for him, present in his daily interactions. Although the specific
triggers remain unclear, the client explains that his emotions tend to be triggered when
situations arise where he feels the need to suppress his own feelings in favor of others.
Part 3: Background Information
Describe relevant trauma history of client and/or each family member, including:
• Precipitating Events (recent life changes, first symptoms, stressors, etc.)
• Related Historical Background (family history, related issues, previous
counseling, medical/mental health history, etc.)
Answer Here:
The client first became aware of these emotions at a young age when he noticed that he often
did things for others that he wouldn’t do for himself. He believes this pattern began during
childhood when he felt inadequate compared to his older sister, who was more accomplished
in his view. As the middle child, he often found himself feeling overshadowed by his sister’s
achievements while also taking on the responsibility of caring for his younger brother. This
dynamic contributed to his belief that he wasn’t good enough, leading to a lifelong pattern of
putting others’ needs before his own.
Part 4: Strengths and Limitations of Client and Family
Analyze strengths and limitations of the client and/or each family member, including:
• Personal (i.e., organized, good listener, personable)
• Relational or Social (i.e., religious or group networks, individual or family friendships,
extended family)
• Spiritual (i.e., connection with others, higher power, nature)
• Unique Resources (i.e., job status, cultural privileges, lack of social stressors)
• Limitations/Challenges (i.e., ability, immigration status, health issues)
Answer Here:
The client demonstrates several personal strengths, including being a people person, a good
listener, and polite in his interactions with others. However, he acknowledges that impatience
can be a limitation for him at times. One unique resource he brings is his knowledge of useful
but random facts, which he enjoys sharing in conversations. While he believes in Jesus and
God, he is not interested in attending church services. His relationship with his family is
complex—he loves them but feels comfortable being away from them, which contrasts with
his girlfriend’s close-knit relationship with her own family.
Part 5: Risk Assessment
Directions: Ask to interview a friend or family member to complete this assignment. Use two
to three scholarly sources to complete this assignment. Be sure to include APA citations for all
resources you incorporate.
Pre-Intake Information
Keep a record of the case manager, client/case number, and date of intake below.
• Case Manager- Brittany Garcia
• Client/Case Number-
• Date of Intake- 10/04/2024
Part 1: Introduction to Client and Significant Others
Identify all relevant client and/or family members upon client intake and notate appropriate
background on each individual family member, including:
• Age:
• Ethnicity, Race, and Nationality
• Occupation (or grade in school)
• Socioeconomic Status (SES)
• Sexual Orientation
• Gender Identity
• Religion or Spirality
• Ability (mental or physical strengths and/or challenges)
• Medical or Behavior Health History (or previous treatment)
• Marital Status
Answer Here:
The client is a 33-year-old straight African American male who works as a chef. He identifies
as working class and describes himself as a spiritual Christian. He reports no previous
behavioral health treatment or history. Despite having a strong ability to adapt to any situation,
the client acknowledges a personal struggle with self-acceptance. He has been in a relationship
with his girlfriend for two years.
Part 2: Presenting Concerns
Describe what concerns the client and/or family members presents, including:
• Description of the problem
• Initial onset
• Frequency
• Intensity
• Duration of problem
© 2024. Grand Canyon University. All Rights Reserved.
, • Potential triggers
• Consequences of problem
Answer Here:
The client reports concerns about not being open enough with his feelings, describing this
issue as a persistent challenge throughout his entire life. He experiences this as a high-
intensity problem, noting that he frequently prioritizes others’ concerns over his own. This
pattern is a constant feeling for him, present in his daily interactions. Although the specific
triggers remain unclear, the client explains that his emotions tend to be triggered when
situations arise where he feels the need to suppress his own feelings in favor of others.
Part 3: Background Information
Describe relevant trauma history of client and/or each family member, including:
• Precipitating Events (recent life changes, first symptoms, stressors, etc.)
• Related Historical Background (family history, related issues, previous
counseling, medical/mental health history, etc.)
Answer Here:
The client first became aware of these emotions at a young age when he noticed that he often
did things for others that he wouldn’t do for himself. He believes this pattern began during
childhood when he felt inadequate compared to his older sister, who was more accomplished
in his view. As the middle child, he often found himself feeling overshadowed by his sister’s
achievements while also taking on the responsibility of caring for his younger brother. This
dynamic contributed to his belief that he wasn’t good enough, leading to a lifelong pattern of
putting others’ needs before his own.
Part 4: Strengths and Limitations of Client and Family
Analyze strengths and limitations of the client and/or each family member, including:
• Personal (i.e., organized, good listener, personable)
• Relational or Social (i.e., religious or group networks, individual or family friendships,
extended family)
• Spiritual (i.e., connection with others, higher power, nature)
• Unique Resources (i.e., job status, cultural privileges, lack of social stressors)
• Limitations/Challenges (i.e., ability, immigration status, health issues)
Answer Here:
The client demonstrates several personal strengths, including being a people person, a good
listener, and polite in his interactions with others. However, he acknowledges that impatience
can be a limitation for him at times. One unique resource he brings is his knowledge of useful
but random facts, which he enjoys sharing in conversations. While he believes in Jesus and
God, he is not interested in attending church services. His relationship with his family is
complex—he loves them but feels comfortable being away from them, which contrasts with
his girlfriend’s close-knit relationship with her own family.
Part 5: Risk Assessment
