Professional Documents
Culture Documents
Case History
Case History
Case History
Areas of Concern
How long have you been working with occupational therapy, either in a group or one-on-one?
Talk about your OT goals and progress since you started working one-on-one with the OT at the shelter.
Is there a reason that you're not making eye contact with me?
Why didn't you have enough money to pay for your own housing?
Developmental
Tell me about your childhood.
Medical
Describe your medical history.
You describe pins and needles from the neuropathy. Do you have any pain?
Tell me about the medications you take and how you’re doing with your medication routine.
Psychosocial
Have you been experiencing sadness or periods of depressed mood?
Why don't you ask your family to help you with meals?
Do you have any difficulty completing or keeping up with your self-care like dressing, bathing, and
grooming?
What is the usual amount of spending money you have per month?
How do you make sure your bills are paid every month?
Describe whether you use a phone or other means to communicate with people.