Client Profile Name: File#: 5. MENTAL HEALTH (CONT.) Are you satisfied with the services available to you? Yes No Why? What type of service would you like to receive? History of hospitalizations Have you ever been hospitalized in connection with your mental health issues? Yes No If so : How many Was it against your will? Why? How do you feel these hospital stays? Medication (Mental Health) Complete the pharmacological profile Do you know the name, dose and frequency of your Yes No medications? What are you taking this medication for? How do you feel about taking this medication (for or against)?
Client Profile Name: File#: 5. MENTAL HEALTH (CONT.) Are you satisfied with the services available to you? Yes No Why? What type of service would you like to receive? History of hospitalizations Have you ever been hospitalized in connection with your mental health issues? Yes No If so : How many Was it against your will? Why? How do you feel these hospital stays? Medication (Mental Health) Complete the pharmacological profile Do you know the name, dose and frequency of your medications? Yes No What are you taking this medication for? How do you feel about taking this medication (for or against)?
Client%20Profile.docx