Internship Manual - Wayne State College

Case Reflection (CF)CSL 697 Counseling InternshipIntern:Name or ID of student/client/groupDate:Number of session and date of session:ASSESSMENTReferral information :Presenting concerns of the client, in the client’s words (NA for group or classroom activity)What would it be like to BE this client? What might you be thinking, feeling, doing?Relevant clinical history or contextual factors:Perceived client strengths and resources::Your perception of the issue:Problem as agreed upon or diagnosis, if applicable:Counseling Goals (agreed upon by counselor and client):When counseling is successful, the client will ……. as evidenced by….1. … as evidenced by….2. … as evidenced by….Counseling Plan… (include your general theory as part of evidence -based practice )1. …2. …3. …Ethical questions/issues:Specific Issues and Questions to be Discussed in Supervision (including class).