Abstract
To sum up, the case record should contain a sufficiently detailed report of the early contacts and of the worker's observations and findings so that it serves as a factual basis for sound evaluation of the client's problems, his motivation to seek help, and his capacities. The worker's understanding of the client and his problems should be clearly stated, together with the goals toward which he and the client will work and the plans by which it is hoped to attain them. Subsequent contacts can be recorded more briefly if they are related to this evaluation and plan. They should describe the activities of the client, the worker, and any teamwork with other helping persons, and should indicate the results achieved. Periodic re-evaluations of the goals and of helping methods used to achieve them should be included as we gain increased understanding of the client and his problems, as changes occur in his situation, or as movement or lack of movement toward the goals shows that a reassessment of the goals and methods is required. The maintenance of such a record necessitates alert and careful thought, but is essential in sustaining a purposeful, focused direction and in promoting effective partnership with the client and other team members.
The case record is a useful instrument for giving effective and efficient service. Like any instrument, its value depends largely on whether we understand its purpose and are willing to make full and appropriate use of its possibilities in all areas of our work.
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