Family systems assessment w/ peer review template

profileMSTI
COUN_6356_MD3_Peer_Review_Form.docx

Peer Review Form/Questions

Assignment Under Review: Week 7 Assessment of Family Systems

Reviewed Students Name: ____________________________

1) Background information for the family in the case study was thorough and included information relative to the case. Prior attempts to address the problem were also discussed (if any).

Yes or No

Suggestions or feedback: (Please provide at least one suggestion or offer constructive feedback on this section):

2) The family structure is clearly described and includes a discussion of any family of origin and/or family of choice factors.

Yes Or No

Suggestions or feedback: (Please provide at least one suggestion or offer constructive feedback on this section):

3) The presenting problem is described, including a discussion of frequency and intensity of the presenting problem.

Yes or No

Suggestions or feedback: (Please provide at least one suggestion or offer constructive feedback on this section):

4) The bio-psycho-social evaluation includes a discussion of relevant mental health, substance use, and developmental disabilities present in the family system. If applicable, the discussion also addresses trauma, patterns of family functioning, and sexual histories.

Yes or No

Suggestions or feedback: (Please provide at least one suggestion or offer constructive feedback on this section):

5) The narrative summary includes a discussion of each of the following:

1. Observations and impressions of the family.  

2. Counselor’s view of the problem. 

3. Common themes noticed by the counselor based on their stated theory (e.g., types of self-talk, behaviors, emotional states/qualities).  

4. The family’s barriers to growth and coping skills.  

5. The strengths/assets (protective factors/signs of resilience). 

6. The etiology of the family’s present psychological capacity or incapacity.  

7. The “Identified Patient” is identified, if applicable

Yes or No

Suggestions or feedback: (Please provide at least one suggestion or offer constructive feedback on this section):

6) The systemic diagnosis provides a theoretical explanation of the family’s presenting problem.

Yes or No

Suggestions or feedback: (Please provide at least one suggestion or offer constructive feedback on this section):

Suggestions or feedback: (Please provide at least one suggestion or offer constructive feedback on this section):