INTAKE REPORT PART TWO 2
Intake Report Part One: Initial Interview
Identifying Information
Name: Jeremy Colbert
Address: 555 Green Valley Road, New Albany, IN 47150
Phone Number: 725-555-6769
Date of Birth: 09/20/1985
Marital Status: Married, 20 years, Emily
Sex: Male
Current Position: Associate Pastor
Current Employer: Vincennes Christian Church, 725-555-7696
Emergency Contact: Emily Colbert (Wife), 355-657-6677
Date of Interview: 11/04/2023
Reason for Referral
Dave Hutchinson, the pastor of Memphis Christian Church, recommended Jeremy
Colbert for an assessment to assess his suitability for the Senior Pastor role they are looking to
fill. Situated near a forested area, this relatively small church in Southern Indiana is conveniently
located just off an interstate exit, approximately 10 miles from the nearest city. Mr. Colbert
brings over two decades of pastoral experience, initially serving as a youth pastor in his early
twenties and progressively advancing to the role of associate pastor at his present congregation.
Current Situation and Functioning
Jeremy’s typical daily activities revolve around his pastoral responsibilities. He starts his
day with personal prayer and Bible study, which he reported as essential to his decision-making,
interpersonal interactions, and his overall spiritual well-being. Throughout the day, he engages in
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a wide range of activities, including conducting church services, providing pastoral care to
members, leading Bible study sessions, and participating in community outreach initiatives. He
also dedicates daily time to his wife and children and remains actively involved in their lives.
Relevant Medical History
Jeremy has no significant medical history or legal issues. He maintains good physical
health.
Psychiatric Treatment History
Jeremy’s psychiatric history includes a period of significant struggle with depression,
anxiety, and panic attacks during his teenage years. These challenges were a pivotal part of his
life journey and ultimately led to his deepening faith and commitment to the church.
In his mid-adolescence, Jeremy experienced a profound existential crisis. He grappled with
feelings of emptiness and anxiety, which sometimes escalated into debilitating panic attacks.
Recognizing the severity of his emotional struggles, his family encouraged him to seek
professional help. Jeremy began attending psychotherapy and counseling sessions with a licensed
therapist who specialized in adolescent mental health.
These therapy sessions proved to be transformative for Jeremy. They provided a safe and
supportive space for him to explore his thoughts, feelings, and fears. Through these sessions, he
reportedly learned coping strategies, gained a deeper understanding of his emotional triggers, and
began to rebuild his mental and emotional well-being. His therapist also introduced him to
mindfulness and meditation, which Jeremy incorporated into his daily routine for some time.
Eventually, this routine was replaced with prayer and meditating on biblical passages.
Ultimately, Jeremy reported that it was his faith in Christianity that became the
cornerstone of his recovery. Jeremy stated that it was a combination of therapeutic support,
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strong family bonds, and the spiritual guidance he received through church and prayer that
allowed Jeremy to transcend his mental health challenges and embark on a path of emotional and
spiritual growth.
Family History
Jeremy’s upbringing was marked by a non-Christian environment until his conversion in
his late teens, which played a significant role in shaping his character and spiritual journey.
He was born and raised in a secular family in a diverse rural community. His parents,
John and Sarah, were not particularly religious, and spirituality played a limited role in their
household.
Growing up as the middle child in a family of five, Jeremy was encouraged to explore his
interests and develop a sense of individuality. His parents instilled values of tolerance, open-
mindedness, and the importance of education. While spirituality was not a central part of their
family life, they were supportive of Jeremy's pursuit of personal growth and self-discovery.
It was during his late teens that Jeremy experienced a profound spiritual awakening. He
encountered a Christian youth group through friends and found solace in the teachings and
community it offered. This newfound connection to Christianity ultimately led to his conversion
and a deepening commitment to his faith.
In Jeremy's family, there is a history of mental health challenges and substance abuse. His
maternal grandmother, Mary, struggled with extreme bouts depression, and his paternal uncle,
Robert, has had a history of alcohol abuse. Although Jeremy stated that he relies on prayer and
conversations with trusted mentors, friends, and fellow pastors when feeling that he needs
guidance, his family has a history of seeking therapy and counseling when needed to address
their own issues.
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Social and Developmental History
Significant developmental events in Jeremy's life have greatly influenced his current path
and circumstances. He reported that the journey from a non-religious upbringing to his late teen
conversion to Christianity was a defining developmental event for him. This transformation
seems to have shaped his sense of purpose and set him on a course toward a life dedicated to
ministry.
Jeremy’s mother had a normal pregnancy without complications. The home Jeremy lived
in during the early years of his life was stable and healthy for the most part. Jeremy reported that
he did witness his parents having domestic disputes, but that none of them stood out as traumatic
to him. Jeremy’s home put him near many of his peers, so he was able to play outside with them
and do the normal activities of a kid. Jeremy reported that he did not remember ever having
unusual issues with socializing or making friends.
During his adolescence, Jeremy excelled academically, consistently achieving high
grades and demonstrating a strong work ethic. He actively engaged in extracurricular activities,
including sports and clubs, which helped him develop leadership and teamwork skills.
Throughout his life, Jeremy's interpersonal relationships have been a source of strength.
His supportive family, his loving wife, Emily, and their three children, Sarah, James, and Lily,
have been pillars of support in his journey. Jeremy's ability to maintain close and nurturing
relationships with those around him, both as a family man and in his pastoral role, seemed
instrumental in his personal and professional growth.
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Jeremy reports that these developmental milestones and relationships have contributed to
his character and have played a significant role in his choice to serve as a senior pastor and in his
ability to provide support and guidance to others within his congregation.
Educational and Occupational History
Jeremy's educational and employment history has played a crucial role in his journey to
becoming a senior pastor. He attended public schools in his urban neighborhood, where he
demonstrated an aptitude for academics and strong interpersonal skills. He completed high
school with honors and actively participated in extracurricular activities.
Jeremy holds a Bachelor of Arts degree in Theology from a well-respected university and
a Master of Divinity from a renowned seminary. He has also pursued advanced coursework in
pastoral care and counseling as part of his Doctorate in Ministry, which is currently in progress.
In terms of employment, Jeremy has been in ministry for over two decades. He began his
pastoral career as a youth pastor in his early twenties, and over the years, he has served in
various roles, ultimately rising to the position of senior pastor at his current church. His tenure
has been marked by his dedication, leadership, and community engagement.
Jeremy has no military service experience. His job history has been predominantly within
the realm of ministry, and he has maintained steady employment in this field. His performance
record has been consistently commendable, with no job losses or leaves of absence. Jeremy's
occupational commitment and injury-free career have allowed him to focus on his pastoral
calling and spiritual leadership.
Cultural Influences
When working with diverse populations, potential assessment issues for Jeremy may
encompass cultural sensitivity, language barriers, spiritual beliefs, and socio-economic
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disparities. While Jeremy has a seemingly effective way of dealing with his own mental health
problems, he may have a blind spot when working with those whose methods of dealing with
their own mental health issues do not match his own. Tailoring worship practices to the diverse
preferences of the congregation, engaging with various community needs, and promoting
leadership diversity are additional challenges.
Intake Report Part Two: Intake Report Part One: Initial Interview
Mental Status Exam
Appearance & Psychomotor
Jeremy presented himself with a professional and approachable appearance. His physical
demeanor was characterized by a neat and well-groomed appearance, complemented by facial
expressions that conveyed warmth and sincerity. Facial features exhibited a balance between
seriousness and approachability, fostering a positive and inviting atmosphere. Jeremy's eyes
reflected depth and attentiveness, contributing to effective communication and engagement. His
overall facial structure suggested harmony and proportionality, enhancing his visual appeal.
While assessing psychomotor abilities, Jeremy demonstrated precise and purposeful
movements, indicating well-coordinated sensorimotor functioning. His posture was upright, and
gestures were congruent with the conversation, reflecting balanced psychomotor coordination.
There was an observable fluidity in his movements, showcasing agility and responsiveness.
These psychomotor qualities contribute to effective non-verbal communication, creating an
environment conducive to open dialogue.
Manner and Approach
Jeremy's manner and approach exuded a blend of warmth, professionalism, and genuine
care. In interpersonal interactions, he reportedly adopts an open and approachable demeanor to
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allow others to feel at ease. Jeremy engaged in the conversation with active listening and
thoughtful responses, creating a space for open communication. His approach to pastoral care
seemed characterized by empathy and a non-judgmental attitude. His overall goal was reportedly
the fostering of an environment where individuals feel comfortable sharing their concerns. As a
pastor, Jeremy seemed to exhibit a balanced mix of authority and approachability. He shared
stories where he navigated sensitive topics with tact, addressing them with compassion and
understanding.
Additionally, Jeremy's manner reflected a commitment to inclusivity. He stated a few
times the focus he places on treating everyone with respect regardless of their background or
beliefs. His pastoral approach is marked by a genuine desire to support others in their spiritual
journey, offering guidance with humility and sincerity. Overall, Jeremy's manner and approach
contribute to a positive and supportive atmosphere.
Orientation, Alertness, & Thought Process
Jeremy's orientation is consistently clear and well-grounded. He displayed a good
awareness of his surroundings, time, and the context of the assessment. Jeremy seemed very in
tune with the present moment.
In terms of alertness, Jeremy consistently maintained a high level of attentiveness. He
engaged in the conversation with focus, actively listening to each question and responding
thoughtfully. His alertness is not only evident in his quick response to questions but also in his
ability to adapt and address various topics with agility.
Jeremy's thought process is characterized by logic, coherence, and depth. He engages in
discussions with a sequential and organized flow of thought, demonstrating a comprehensive
understanding of complex subjects. There is an absence of tangential thinking, flight of ideas, or
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cognitive rigidity, underscoring the flexibility and adaptability of his thought processes.
Mood and Affect
In the assessment of Jeremy's affect and mood, it is observed that his affect is congruent
with the content of the conversation. He displays appropriate emotional responses, expressing a
range of feelings in a manner consistent with the topics discussed. Jeremy's mood appears to be
stable and within normal limits, with no overt signs of depression, anxiety, or extreme elation.
His affective expressions are in harmony with the context, indicating an emotional
responsiveness that aligns with the situation at hand. There are no indications of inappropriate
affect, such as emotional flatness or excessive emotional reactions. Jeremy seemed very present.
Although Jeremy had struggled with emotional/spiritual difficulties in his adolescence,
he reported no struggle with suicidal, homicidal, or otherwise violent actions or ideations.
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