Plan Personalizat de Consiliere

Numele si prenumele beneficiarilor:

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2. _____________________________________
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5. _____________________________________
6. _____________________________________

Obiective generale ale programului de consiliere/intervenţie psihologică:

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Obiective specifice ale programului de consiliere/intervenţie psihologică:

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Elemente de strategie:

Modalitatea de realizare a programului de consiliere/psihoterapie:

1. Consiliere/intervenţie psihologică individuala
2. Consiliere/intervenţie psihologică de grup

Metode folosite: ______________________________________________________________________

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Mijloace/materiale/instrumente folosite: ___________________________________________________

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Durata estimata a programului de consiliere/intervenţie psihologică (in totalitate si pe obiective):

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Frecvenţa întâlnirilor: __________________________________________________________________

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Durata unei întâlniri: __________________________________________________________________

Locul unde se vor desfăşura întâlnirile: ____________________________________________________

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Observaţii:
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Persoana responsabila de caz: ________________________________________

Data întocmirii:______________________

Şef Serviciu: