Type: Individual
| Tools & Equipment | Materials |
|---|---|
| Pens | Access to drinking water with cups |
| Writing pads | |
| Soft tissues | |
| Referral form | |
| Consent form | |
| Client intake form |
| S/N | Item | Quantity |
|---|---|---|
| 1 | Soft tissues | 1 box per Candidate |
| 2 | Identical Chairs | 2 per Candidate |
| 3 | Small sized table | 1 per Candidate |
| 4 | Working wall clock | 1 per counselling room |
| 5 | Small waste bin | 1 per Candidate |
| 6 | Access to drinking water with cups | 1 dispenser and 3 cups per counselling room |
| 7 | Client intake form | 1 per Candidate |
| 8 | Consent form | 1 per Candidate |
| 9 | Referral form | 1 per Candidate |
| 10 | Pens | 1 per Candidate |
| 11 | Writing pads | 1 per Candidate |
| 12 | Client (role-player) | 1 per Candidate |
| Items to be Evaluated | Marks Available | Marks Obtained | Comments |
|---|---|---|---|
| TASK 1: Prepare and Orient Client | |||
| Wore appropriate counselling attire and followed PPE guidelines (Award 1 mark if PPE and professional appearance observed, 0 if not) | 1 | ||
| Greeted the client appropriately and invited to sit (Award 1 mark if client greeted and offered choice of seating, 0 if not) | 1 | ||
| Invited client to self-introduce and portrayed appropriate body language (Award 1 mark if client invited to introduce self and counsellor used open posture and eye contact, 0 if not) | 1 | ||
| Sub-Total | 3 | ||
| TASK 2: Conduct Final Counselling Session | |||
| Reviewed client progress and summarized key counselling outcomes (Award 2 marks if clear, concise summary of client progress given, 0 if inadequate) | 2 | ||
| Used appropriate closure techniques including checking client readiness to terminate (Award 2 marks if closure techniques used effectively, 0 if not) | 2 | ||
| Addressed any client concerns or emotional responses during termination (Award 2 marks if client concerns addressed empathetically, 0 if ignored) | 2 | ||
| Discussed follow-up plans including referrals or future appointments if needed (Award 2 marks if referral or follow-up booked appropriately, 0 if not) | 2 | ||
| Sub-Total | 8 | ||
| TASK 3: Documentation and Referral | |||
| Completed and signed final session counselling forms including referral if applicable (Award 2 marks if forms correctly filled and signed, 0 if incomplete) | 2 | ||
| Ensured confidentiality and properly stored client records (Award 1 mark if confidentiality maintained and records secured, 0 if not) | 1 | ||
| Sub-Total | 3 | ||
| PRODUCT CHECKLIST | |||
| Final counselling session conducted within 40-50 minutes as per standards (Award 1 mark if session length appropriate, 0 if too short or excessively long) | 1 | ||
| Summary of client progress is accurate and comprehensive (Award 2 marks if summary covers key progress areas, 0 if incomplete) | 2 | ||
| Referral form correctly filled and client given clear instructions (Award 2 marks if referral form complete and instructions clear, 0 if missing or unclear) | 2 | ||
| Counselling termination conducted with clear closure and next steps outlined (Award 2 marks if termination is gradual and client is prepared, 0 if abrupt or unclear) | 2 | ||
| Sub-Total | 7 | ||
| GRAND TOTAL | 21 | ||
Type: Individual
| Tools & Equipment | Materials |
|---|---|
| Pens | Client intake form |
| Writing pad | Consent form |
| Small table | Relapse prevention plan template form |
| Wall clock | Soft tissues |
| Access to drinking water with disposable cups |
| S/N | Item | Quantity |
|---|---|---|
| 1 | Client intake form | 1 Pc per Candidate |
| 2 | Consent form | 1 Pc per Candidate |
| 3 | Relapse prevention plan template form | 1 Pc per Candidate |
| 4 | Pens | 1 Pc per Candidate |
| 5 | Writing pad | 1 Pc per Candidate |
| 6 | Counselling room with three identical chairs | 1 Set per Candidate |
| 7 | Small table | 1 Pc per Candidate |
| 8 | Wall clock | 1 Pc in counselling room |
| 9 | Waste bin | 1 Pc per Candidate |
| 10 | Access to drinking water with disposable cups | 1 Dispenser per counselling room with 3 cups |
| 11 | Soft tissues | 1 Box per Candidate |
| 12 | Client (role player) | 1 Pc per Candidate |
| Items to be Evaluated | Marks Available | Marks Obtained | Comments |
|---|---|---|---|
| TASK 1: Prepare client for relapse prevention planning | |||
| Greeted client appropriately and oriented to session purpose (Award 1 mark if greeting and orientation done properly, else 0) | 1 | ||
| Demonstrated appropriate body language and tone of voice (Award 1 mark if body language and tone appropriate, else 0) | 1 | ||
| Ensured client comfort by allowing choice of seating (Award 1 mark if client allowed to choose seat, else 0) | 1 | ||
| Sub-Total | 3 | ||
| TASK 2: Identify client-specific relapse triggers and coping strategies | |||
| Asked open-ended questions to identify at least 3 personal relapse triggers (Award 2 marks if at least 3 triggers identified, else 0) | 2 | ||
| Explored at least 3 effective coping strategies relevant to client (Award 2 marks if at least 3 coping strategies discussed, else 0) | 2 | ||
| Involved client actively in developing the prevention plan (Award 1 mark if client involvement evident, else 0) | 1 | ||
| Used counselling skills: active listening, paraphrasing, summarizing (Award 2 marks if all 3 skills used appropriately, else partial or 0) | 2 | ||
| Applied relevant counselling theories such as Cognitive Behavioural Therapy or Motivational Interviewing (Award 2 marks if at least one theory applied properly, else 0) | 2 | ||
| Sub-Total | 9 | ||
| TASK 3: Develop relapse prevention plan document | |||
| Completed relapse prevention plan template accurately with all sections filled (Award 3 marks if all sections correctly completed, else partial marks) | 3 | ||
| Included clear follow-up schedule with dates and contact information (Award 2 marks if follow-up schedule detailed and realistic, else 0) | 2 | ||
| Identified support systems including family, groups, and professionals (Award 2 marks if at least 3 support systems identified, else 0) | 2 | ||
| Discussed emergency relapse response plan with client (Award 2 marks if emergency plan discussed and documented, else 0) | 2 | ||
| Sub-Total | 9 | ||
| TASK 4: Explain and review relapse prevention plan with client | |||
| Explained plan contents clearly using simple language (Award 2 marks if explanation clear and client understands, else 0) | 2 | ||
| Addressed client's questions and concerns effectively (Award 2 marks if client questions answered satisfactorily, else 0) | 2 | ||
| Encouraged client to commit to the plan and next steps (Award 1 mark if client commitment evident, else 0) | 1 | ||
| Sub-Total | 5 | ||
| PRODUCT CHECKLIST | |||
| Relapse prevention plan document covers triggers, coping strategies, support systems, emergency plan, and follow-up schedule (Award 5 marks if all elements present and detailed, else partial marks) | 5 | ||
| Plan is clearly structured, legible, and free from significant errors (Award 3 marks if plan well organized and readable, else partial marks) | 3 | ||
| Sub-Total | 8 | ||
| GRAND TOTAL | 34 | ||