The assessment interview sets the tone for establishing an ongoing relationship and provides an opportunity for health workers to gather and analyse information from the client. Ongoing interviews may involve resolving conflict and providing a supportive framework. It is desirable to provide an environment that is quiet, comfortable and free from distractions. Providing a supportive environment will promote interaction and foster a positive relationship. This will enhance the opportunity to exchange ideas and implement a plan of action. Select these terms to learn more about the interviewing process.

Assessment interview

An assessment interview is a dynamic process, constantly changing and moving in different directions. It is a chance for the client to express their concerns and emotions.

It provides an opportunity for the worker to observe behaviour, gather information, listen to concerns and assess the client's problems.

The interview must be a face to face meeting between the health worker and the client.

Observation

The key elements of observation during the interview are:

• let clients tell their story
• identify and acknowledge feelings and emotions
• observe body language
• be aware of your own body language
• listen actively
• use sound communication skills
• encourage feedback.

Indicators

During an interview you should be aware of the key indicators:

• language and literacy levels
• impacts of drug and alcohol use
• physical and intellectual impairment
• language barriers
• cultural barriers
• mental health
• physical signs of abuse
• indicators of physical, emotional and sexual abuse.

Stages

Commencement of the interview:

• greet your client/s
• clarify roles of worker and organisation
• discuss the purpose of the interview
• explore the issues and concerns of client
• discuss rights and responsibilities.

Middle of the interview:

• ongoing assessment of client's issues
• plan strategies.

Conclusion of the interview:

• summarise all main points
• close interview.

If the client's needs can be met within the service an action plan will be implemented. If the client's needs are unable to be met within the service the client may be referred to another agency.

Purpose

The assessment interview is focused and has a purpose and structure. It involves taking notes or following an interview format (questionnaire).

It is also about establishing a rapport with the client and building a positive relationship. For more information, go to practical interviewing tips in an Indigenous setting.

Client history

Gathering a socio-emotional history may include:

• living conditions
• health, legal, family and lifestyle issues
• financial and employment status
• relationships and family or origin
• any presenting problems
• alcohol and other drug use
• hallucination, paranoia, delusional thinking
• past medical history
• client concerns and beliefs regarding their problems.

Obtain information about critical incidents and events such as:

• loss, grief, trauma and bereavement
• unfinished business (dislocation, identity)
• all forms of abuse
• funerals/burials
• crisis.