My SNAP Assessment for Recovery

1 My SNAP Assessment for Recovery This worksheet will help us talk with you about your mental health treatment here at Cincinnati VAMC. There are four parts for you to share with us about your Strengths, Needs, Abilities and Preferences. Please check and/or list the items which best fit you at this time. STRENGTHS Open minded Takes personal responsibility Good Problem Solver Friendly Strong personal or spiritual values Good Decision Maker What personal Creative Independent Dependable qualities do you Good Listener Assertive Motivation have which we Quick Learner Hard Worker Good health can build upon Good Grooming Able to learn from my experiences Other (Please List).

2 In treatment? Organized Can collaborate/ work with others NEEDS Increase my knowledge of resources that Increasing effective communication skills to improve my relationships with provide me with support others What would Referral to resources for job training or Learn how to talk about my concerns/issues/feelings help you education Practice my coping skills in a safe environment achieve your Access to medical care for health related Learn more about effective coping skills related to: goals? Please, concerns Improving my sleep check your most Staying in a sober environment to help Reducing anxiety and using relaxation important me not use drugs and or alcohol needs.

3 Managing my depression Gain more knowledge and understanding Leisure skills about: Organizing daily activities (Prioritize your My mental health diagnosis Managing anger top three). My medication(s) Mood Regulation My symptoms / behaviors related Improving reality-based thinking to my mental health diagnosis Eating Healthy Get help to stop smoking Learn how to empower myself to take a Other (Please List). more active role in my treatment Abilities Basic ability to read and write Ability to make healthy decisions about my life Computer knowledge and skills Job Skills _____. What skills do Ability to work effectively with others Education / Training_____. you possess?

4 Knowledge or tools that I use to help me Leisure Skills_____. manage my emotions Ability to manage my time and structure my daily activities Ability to have positive relationships with Other (Please List). others Preferences I prefer my family or friends to be I would like to live: I am interested in learning more about involved in my treatment Independently, on Outpatient programming How do you I would like to have a family my own Community resources want your meeting Independently, with Other areas of interest treatment? I learn new information better: community support (Please List). Face to face With others Hands on instruction and practice Other ideas I have Reading written material about my living Alone situation (Please List).

5 In discussion with others Sharing information in a group of my peers Developed for Inpatient Psychiatry, Cincinnati VAMC, 8/10/2010, DDB.