Bibliography: for MBI for Psychotherapists 2016 

Clinician Stress Assessment

Source       /  Intensity                                / Management Effectiveness ________________________________________________________________________
                        Low=1   Medium=2  High=3                  Good=1  Moderate=2     Poor=3 
_________________________________________________________________________

Relationship
_________________________________________________________________________
Financial
_________________________________________________________________________
Work
_________________________________________________________________________
Legal
_________________________________________________________________________
Loss
_________________________________________________________________________
Trauma
_________________________________________________________________________
Totals:

High _____ Medium _____ Low_____   Total Score: _______ If your score is between 24 and 36. You are encountering a significant amount of stress. This may effect your ability to provide high level mental health services.
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© Ellen M. Adelman PhD 2012 All rights reserved.