REHAB SOSIAL IPK NAPZA RSJD ATMA HUSADA MAHAKAM

SAMARINDA
CATATAN HASIL KONSELING
I.

DATA KLIEN :
1. NAMA

2. TANGGAL

3. D.O.A

4. D.O.B

II. IDENTIFIKASI MASALAH :

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III. LANGKAH-LANGKAH/ KEGIATAN YANG AKAN DILAKUKAN :
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IV. HAMBATAN YANG MUNGKIN DIHADAPI
PERILAKU
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KOGNITIF
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EMOSI
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KEMAMPUAN MENGAMBIL
KEPUTUSAN
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REHAB SOSIAL IPK NAPZA RSJD ATMA HUSADA MAHAKAM

SAMARINDA
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Kepala Rehab

Konselor

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