Contextual factors

Physical environment; Is the physical environment – the home, the workplace or the school, for example – appropriate for the client? This includes the lighting, acoustics and temperature in a room. Are there enough contacts and resources?

Interaction pattern; How does the client establish contact? Are contacts established with the client in ways that are appropriate for their level and communication abilities (this includes the control over communications, timing and processing time).

Risk factors or protective factors; Does the client have daily activities and guidance that are qualitatively and quantitatively appropriate, is the group profile appropriate, how much does the team change and are experts available?

System problems; Is there a disturbed relationship in the social system that includes the client (family, group, class, carers and therapists)?