Centre for NAI – Intake & Screening (Practitioner Use)

Purpose: Decide to proceed, pause, or refer out. Non-clinical wellness/creativity scope.

1) Explain scope & consent

• Non-clinical; not therapy/medical care.
• Client can pause/stop anytime; no hidden suggestions/recording.
• Reversibility: rollback available on request.

2) Client info

• Name, contact, emergency contact (per local standards).
• Brief goals (calm, focus, creative support, other).

3) Screen for contraindications (if yes → refer/decline)

• Acute crisis/suicidality, recent severe trauma episode.
• Psychosis, uncontrolled dissociation, major cognitive impairment.
• Current severe substance intoxication.
• Meds/conditions where practitioner is not qualified—when in doubt, refer.

4) Red flags / refer out

• Any clinical needs outside practitioner scope.
• Requests for outcomes that sound clinical/therapeutic.
• Signs of instability, mania, severe distress today.

5) Proceeding? Confirm:

• Informed consent signed/acknowledged.
• Safe word/gesture set; no hidden recording.
• Client understands rollback option.
• Agree on focus: supportive, brief, respectful companion only.

6) Notes

• Session notes stored securely if kept; delete recordings on request if applicable.
• If distress emerges: pause, ground, consider rollback, and refer if needed.