Case Study Form

Case Study Form

for one person or one family
Name of person completing this case study:

First NameLast Name
Which project is this relating to?
This case study is about:
Before COVEY
Why was the participant originally referred to COVEY and how was this impacting their life?
Support Received at COVEY
Please use the boxes below to detail examples of support and the impact you feel this support had on the participant. You do not need to fill in all boxes, but please include as much as you can.
One example of support given:
Impact of this specific support:
One example of support given:
Impact of this specific support:
One example of support given:
Impact of this specific support:
Your Perspective
What general changes have you seen in the participant since they started receiving support?
Can you share a particular moment or memory that shows the difference the support has made for the participant?
Why do you think this participant’s story is important to share, and what does it show about the impact of the support offered at COVEY?
The Participant's Perspective
How does the participant feel about their journey with COVEY (please use their own words if you can):
Family
Before COVEY
What were the issues facing the family at the time of referral and how were theses things impacting on their lives?
Support Received at COVEY
Please use the boxes below to detail examples of support and the impact you feel this support had on the participant. You do not need to fill in all boxes, but please include as much as you can.
Support given to the Child/Young Person
One example of support given to the child/young person:
Impact of this specific support:
One example of support given to the child/young person:
Impact of this specific support:
One example of support given to the child/young person:
Impact of this specific support:
Support Given to the Parent/Carer
One example of support given to the parent/carer:
Impact of this specific support:
One example of support given to the parent/carer:
Impact of this specific support:
One example of support given to the parent/carer:
Impact of this specific support:
Your Perspective
What general changes have you seen in this family since they started receiving support?
Can you share a particular moment or memory that shows the difference the support has made to this family?
Why do you think this family's story is important to share, and what does it show about the impact of the support offered at COVEY?
The Family's Perspective
How do the members of this family feel about their journey with COVEY (please use their own words if you can):
Should be Empty:

Case Study Form

Before COVEY

Support Received at COVEY

Your Perspective

The Participant's Perspective

Family

Before COVEY

Support Received at COVEY

Support given to the Child/Young Person

Support Given to the Parent/Carer

Your Perspective

The Family's Perspective