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We need to make sure the room is accessible . Make sure we understand the whole situation. Give the YP time to talk alone - strike a balance to hear both. Consider practicalities e.g. can you us their ideas of what’s working or not to work out suggestions that will work for them. Consider talking to supervisor where needed. Consider having breaks in the session. Recognise there may be a sense of loss from their normal life - it may also be helpful to signpost dad to additional services. Can the venue be accessible by their needs.

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- Make sure that sessions are accessible.
- Make sure that session stays focused on Sam's difficulties.
- Maybe ask to have some time just with Sam to give him space to talk.
- Stay curious as to how Dad's LTC maintains the difficulty.
-Ask additional questions to find out more about that situation.
-Look for potential services for signposting

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- Asking about the accessibility of the building and whether it was suitable for them
- Asking if parent was aware of how child felt about caring responsibilities
- Asking about the support they access - are they part of a young carer group, 1:1 support, full bursary support from education institution.
- Found it difficult to manage the conflict of interests between dad and child - need to give Sam space to give his view without dad present.

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Make sure that where the session is held that there is wheelchair access.
Make sure there is an accessible toilet.
Make sure the room is accessible (not too many chairs).
Hear both sides - agenda to ensure dad has space and it is contained so both have space to talk.
Talk with Sam to see if he wants to access support group/ young carers.
See if any support is already being accessed.
Are they accessing all the services they can be.. all entitlements.
Ask Sam what he would like/need - when dad is not there.

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You're all showing really good observations, well done.

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Liz, Ellie, Theresa, Sarah, James, James & Howie

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Liz, Ellie, Theresa, Sarah, James, James & Howie

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1. Ensure that service is accessible (both room-specific and geographically) and seek the best possible location for assessment / intervention.
2. Allow both parties to answer questions separately on the agenda - viewing both sides of the problem. Be mindful of potential speech and language problems with the father and allow extra time if possible.
3.Investigate options for further support for the carer and the father.
4. What is already available and being utilised?
5. Investigate carer respite breaks and support. Signpost to further support where appropriate.
6. Be mindful of the 'grief' aspect for Sam feeling that he may have lost his father.

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·     Found it difficult to have the father present hearing the negative impact of his condition on his son’s life, so it is important to manage emotions in that situation.

·     From the therapist perspective, found it hard to not jump to practical solutions (i.e. any provision to increase time paid carer comes in to help out, residential home options if Sam chooses to go to university – very difficult to discuss)

·     Would want to consider having at least 1 session with dad as the current situation is maintaining Sam’s problems (is this a possibility?).

·     Would possibly be more effective to have the father present in the assessment for short, allocated period of time so Sam also has a safe space to discuss things he may not feel comfortable talking about in front of his father (e.g. wanting to go to university without making his dad feel bad for stopping him reaching his goals).

·     We would definitely want to take this case to supervision to ensure best practice for this case (is this something we can actually help with?).

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- Make sure the room is accessible for a wheel chair
- Give Sam some time and space to discuss things alone as perhaps he wouldn't admit how much it is having an impact on his life whilst dad is there.
- Ask if school staff are aware (with his consent)
- Ask additional questions to make sure we understand the whole situation e.g if there are any other adjustments that they need and how much support the family are receiving.

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Exeter Group: We would make sure that the room has space for the wheelchair.Ask the young person what it means for him to be a young carer : detailed information of how he cares for father This will help CWP understand and assess how accessible therapy would be for him Also, ask questions regarding his own support system: self and others 

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Exeter Group: We would make sure that the room has space for the wheelchair.Ask the young person what it means for him to be a young carer : detailed information of how he cares for father This will help CWP understand and assess how accessible therapy would be for him Also, ask questions regarding his own support system: self and others 