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School Mobility and Prospective Pathways

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This is the powerpoint one

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1)	WHAT IS IMPORTANT:  Identifying Adam’s and his family’s needs and providing help and support accordingly2)	HOW DO YOU FIND OUT: Assessing Adam with his mum, gathering developmental history, WISC forms, Connors etc liasing with school requesting a school report, observing Adam at school, requesting relevant information from social services etc if there was past involvement3)	WHO DO YOU NEED TO TALK TO: Adam and his family, social services, DV agencies if they were involved, Adam’s school, Adam’s GP4)	OUR ROLE:  To carry out assessment and identify this family’s needs and provide intervention/ support5)	WHO ARE CLIENTS: Adam and his family6)	WHOSE ACCOUNT MATTERS: All of them as family, particularly Adam7)	WHAT WORKS: Helpful, warm, curious approach8)	HOW DO YOU KNOW IT WORKS: Outcome measures, feedback from family and Adam, using evidence based interventions. 

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1)	WHAT IS IMPORTANT:  Identifying Adam’s and his family’s needs and providing help and support accordingly2)	HOW DO YOU FIND OUT: Assessing Adam with his mum, gathering developmental history, WISC forms, Connors etc liasing with school requesting a school report, observing Adam at school, requesting relevant information from social services etc if there was past involvement3)	WHO DO YOU NEED TO TALK TO: Adam and his family, social services, DV agencies if they were involved, Adam’s school, Adam’s GP4)	OUR ROLE:  To carry out assessment and identify this family’s needs and provide intervention/ support5)	WHO ARE CLIENTS: Adam and his family6)	WHOSE ACCOUNT MATTERS: All of them as family, particularly Adam7)	WHAT WORKS: Helpful, warm, curious approach8)	HOW DO YOU KNOW IT WORKS: Outcome measures, feedback from family and Adam, using evidence based interventions. 

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The definition of the therapeutic alliance proposed by Bordin (1979) is ‘the collaborative relationship between patient and therapist in the common fight to overcome the patient’s suffering and self-destructive behavior’. Therefore, agreeing on tasks, goals, strategies for treatment is crucial. Empowering Adam’s mum, being curious, listening to her concerns, offering her help, support, signposting them to other available services, giving them choice as a family is key for our formulation & intervention

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The definition of the therapeutic alliance proposed by Bordin (1979) is ‘the collaborative relationship between patient and therapist in the common fight to overcome the patient’s suffering and self-destructive behavior’. Therefore, agreeing on tasks, goals, strategies for treatment is crucial. Empowering Adam’s mum, being curious, listening to her concerns, offering her help, support, signposting them to other available services, giving them choice as a family is key for our formulation & intervention

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THERAPEUTIC ALLIANCE:We know from a vast research that building a good TA is crucial in any type of psychological intervention. Therefore from the first meeting giving family (Adam’s mum, Adam, and step dad if they wish him to be involved) a voice is vital. According to Bordin (1979) the optimal therapeutic alliance is achieved when patient and therapist share beliefs with regard to the goals of the treatment and view the methods used to achieve these as efficacious and relevant.Practical steps to build a good TA •	Offering parents choice of service •	Offering parents suitable time and venue to be seen •	Enquiring whether they have means of getting to the venue, if not is there any help we can provide•	Offering parents cho•	Offering parents choice of treatment ie CBT, family therapy, counselling •	Having a real understanding of patient’s working capacity and offering treatment accordingly ie WICS results. •	Identifying the main ‘issues/ problems’ together and creating a treatment plan/ formulating together. •	Collaborative decision making, agreeing on each task, goal, strategy for Adam’s well- being, working as a team for Adam, and respecting their choice.From literature we know that TA is an important predictor for positive outcome in therapy. However, future research should pay special attention to the comparison between patients’ and therapists’ assessments of the therapeutic alliance (Rita B. Ardito* and Daniela Rabellino). What we count as good TA may not be perceived as ‘good’ by the person we work with. Therefore, being really ‘curious’ and having them on board finding out what works for them best is a key when we start our work with an individual. 

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THERAPEUTIC ALLIANCE:We know from a vast research that building a good TA is crucial in any type of psychological intervention. Therefore from the first meeting giving family (Adam’s mum, Adam, and step dad if they wish him to be involved) a voice is vital. According to Bordin (1979) the optimal therapeutic alliance is achieved when patient and therapist share beliefs with regard to the goals of the treatment and view the methods used to achieve these as efficacious and relevant.Practical steps to build a good TA •	Offering parents choice of service •	Offering parents suitable time and venue to be seen •	Enquiring whether they have means of getting to the venue, if not is there any help we can provide•	Offering parents cho•	Offering parents choice of treatment ie CBT, family therapy, counselling •	Having a real understanding of patient’s working capacity and offering treatment accordingly ie WICS results. •	Identifying the main ‘issues/ problems’ together and creating a treatment plan/ formulating together. •	Collaborative decision making, agreeing on each task, goal, strategy for Adam’s well- being, working as a team for Adam, and respecting their choice.From literature we know that TA is an important predictor for positive outcome in therapy. However, future research should pay special attention to the comparison between patients’ and therapists’ assessments of the therapeutic alliance (Rita B. Ardito* and Daniela Rabellino). What we count as good TA may not be perceived as ‘good’ by the person we work with. Therefore, being really ‘curious’ and having them on board finding out what works for them best is a key when we start our work with an individual. 

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SOCIAL CONTEXT:Accumulating evidence suggests that social contexts in early life have important and complex effects on childhood psychopathology. Therefore, Adam’s social context such as whether parents are still together, existence of any past or current domestic violence, any issues with substance misuse in the family, financial difficulties/ unemployment, housing issues, neighbourhood, social isolation, social support network, dysfunctional social relationships, dynamics at school, his relationship with his peers, any form of bullying etc have been considered.Studies as early as 80’s demonstrated consistent associations between family economic disadvantage and child psychopathology (Leckman, Weissman, & Merikangas, 1985). Marital discord and family dysfunction has been shown as another indicator of childhood emotional development difficulties (Steinberg, 1993; Hinde, 1992).	

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SOCIAL CONTEXT:Accumulating evidence suggests that social contexts in early life have important and complex effects on childhood psychopathology. Therefore, Adam’s social context such as whether parents are still together, existence of any past or current domestic violence, any issues with substance misuse in the family, financial difficulties/ unemployment, housing issues, neighbourhood, social isolation, social support network, dysfunctional social relationships, dynamics at school, his relationship with his peers, any form of bullying etc have been considered.Studies as early as 80’s demonstrated consistent associations between family economic disadvantage and child psychopathology (Leckman, Weissman, & Merikangas, 1985). Marital discord and family dysfunction has been shown as another indicator of childhood emotional development difficulties (Steinberg, 1993; Hinde, 1992).	

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DV impact on family

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23.07 notes

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The likely impact of parental mental health

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What is the likely impact of movement and

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Possible interventions?

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How will consent and confidentiality be managed

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yay

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As you can see I got a bit carried away with money.  Reason for using info on conduct disorder is strong link with comorbid ADHD (40%+).  

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As you can see I got a bit carried away with money.  Reason for using info on conduct disorder is strong link with comorbid ADHD (40%+).  

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Every child matters relates to everything!