•To understand the evidence base for psychological interventions for young carers and young people with a LTC. 

•To develop skills in addressing the complexity of potential problems that may present when working with young carers or LTC.
To understand 

•To gain an appreciation of the barriers experienced by young carers or young people with a LTC in accessing psychological interventions
To gain an appreciation of gender-related definitions and their correct usage

• To develop skills in adapting low intensity CBT through roleplays 

-Ensure that the room is accessible for Dad
 Ask the young person/father if there are any further adjustments needed
-Conduct research on whether there are local services for young carers or any services to support the father and then bring information from this to the assessment
How does it affect your daily life and is there anything that can lessen this?
 -I would include more in depth questioning about the family structure to assess how much support the young person is receiving, as this could impact the homework tasks 
-Question whether there is any social groups that they are already attending for support
 -Attempt to have some time alone in the agenda for the young person as it will allow them to fully explore their circumstances, without worrying about the impact on their Dad, however I would remember this may not be possible 
 Thoroughly, but sensitively, question how the young person is caring for themselves, as this could be lacking due to their extra responsibilities
 

·     Questions to ask: what does caring for your father look like for you? Is it impacting other areas of your life (school, hobbies and interests, friendships, family relationships)? Is mum in the picture? Anyone else able to help out caring? Who is at home? Is this role having any effect on your physical, mental and emotional health?

Extra Qs: Is there/what is the impact of your asthma on your life? How do you manage your asthma? 

Contacting GP/Parent around Rita’s asthma condition. We think this information would be beneficial prior to assessment, so you have a better understanding of the extent/limitations of her asthma. With this information you can have make more informed shared decisions around goals that the young person might want to make. Also, can help with the understanding of asthma and anxiety. If this information is not available before assessment then look to gather this information after and then we can use this to revisit goals in the next session. 

We need to be careful around interventions you may use and then you can adapt them to be suitable.  We would consider her physical abilities as advised by GP, what triggers her asthma e.g. allergies, certain physical activities etc. We would want to think about when would be the best time to meet with her – so how would she be able to get to us, if mum has to drive, need to consider when mum can take her to appointment. 

CWP aware of what might be maintaining the anxiety 

CWP Keeping a close link with GP/ school nurse

Signposting if necessary