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2. Choice p 46-57 Choice philosophy: throughout the whole service – Choice and Partnership Choice appointments: first contact with the service 2

3. Aims of Choice Find out what they want Use our knowledge to jointly form an understanding Together choose what will be helpful NOT… Assessing a passive young person and family Handing down a diagnosis and treatment plan 3

4. Interior Decorator Work in PAIRS One choose to be a CLIENT The other an interior decorator Choose a room to be changed Explore what the client wants Offer some advice (as an expert) Reach a decision together 4

5. Tasks in the Choice appointment/s 5 Curiosity Honest Opinion Joint Formulation Alternatives Choice Point Next Steps Assessment and Risk Engagement in their Choices Goals

6. NoneA littleSomeA fair bitA lotLoads 123456 Slide 6 1.How much were they curious about your point of view / what you were worried about / understanding of the problem? 2.How much did they discuss with you risk and any possible diagnoses? 3.How much did they share their thoughts and opinions for you to discuss? 4.How much did they help you come to a view together as to the nature of your problems? 5.How much did they discuss different things that may help (from CAMHS and other places, including the research available for these options and what it means)? 6.How much did you agree together your goals? 7.With these goals in mind, how much did you together agree the things that might help? 8.How much did they talk with you things you could do yourself?

7. Choice: A Directed Conversation USER: Conversation Follow the families’ process and thinking Non-hierarchical Engaging, motivating and respectful HUMAN Process Focussed PROFESSIONAL: Directed We reach an understanding about the issues That considers risk And any appropriate diagnostic frameworks ACTIVE Goal Focused 7

8. The Quantum Super-position of Choice! Collaborative Let them be “them” Letting them know what will happen Connecting as a person Curiosity and Listening Going at their pace Keeping it safe Deciding together 8 Professional Risk Recording Diagnostic screening Safe guarding Agreeing outcomes and goals Formulating Keeping to time etc

9. Choice Facts Most people or all can do Choice (if have skills) Single clinician Lasts varied time [clinical + admin] Choice + is possible Choice introduction… Choice letter Includes Formulation, goals, homework and action Key worker responsibility clarified Post- Choice discussion weekly Slide 9