Key elements of a Good Choice

The following summarises what we find are the key elements of a good Choice appointment:

One-Off

The session should be seen as a one-off, with the possibility of further service intervention (not the other way round). Primarily with the idea of hope and change, and second, with the service. Not with the Choice clinician.

Discussion

About current difficulties and strengths, motivation/wish to change, the context in which the problems exist. This may include:

  • Problem History
  • Family relationships/structure
  • Relationships
  • School/academic/work
  • Developmental/personal history
  • Risk
  • Previous experience of help
  • Current network and supports, including non-professional.

Risk and Diagnoses

These issues need to be considered so that we can “facilitate with our expertise”

Formulation

The discussion must lead to a clear joint formulation with the person and their family of the problem, and should indicate an intervention when needed.

Agreement

About a clear intervention goal – what do they want to work on? How do they want to do it? How will they know when they have reached their goal? Goals should be Specific, Measurable, Achievable and Agreed, Realistic and Time-limited (SMART).

Decision

On who is most appropriate to help – is it for your or for some other service? Or can the they do it for themselves?

Agreement

On Pre-Partnership Work – If they choose to return to the service then how will they start to change things before they return? Setting a clear plan with them as to what they will work on between the Choice and Partnership contacts is therapeutic.

Full Booking Into a Partnership Slot

Means that service users do not go on an internal waiting list after Choice. The Partnership work should be booked by matching the clinician core extended skills to the intervention goal. Incorporate choice for them according to what is realistic in the service, such as day and time, venue, gender of clinician etc.