Client Case Review - Date and Agenda

12th June 2015

Keep a diary date booked for each young person's next review.

Who are they for, and when should they happen?

We recommend that any young person who is seen regularly for more than one month should have a review, between one and three months after starting treatment.

Who attends?

  • The young person and family should be invited, but they may choose not to be there.
  • The Keyworker must be there
  • Ideally an AMBIT colleague will accompany the keyworker, specifically to help model Thinking Together in the meeting.
  • Other key parts of the care network as appropriate

Why do Reviews?

  • Take a 'long distance' view of the progression of a piece of work - what is working, what is not?
  • Remind the network, especially the informal/family/social network, that the work of the team is time-limited.
  • Check that what we are doing is consistent with the AMBIT approach
  • Consider how a successful intervention might look:
"How would we know when the work we are doing together had achieved enough?"
There may be a requirement to reduce unrealistic expectations. Mindfulness of the effect that such conversation may have on a young person is absolutely key in these settings, to avoid stirring up anxiety or other reactions:
"They are going to abandon me..."
"They want rid of me, like everyone else..."
"What, you think I'll stay THAT long with you? Think again!"

Tasks and Agenda

  1. Introductions - does everybdoy know each other?
  2. Use Thinking Together to frame the meeting (start with Marking the Task)
With the Young person, and any available network (family, professionals, etc), check the RiskAssessment, the Formulation and Treatment Aims, and the Care Plan are still up to date and relevant:
  1. Record who is present and record apologies for those prevented.
  2. Summarise situation and progress
    1. Use the AMBIT Practice Audit Tool (APrAT) to assess whether we are on track in offering AMBIT.
  3. Current key problems (review the AIM)
  4. Review the Care Plan - and if required make a new one via Make or View Client Notes
  5. Set a new date for the next review and record it above.
  6. Any other business.

Recording

Use Make or View Client Notes to record this clinical contact.