Priority 2: Make Sure Session Monitoring Involves the Young Person

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Session by session monitoring is standard practice, involving the young person in reviewing process, goals and progress.

Professionals should work with children and young people to agree clear goals for therapy. Children and young people want to know what they can expect from the process and to be able to recognise good practice when they see it.  Session by session monitoring can ensure that young people are properly involved in evaluating their treatment.  At the Big Event we asked young people what session by session monitoring should look like. Here are some of their recommendations:

Setting the scene

  • There should be openness and an opportunity to talk about the issues
  • There should be space to get to know each other
  • There should be clear explanation of any relevant policies and rules, including complaints procedure

Support and advocacy

  • There should be the opportunity to explore openly what we want and what our aspirations are
  • Care should be taken not to “put people on the spot”
  • Approach and manner may differ dependent on the patient

Session by session

  • We should be part of defining what we want and what we want out of therapy
  • We want there to be clarity and agreement about goals that we have helped set.
  • We want to be clear about what we are getting and what we will get out of it and to be able to recognise good practice when they see it.
  • Session by session monitoring is not being put on the spot. It may require time discussing our issues for a while to work things through.
  • There needs to be flexibility based on our needs


  • There are a range of methods that can be used in session by session monitoring and goal setting, including face to face, group working, phone and internet
  • Sessions themselves can be one to one or in groups. Groups can benefit from being same age groups. There needs to be flexibility of approach, and an environment in which group members will feel comfortable. Sessions should include icebreakers and breaks.
  • The group collectively can influence individual and shared care needs. The worker needs to be able to facilitate the group and identify gaps.

 “We need to know what’s happening, what the goals are and what should be done to make that happen.”

Talking about Talking Therapies, YoungMinds March 2011

For more information on Routine Outcome monitoring as part of CYP IAPT click here.

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