Adherence rating

Adherence checklist

Two simple checklists which therapists can use to see how closely their practice fits with this model. In time, this could be developed into an adherence scale.

The checklist is based on the goals and the steps detailed in the manual.

Scoring

0: Not evidenced

1: Poorly evidenced

2: Adequately evidenced

3: Strongly evidenced

Example checklist

Within records score evidence for:

• Thorough assessment and formulation – The therapist ensures an adequate assessment has taken place, arriving at a formulation of what is needed and what is feasible.

• A flexible needs-based approach – Goals have been discussed and agreed with the relevant people and the structure of the intervention and approach taken reflects the therapeutic needs and goals.

• Adequate preparation – The therapist has prepared for the work, and taken steps to prepare the caregivers and system as appropriate.

Within session score evidence for:

• Therapeutic engagement with the dyad – The therapist balances the needs of both halves of the dyad ensuring that the perspectives and needs of both are recognised. The therapist creates a sense of safety for both parties.

• Joining up people, ideas and actions – Art making activities and joined up reflective conversations are facilitated. Through these activities the therapist facilitates an exploration of other people's minds and perspectives.

• Enhancing the caregiver and child's skills – The therapists models and/or explains skills and ideas that may help the dyad.

• Responding to events in the sessions – The therapist uses reflective responses to encourage an exploration of the session's images and interactions and directive responses to contain and manage the session appropriately.

• Processing current and past events – The therapist helps the dyad to use art materials and reflective dialogues to explore and process current and past events.