1:1 Support Notes

Support Worker Name(required)

Client FULL Name(required)

Date of Contact(required)

Session Number NB you must count non attended sessions(required)

Was the session attended?(required) Yes

What was the intended method of contact, phone, skype, google meet, etc?(required)

Session Notes: Include here, what was discussed, explored, reviewed and planned with the client as part of your session.(required)

SAFEGUARDING: Include here, ANY SAFEGUARDING CONCERNS you may have following this session, if none, enter N?A(required)

SUICIDE AND SELF HARM RISK ASSESSMENT:

Does the client have any suicidal thoughts, thoughts of self-harm, active suicidal behaviour or active thoughts of self-harm currently present? If YES give details(required)

Does the person have a plan regarding the above? If YES give details(required)

Is there active intent to carry out the above plan? If YES give details(required)

Based on the above questions, which you should explore fully with client, how do you assess the risk? (required) NONE – There is zero risk if there are no thoughts, plan or intention.

LOW – Risk is Low if there are only thoughts present, but they are only transient and passing in nature or the client feels that they are in control of them. Verbal advice to be given to client to contact NHS, 111 or 999 if thoughts persist, or get stronger, or they start making plans or have active intent.

MEDIUM – Risk is Medium if there are thoughts and a plan. Complete written safe plan and give verbal advice to client to contact NHS, 111 or 999 if thoughts persist, or get stronger, or they start making plans and have active intent.

HIGH – Risk is HIGH if there are thoughts, plan, and active intent or they are currently engaging in suicidal behaviour. SEEK URGENT ASSISTANCE VIA 111 OR 999 FOR/WITH CLIENT AS PER CLIENT CONTRACT. Complete written safe plan and give verbal advice to client to contact NHS, 111 or 999 if thoughts persist, or get stronger, or they start making plans and have active intent.

IS THERE AND RISK FOR THIS CLIENT?(required) YES – I have taken the necessary action and considered a referral to counselling and/or emergency plan

NO – mentoign and 1:1 support can continue

Outcome of session(required) Next sessions booked as planned

Discharged DNA/CAN

Discharged Work Complete

Discharged Other – please note below – or write N?A if needed

Not Applicable [other] detail below

Other discharge reason / other outcome if required if not required enter N/A(required)

NEVER IGNORE RISK – IF YOU THINK THIS CLIENT IS NOT SUITABLE FOR THIS SERVICE PLEASE CONSIDER A REFERRAL AND CONSULT YOUR TEAM LEADER.