Gillick Competency Assessment - LGBT+ Counselling, Support & Awareness

Make sure that you complete all areas in full OTHERWISE YOU WILL NOT BE ABLE TO SUBMIT. If a field is not required, please mark it as N/A.

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All sections must be completed and all conditions satisfied in order to be considered Gillick Competent

Client Name *

Practitioner Name *

Date of Assessment *

Time of Assessment *

Hours

Minutes

Can the young person understand the advice/information they have been given? *

Do they have sufficient maturity to understand what is involved in service[s] and what the implications and consequences of using service[s] are? *

Can they communicate their decision and reasons for wanting service[s] ? *

Is the young person making the decision based on a perception of reality? (E.g. this would not be the case with a chronic substance misuser or someone suffering from breaks with reality) *

Am I confident that the young person is making the decision for themselves and not being coerced or influenced by another person? *

Am I confident that we are safeguarding and promoting the welfare for the young person? *

Without service[s] would the young person’s physical or mental/emotional health be likely to suffer? *

The young person has explicitly requested that the service not seek parental/guardian consent. (Record the reason given) *

Outcome *YES – GILLICK COMPETENT Client has been deemed as being Gillick competent and service[s] can proceed.NO – NOT GILLICK COPMPETENT Client has not been deemed as being Gillick competent and service[s] cannot proceed.

Date of Submission *

Time of Submission *

Hours

Minutes